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Investigation of aliphatic hydrocarbons in core sediments of Brunei Bay, East Malaysia

Pang SY, Suratman S, Tay JH, Mohd Tahir N

Mar Pollut Bull, 2021 Oct;171:112736.
PMID: 34325152 DOI: 10.1016/j.marpolbul.2021.112736

The distribution of aliphatic hydrocarbons in three sediment cores from Brunei Bay was investigated in order to understand their sources and the biogeochemical processes of these hydrocarbons. The total concentrations of C15 to C37n-alkanes ranged from 0.70 to 16.5 μg g-1. Traces of hopanes with C29-C31 carbon homologs were detected in the study area. The carbon preference index (CPI15-37) ranged from 1.23 to 3.42 coupled with the natural n-alkane ratio (NAR19-32) ratios (1.52 to 5.34), and the presence of unresolved complex mixtures and hopanes, suggested slight contamination by anthropogenic hydrocarbons, presumably derived from activities along the coasts. The presence of C27 trisnorhopene and diploptene, as well as their association with long-chain and short-chain n-alkanes, revealed a depositional environment of organic matter in the sediment cores.

Matched MeSH terms: Brunei
Input of organic matter in Brunei Bay, East Malaysia, as indicated by sedimentary steroids and multivariate statistics

Pang SY, Tay JH, Suratman S, Simoneit BRT, Mohd Tahir N

Mar Pollut Bull, 2020 Jul;156:111269.
PMID: 32510409 DOI: 10.1016/j.marpolbul.2020.111269

Brunei Bay is one of the most important marine environments of East Malaysia (South China Sea), covering many productive ecosystems with activities including fisheries, tourism, and main shipping lanes for petroleum transfers. Evaluation of the sources and distributions of steroids in the surface sedimentary organic matter was carried out by gas chromatography-mass spectrometry (GC-MS). The concentrations of the total identified sterols (TIS) ranged between 0.81 and 12.69 μg g-1 dry weight, and the total sterones were between 0.11 and 5.66 μg g-1 dry weight. The coprostanol level was comparatively low (<0.10 μg g-1), and the multi-biomarker proxies indicated that the region did not exhibit significant contamination from sewage effluents. Principal component analysis (PCA) revealed the coastal environment of the study area was dominated by allochthonous (mainly terrestrial) organic matter input.

Matched MeSH terms: Brunei
Fulltext Medication wastage and its disposal amongst patients at Suri Seri Begawan Hospital in Brunei Darussalam

Nurolaini, K., Sultana, S.M., Wai See, W.

Medicine & Health, 2016;11(2):139-150.
MyJurnal

Medication wastage poses a financial burden on the nation’s economy, as well as, environmental implications associated with wastage disposal. This study was conducted in a public hospital in Brunei and aimed to measure the extent of medication wastage and its disposal. This cross-sectional study used a self-designed questionnaire for patients attending outpatient pharmacy at the Suri Seri Begawan (SSB) hospital in which 253 patients participated over a period of two weeks. Exclusion criteria were: i) patients below 18 yrs, ii) patients visiting the Accident and Emergency Department and iii) patients admitted to the hospital. Majority of the participants were reported to have unused medication at home (75.1%, n=189). Nearly half (54.2%) had unused medicines and this was due to improvements in their medical conditions. Most of the participants (70.8%) were not given necessary advice on how to dispose their medicines in a proper manner. Majority disposed their unused medicines in the household garbage (70%), despite 50.2% (n=189) knowing that disposing of medicines in the garbage can cause detrimental effects on the environment. It was found that 47.7% of the participants would return their unused medicines back to the pharmacy, but in practice, only 18.6% did such. There was no significant association between knowing detrimental effects of medicine on
the environment and returning their medicines to the pharmacy (p=0.065). Results showed that medication wastage exists in SSB hospital and patients’ knowledge and
practices on its proper disposal was relatively poor. Health policy makers should be informed to implement wastage reduction strategies.

Matched MeSH terms: Brunei
From the High Arctic to the Equator: Do Soil Metagenomes Differ According to Our Expectations?

Kerfahi D, Tripathi BM, Dong K, Kim M, Kim H, Ferry Slik JW, et al.

Microb Ecol, 2019 Jan;77(1):168-185.
PMID: 29882154 DOI: 10.1007/s00248-018-1215-z

Comparing the functional gene composition of soils at opposite extremes of environmental gradients may allow testing of hypotheses about community and ecosystem function. Here, we were interested in comparing how tropical microbial ecosystems differ from those of polar climates. We sampled several sites in the equatorial rainforest of Malaysia and Brunei, and the high Arctic of Svalbard, Canada, and Greenland, comparing the composition and the functional attributes of soil biota between the two extremes of latitude, using shotgun metagenomic Illumina HiSeq2000 sequencing. Based upon "classical" views of how tropical and higher latitude ecosystems differ, we made a series of predictions as to how various gene function categories would differ in relative abundance between tropical and polar environments. Results showed that in some respects our predictions were correct: the polar samples had higher relative abundance of dormancy related genes, and lower relative abundance of genes associated with respiration, and with metabolism of aromatic compounds. The network complexity of the Arctic was also lower than the tropics. However, in various other respects, the pattern was not as predicted; there were no differences in relative abundance of stress response genes or in genes associated with secondary metabolism. Conversely, CRISPR genes, phage-related genes, and virulence disease and defense genes, were unexpectedly more abundant in the Arctic, suggesting more intense biotic interaction. Also, eukaryote diversity and bacterial diversity were higher in the Arctic of Svalbard compared to tropical Brunei, which is consistent with what may expected from amplicon studies in terms of the higher pH of the Svalbard soil. Our results in some respects confirm expectations of how tropical versus polar nature may differ, and in other respects challenge them.

Matched MeSH terms: Brunei
Serotyping of Brunei pneumococcal clinical strains and the investigation of their capability to adhere and invade a brain endothelium model

Rahman NA, Sharudin A, Diah S, Muharram SH

Microb Pathog, 2017 Sep;110:352-358.
PMID: 28711510 DOI: 10.1016/j.micpath.2017.07.021

INTRODUCTION: Pneumococcal infections have caused morbidity and mortality globally. Streptococcus pneumoniae (pneumococci) are commensal bacteria that colonize the nasopharynx, asymptomatically. From there, pneumococci can spread in the lungs causing pneumonia and disseminate in the bloodstream causing bacteremia (sepsis) and reach the brain leading to meningitis. Endothelial cells are one of the most important components of the blood-brain barrier that separates the blood from the brain and plays the first protective role against pneumococcal entry. Thus this study aimed to investigate on the ability of non-meningitis pneumococcal clinical strains to adhere and invade a brain endothelium model.
METHODS: Two pneumococcal Brunei clinical strains were serotyped by multiplex PCR method using oligonucleotide sequences derived from Centers for Disease Control and Prevention. A validated immortalised mouse brain endothelial cell line (bEnd.3) was used as a brain endothelium model for the study of the pneumococcal breach of the blood-brain barrier using an adherence and invasion assay.
RESULTS: Both of the pneumococcal clinical strains were found to be serotype 19F, a common circulating serotype in Southeast Asia and globally and possess the ability to adhere and invade the brain endothelial cells.
CONCLUSION: In addition, this is the first report on the serotype identification of pneumococci in Brunei Darussalam and their application on a brain endothelium model. Further studies are required to understand the virulence capabilities of the clinical strains.

Matched MeSH terms: Brunei
Fulltext Molecular characterization by using 12SrRNA and Cytochrome b for identification of species of genus Ratufa (Rodentia: Scuiridae) including Ratufa indica, endemic species of India

Bahuguna A, Singh A

Mitochondrial DNA B Resour, 2019 Oct 17;4(2):3085-3091.
PMID: 33365866 DOI: 10.1080/23802359.2019.1667270

Oriental giant squirrels are tree squirrels classified under family Ratufinae. In India, there are three species of genus Ratufa, i.e. Ratufa bicolor, Ratufa macroura and Ratufa indica. They are also distributed in South and Southeast Asia. However Ratufa indica is endemic to India. The fourth species Ratufa affinis is restricted to Maritime Southeast Asia (East Malaysia, Indonesia, Brunei and Thailand) and probably in Singapore. The species is near threatened .The species R.macroura is endemic to South Asia. Forests of South and Southeast Asia are hotspots of squirrel diversity but at the same time they are at a high risk of extinction because of high deforestation rate and habitat fragmentation. The present molecular study is the first study of the species of Ratufa for their identification. In this study old taxidermy samples were used for amplification of 12SrRNA and Cytochrome b genes. Maximum likelihood and neighbor-joining methods were used to delineate the species by using MEGA 6 and also for molecular analysis for variable, conserved, parsimony and singleton sites. Similarities between species through BLAST indicated 92.21-89.57% between R.macroura vs. R. bicolour; 93.22-90% Ratufa macroura vs. Ratufa indica; 96-92% Ratufa indica vs. Ratufa bicolour, 93.88% between Ratufa affinis vs. Ratufa indica, 93.5% R. affinis vs. R. bicolor, 90.5%. R. affinis vs. R. macroura. Ratufa bicolor is noted to be genetically closer to R. indica as inferred by using both markers. The BLAST result indicated that the obtained sequences matched 99-100% with their respective species. It was also noted that R. bicolor of Jalpaiguri, West Bengal are genetically closer to that of Bhutan. The study also revealed the evolution of R. indica and R. macroura from a single population.

Matched MeSH terms: Brunei
Fulltext The complete mitochondrial genome of Amyda cartilaginea (Testudines: Trionychidae)

Cui L, Rao D, Zhang M

Mitochondrial DNA B Resour, 2020 Nov 03;5(3):3670-3672.
PMID: 33367054 DOI: 10.1080/23802359.2020.1832595

The Asiatic softshell turtle, also known as the black-rayed softshell turtle (Amyda cartilaginea; Accession no: MT039230), is found in northeastern India (Mizoram), Brunei Darussalam, Indonesia, Malaysia, Singapore, Myanmar, Laos, Vietnam, Cambodia, and Thailand. This turtle is thought to have been introduced into the Sunda Islands, Sulawesi, and Yunnan, China, through the Malay Peninsula to Sumatra, Java, and Borneo. Herein, we determined the complete mitochondrial genome of A. cartilaginea for the first time using next-generation sequencing (NGS). The assembled mitogenome was 16,763 bp in length and encoded 13 protein-coding genes (PCGs), 22 transfer RNA (tRNA) genes, two ribosomal RNA genes (12S rRNA and 16S rRNA), and one control region (CR). The PCGs based maximum-likelihood phylogeny discriminated A. cartilaginea from other Testudines and clusters within family Trionychidae with the sister taxa of Nilssonia nigricans.

Matched MeSH terms: Brunei
Review on pharmacological activities of Cinnamomum iners Reinw. ex Blume

Mustaffa F, Indurkar J, Shah M, Ismail S, Mansor SM

Nat Prod Res, 2013;27(10):888-95.
PMID: 22574706 DOI: 10.1080/14786419.2012.678347

This review describes the morphological, phytochemical and pharmacological properties of Cinnamomum iners Reinw. ex Blume (Lauraceae). The plant grows wild in the lowland of Malaysia, India, Myanmar, Indonesia, Thailand, Singapore, Brunei and Philippines. This plant is commonly used for its carminative, analgesic and antipyretic properties, for postpartum treatment, rheumatism and digestive ailments. This article enumerates an overview of phytochemical and pharmacological aspects that is useful to researchers for further exploration necessary for the development of this potential herb.

Matched MeSH terms: Brunei
Renal replacement therapy in Brunei Darussalam: comparing standards with international renal registries

Tan J

Nephrology (Carlton), 2014 May;19(5):288-95.
PMID: 24641721 DOI: 10.1111/nep.12228

Brunei Darussalam is a small South East Asian country with a high prevalence and incidence of end stage kidney disease (ESRD). This study aims to compare key performance indicators recorded in the Brunei Dialysis and Transplant Registry and department records against international practice. Registries from the USA (USRDS), UK (UK Renal Registry), Australasia (ANZDATA), Europe (ERA-EDTA Registry) and Malaysia (MDTR) were used for comparisons.

Matched MeSH terms: Brunei/epidemiology
Fulltext Trans-Pacific Partnership Provisions in Intellectual Property, Transparency, and Investment Chapters Threaten Access to Medicines in the US and Elsewhere

Baker BK

PLoS Med, 2016 Mar;13(3):e1001970.
PMID: 26954325 DOI: 10.1371/journal.pmed.1001970

Brook Baker describes the potential harms to global health from the Trans Pacific Partnership Agreement and its failure to balance the interests of patients and the public with those of industry.

Matched MeSH terms: Brunei
Fulltext Status of the undisturbed mangroves at Brunei Bay, East Malaysia: a preliminary assessment based on remote sensing and ground-truth observations

Satyanarayana B, M Muslim A, Izzaty Horsali NA, Mat Zauki NA, Otero V, Nadzri MI, et al.

PeerJ, 2018;6:e4397.
PMID: 29479500 DOI: 10.7717/peerj.4397

Brunei Bay, which receives freshwater discharge from four major rivers, namely Limbang, Sundar, Weston and Menumbok, hosts a luxuriant mangrove cover in East Malaysia. However, this relatively undisturbed mangrove forest has been less scientifically explored, especially in terms of vegetation structure, ecosystem services and functioning, and land-use/cover changes. In the present study, mangrove areal extent together with species composition and distribution at the four notified estuaries was evaluated through remote sensing (Advanced Land Observation Satellite-ALOS) and ground-truth (Point-Centred Quarter Method-PCQM) observations. As of 2010, the total mangrove cover was found to be ca. 35,183.74 ha, of which Weston and Menumbok occupied more than two-folds (58%), followed by Sundar (27%) and Limbang (15%). The medium resolution ALOS data were efficient for mapping dominant mangrove species such asNypa fruticans,Rhizophora apiculata,Sonneratia caseolaris,S. albaandXylocarpus granatumin the vicinity (accuracy: 80%). The PCQM estimates found a higher basal area at Limbang and Menumbok-suggestive of more mature vegetation, compared to Sundar and Weston. Mangrove stand structural complexity (derived from the complexity index) was also high in the order of Limbang > Menumbok > Sundar > Weston and supporting the perspective of less/undisturbed vegetation at two former locations. Both remote sensing and ground-truth observations have complementarily represented the distribution ofSonneratiaspp. as pioneer vegetation at shallow river mouths,N. fruticansin the areas of strong freshwater discharge,R. apiculatain the areas of strong neritic incursion andX. granatumat interior/elevated grounds. The results from this study would be able to serve as strong baseline data for future mangrove investigations at Brunei Bay, including for monitoring and management purposes locally at present.

Matched MeSH terms: Brunei
First Report of Pestalotiopsis virgatula Causing Pestalotiopsis Fruit Rot on Rambutan in Hawaii

Keith LM

Plant Dis, 2008 May;92(5):835.
PMID: 30769617 DOI: 10.1094/PDIS-92-5-0835B

Rambutan (Nephelium lappaceum Linn.) is a tropical, exotic fruit that has a rapidly expanding niche market in Hawaii. Diseased rambutan fruit was commonly observed in orchards in the Hilo and Kona districts of Hawaii Island during 2006. In surveys conducted in January, symptoms appeared as dark brown-to-black spots on mature fruit and blackened areas at the base of spinterns (hair-like projections) of mature and immature fruits. Pieces of infected fruit (cv. R167) were surface sterilized for 2 min in 0.5% NaOCl, plated on potato dextrose agar, and incubated at 24 ± 1°C for 7 days. The fungus growing on PDA was pale buff with sparse, aerial mycelium and acervuli containing black, slimy spore masses. All isolates had five-celled conidia. Apical and basal cells were hyaline, while the three median cells were olivaceous; the upper two were slightly darker than the lower one. Conidia (n = 40) were 20.3 ± 0.1 × 6.8 ± 0.1 μm. There were typically three apical appendages averaging 16.8 ± 0.2 μm long. The average basal appendage was 3.8 ± 0.1 μm long. The fungus was initially identified as Pestalotiopsis virgatula (Kleb.) Stey. on the basis of conidial and cultural characteristics (3). The identification was confirmed by molecular analysis of the 5.8S subunit and flanking internal transcribed spacers (ITS1 and ITS2) of rDNA amplified from DNA extracted from single-spore cultures with the ITS1/ITS4 primers (1,4) and sequenced (GenBank Accession No. EU047943). To confirm pathogenicity, agar pieces, 3 mm in diameter, from 7-day old cultures were used as inoculum. Five mature fruit from rambutan cv. R134 were rinsed with tap water, surface sterilized with 0.5% NaOCl for 2 min, wounded with a needle head, inoculated in the laboratory, and maintained in a moist chamber for 7 days. Lesions resembling symptoms that occurred in the field were observed on fruit after 7 days. No symptoms were observed on fruit inoculated with agar media. The fungus reisolated from diseased fruit was identical to the original isolates, confirming Koch's postulates. The disease appears to be widespread in Hawaii. Preharvest symptoms may have the potential to affect postharvest fruit quality if fruits are not stored at the proper conditions. Pestalotiopsis spp. have been reported on rambutan in Malaysia, Brunei, and Australia (2). To my knowledge, this is the first report of P. virgatula causing fruit spots on rambutan in Hawaii. References: (1) G. Caetano-Annolles et al. Curr. Genet. 39:346, 2001. (2) D. F. Farr et al. Fungal Databases. Systematic Botany and Mycology Laboratory. On-line publication. ARS, USDA, 2007. (3) E. F. Guba. Monograph of Pestalotia and Monochaetia. Harvard University Press, Cambridge, MA, 1961. (4) T. J. White et al. PCR Protocols: A Guide to Methods and Applications. Academic Press, San Diego, CA. 1990.

Matched MeSH terms: Brunei
Fulltext Two New Nepenthes Species from the Philippines and an Emended Description of Nepenthes ramos

Gronemeyer T, Suarez W, Nuytemans H, Calaramo M, Wistuba A, Mey FS, et al.

Plants (Basel), 2016;5(2).
PMID: 27164153 DOI: 10.3390/plants5020023

With 50 species of the genus Nepenthes L. currently described from the Philippines, it is without doubt that the country, along with the islands of Sumatra (Indonesia) and Borneo (Indonesia, Malaysia, Brunei), should be considered the center of diversity of the genus. In this work, we describe two new species. One species, N. aenigma sp. nov., is from Ilocos Norte province on Luzon Island and has the-for Nepenthes-unusual ecological preference to grow in dense vegetation in deep shade. The other new species is from Mount Hamiguitan in Davao Oriental province on Mindanao Island. With this new entry, Mount Hamiguitan is now home to four endemic species (N. peltata, N. micramphora, N. hamiguitanensis, N. justinae sp. nov.). Furthermore, we provide an emended description of N. ramos based on field data. Nepenthes kurata is synonymized here with N. ramos.

Matched MeSH terms: Brunei
Fulltext Trans-national conservation and infrastructure development in the Heart of Borneo

Sloan S, Campbell MJ, Alamgir M, Lechner AM, Engert J, Laurance WF

PLoS One, 2019;14(9):e0221947.
PMID: 31532810 DOI: 10.1371/journal.pone.0221947

The Heart of Borneo initiative has promoted the integration of protected areas and sustainably-managed forests across Malaysia, Indonesia, and Brunei. Recently, however, member states of the Heart of Borneo have begun pursuing ambitious unilateral infrastructure-development schemes to accelerate economic growth, jeopardizing the underlying goal of trans-boundary integrated conservation. Focusing on Sabah, Malaysia, we highlight conflicts between its Pan-Borneo Highway scheme and the regional integration of protected areas, unprotected intact forests, and conservation-priority forests. Road developments in southern Sabah in particular would drastically reduce protected-area integration across the northern Heart of Borneo region. Such developments would separate two major clusters of protected areas that account for one-quarter of all protected areas within the Heart of Borneo complex. Sabah has proposed forest corridors and highway underpasses as means of retaining ecological connectivity in this context. Connectivity modelling identified numerous overlooked areas for connectivity rehabilitation among intact forest patches following planned road development. While such 'linear-conservation planning' might theoretically retain up to 85% of intact-forest connectivity and integrate half of the conservation-priority forests across Sabah, in reality it is very unlikely to achieve meaningful ecological integration. Moreover, such measure would be exceedingly costly if properly implemented-apparently beyond the operating budget of relevant Malaysian authorities. Unless critical road segments are cancelled, planned infrastructure will fragment important conservation landscapes with little recourse for mitigation. This likelihood reinforces earlier calls for the legal recognition of the Heart of Borneo region for conservation planning as well as for enhanced tri-lateral coordination of both conservation and development.

Matched MeSH terms: Brunei
Fulltext Validation of Brunei's Malay EQ-5D Questionnaire in Patients with Type 2 Diabetes

Koh D, Abdullah AM, Wang P, Lin N, Luo N

PLoS One, 2016;11(11):e0165555.
PMID: 27835652 DOI: 10.1371/journal.pone.0165555

BACKGROUND: The Malay spoken in Brunei a South East Asian country where Malay is the national language is distinctive and different from Malay spoken in Malaysia, Singapore and Indonesia. This study aimed to develop a Brunei Malay version of the 5-level EQ-5D questionnaire (EQ-5D-5L) and to assess its psychometric properties among patients with type 2 diabetes mellitus (T2DM).
METHODS: The Brunei Malay EQ-5D-5L was developed by culturally adapting two existing Malay versions. A total of 154 Bruneians with T2DM completed the questionnaire in two different points of time with one week apart. Known-groups validity of the utility-based EQ-5D-5L index and visual analogue scale (EQ-VAS) was evaluated by comparing subgroups of patients known to differ in health status. Test-retest reliability was assessed using the intraclass correlation coefficient (ICC) or Cohen's kappa.
RESULTS: As hypothesized, patients known to have 'better' health had higher EQ-5D-5L index scores than those having 'worse' health in all 7 known-groups comparisons. The hypothesized difference in the EQ-VAS scores was observed in only 4 of the 7 known-groups comparisons. Kappa values ranged from 0.206 to 0.446 for the EQ-5D-5L items; the ICC value for the EQ-5D-5L index and EQ-VAS was 0.626 and 0.521, respectively.
CONCLUSIONS: The utility-based EQ-5D-5L index appears to be valid and reliable for measuring the health of Brunei patients with T2DM. The validity of the EQ-VAS in Brunei requires further investigation.

Matched MeSH terms: Brunei
Fulltext Health status and genetic compositions of green turtles (Chelonia mydas) foraging in Brunei Bay

Joseph J, Nishizawa H, Jalimin SN, Othman R, Jaaman SA, Bali J, et al.

PLoS One, 2023;18(11):e0293979.
PMID: 37943882 DOI: 10.1371/journal.pone.0293979

Long-term monitoring of sea turtle aggregations is critical for understanding the impacts of environmental changes on their population health and habitat suitability. Brunei Bay is a significant foraging ground for green turtles in the South China Sea. We analyzed the body size, hematology and body condition of green turtles for their health status in their foraging ground in Brunei Bay over a period of nine years (2011-2019). Additionally, we used mitochondrial DNA (mtDNA) to evaluate changes in the size and genetic composition of green turtle aggregations. Our findings revealed that the size composition of the green turtle population varied seasonally, but there were no significant temporal changes in genetic and size compositions. Hematology parameters and Fulton's body condition index were consistent with those reported for apparently healthy green turtles. Furthermore, we found that blood reference intervals indicated the turtles were healthy. These results provide valuable baseline data for future comparisons with other foraging aggregations and for long-term monitoring of green turtles in Brunei Bay.

Matched MeSH terms: Brunei
Fulltext Occupationally Acquired Plasmodium knowlesi Malaria in Brunei Darussalam

Koh GJ, Ismail PK, Koh D

Saf Health Work, 2019 Mar;10(1):122-124.
PMID: 30949391 DOI: 10.1016/j.shaw.2018.09.002

Simian malaria is a zoonotic disease caused by Plasmodium knowlesi infection. The common natural reservoir of the parasite is the macaque monkey and the vector is the Anopheles mosquito. Human cases of P. knowlesi infection has been reported in all South East Asian countries in the last decade, and it is currently the most common type of malaria seen in Malaysia and Brunei. Between 2007-2017, 73 cases of P. knowlesi infection were notified and confirmed to the Ministry of Health in Brunei. Of these, 15 cases (21%) were documented as work-related, and 28 other cases (38%) were classified as probably related to work (due to incomplete history). The occupations of those with probable and confirmed work related infections were border patrol officers, Armed Forces and security personnel, Department of Forestry officers, boatmen and researchers. The remaining cases classified as most likely not related to work were possibly acquired via peri-domestic transmission. The risk of this zoonotic infection extends to tourists and overseas visitors who have to travel to the jungle in the course of their work. It can be minimised with the recommended use of prophylaxis for those going on duty into the jungles, application of mosquito/insect repellants, and use of repellant impregnated uniforms and bed nets in jungle camp sites.

Matched MeSH terms: Brunei
Fulltext Oesophageal tuberculosis: rare but not to be forgotten

Momin RN, Chong VH

Singapore Med J, 2012 Sep;53(9):e192-4.
PMID: 23023913

Tuberculosis remains an important cause of morbidity and mortality, especially in underdeveloped and developing nations. Manifestations could be nonspecific and may mimic many other conditions, including malignancies. Oesophageal involvement is surprisingly rare despite the high prevalence of pulmonary tuberculosis and the close proximity of these two structures. We report two cases of oesophageal tuberculosis; a 73-year-old man with simultaneous oesophageal, stomach and duodenal involvement, and a 45-year-old man with isolated oesophageal involvement. Underlying malignancies were initially suspected in both cases, but they were eventually diagnosed as tuberculosis.

Matched MeSH terms: Brunei
Fulltext Cervical cancer in Brunei Darussalam

Lee MY, Telisinghe PU, Ramasamy R

Singapore Med J, 2012 Sep;53(9):604-7.
PMID: 23023903

Introduction Cervical cancer caused by the human papilloma virus (HPV) is a common cancer in women. There is no published data on the recent incidence of cervical dysplasia, cervical cancer and genital warts caused by the different types of HPVs in Brunei Darussalam.
Methods A cross-sectional, retrospective study was conducted utilising data from patients diagnosed with cervical cancer during the period 2005–2009 in Brunei Darussalam. The varying incidences of different types of cervical lesions among various ethnic and age groups, and in the overall population, were determined.
Results The mean age-standardised incidence of invasive cervical cancer during the five-year period was 24.9 per 100,000 women per year (95% confidence interval [CI] 21.7, 28.1). Age-specific invasive cervical cancer incidence peaked in the age group 45–59 years. Chinese females tended to have a higher incidence of invasive cervical cancer (28.2 per 100,000 women per year; 95% CI 17.8, 38.7) than Malay females (20.6 per 100,000 women per year; 95%
CI 17.1, 24.2), while other ethnic groups in Brunei Darussalam had a significantly lower incidence (6.5 per 100,000 women per year; 95% CI 3.0, 10.0).
Conclusion The results suggest that Brunei Darussalam has a relatively higher incidence of cervical cancer compared to its neighbouring countries. The findings support the need for more comprehensive screening, public education programmes and vaccination against HPV in the country.

Matched MeSH terms: Brunei/epidemiology
Fulltext Nasopharyngeal carcinoma in Brunei Darussalam: low incidence among the Chinese and an evaluation of antibodies to Epstein-Barr virus antigens as biomarkers

Yeo CH, Hsien YC, Abdullah MS, Telesinghe PU, Ramasamy R

Singapore Med J, 2009 Apr;50(4):371-7.
PMID: 19421680

Little or no information is available on the prevalence of nasopharyngeal carcinoma (NPC) among different ethnic groups in Brunei, or how useful plasma IgA antibodies are against viral capsid antigen (VCA) and early antigen (EA) in the diagnosis of NPC, even though they are routinely measured in patients suspected to have NPC.

Matched MeSH terms: Brunei

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