MyMedR

An additional muscle in the back of the leg

Rao KG, Bhat MS

Clin Anat, 2006 Nov;19(8):724-5.

PMID: 16944500

Matched MeSH terms: Middle Aged

Absence of the isthmus of the thyroid gland: anatomical and clinical considerations

Taty-Anna K, Farihah HS, Norzana AG, Farida H, Das S

Clin Ter, 2012 Nov;163(6):503-4.

PMID: 23306746

The right and left lobes of the thyroid gland are connected by an isthmus. The isthmus lies at the level of the second and third tracheal rings. Occasionaly, the isthmus may be absent. We hereby, report the absence of isthmus in a 52-year-old male cadaver of unknown origin. Both the right and left lobes were normal but they were separated. Both the right and left lobes of the thyroid gland measured 4.3 cm vertically. The separation distance between right and left glands was noted at the upper, middle and lower parts. The upper end of medial border of both lobes were separated by a distance of 1 cm while the separation distance was 0.7 cm and 1.5 cm at the middle and lower parts, respectively. The anatomical and clinical significance of absence of isthmus is important for medical personnel and the surgeons operating on the thyroid gland. The present case report is a an attempt to highlight such.

Matched MeSH terms: Middle Aged

Fulltext Severe hypertriglyceridemia in a nondiabetic treated with low dose insulin infusion

Tong CV, Velaiutham S, Aziz NA, Lim SL, Khaw CH

Med J Malaysia, 2015 Aug;70(4):249-50.

PMID: 26358023

We report a case of a 54-year-old man with severe HTG which did not respond to conventional anti lipid therapies. He was treated with intravenous insulin and concurrent dextrose infusions which led to a dramatic reduction in serum triglyceride levels.

Matched MeSH terms: Middle Aged

Incidental radiographic finding of the concealed art of susuk

Devang Divakar D, Mavinapalla S, Al Kheraif AA, Ramakrishnaiah R, Abd Rahim MF, Khan AA

Med Sci Law, 2016 Jul;56(3):230-2.

PMID: 26271077 DOI: 10.1177/0025802415599567

Susuk, or charm needles, are small, metallic needles inserted under the skin, considered to enhance beauty, health and luck. This hidden secret of inserting susuk is a traditional superstitious ritual, widely practiced among women of Southeast Asia. Here, we present an interesting case of incidental radiographic finding of the concealed art of susuk, which was exposed on a panoramic radiograph taken on a routine basis as a part of diagnostic work up at our centre. An orthopantomogram revealed bilateral metallic foreign bodies in the maxillo-facial region. Anamnestic data affirmed the practice of the body art of susuk. The charm needles were present in the orofacial region without the patient experiencing any pathological signs or symptoms.

Matched MeSH terms: Middle Aged

Fulltext Endoscopic repair of spontaneous cerebro-spinal fluid rhinorrhoea: a report of 3 cases

Gendeh BS, Wormald PJ, Forer M, Goh BS, Misiran K

Med J Malaysia, 2002 Dec;57(4):503-8.

PMID: 12733180

Three cases of spontaneous Cerebrospinal Fluid (CSF) rhinorrhea were managed at the National University Hospital, Kuala Lumpur. Case 1 had bilateral leak secondary to empty sella syndrome and the rest two cases had unilateral leak. Four transnasal endoscopic approaches were performed on these three cases since March 1999. The role of intrathecal Sodium Fluorescein is highlighted in localising the CSF fistula. Case 3 required postoperative lumbar drain as an adjunct. No recurrent leak was noted on post operative follow up in Case 2 and 3 ranging from nine to thirty two months. A recurrent left leak at six months was noted in Case 1 which could likely be due to her sudden bout of cough attacks and patient refused further surgical intervention.

Matched MeSH terms: Middle Aged

Fulltext Menopause and hormone replacement therapy. Facts and misconceptions

Raman S, Damodaran P

Med J Malaysia, 1996 Dec;51(4):407-8.

PMID: 10968025

Matched MeSH terms: Middle Aged

Fulltext Simultaneous electrocardiography and Doppler echocardiography in pulsus alternans

Khalid Y

Med J Malaysia, 1994 Jun;49(2):174-5.

PMID: 8090099

Pulsus alternans, the alternating strong and week pulses which occur in patients with severe heart failure, was first described by Traube in 1872. Since then various methods, both invasive1,2 and non-invasive3,4, have been used to study this phenomenon. This study demonstrates the utility of using simultaneous electrocardiography (ECG) and Doppler echocardiography to document pulsus alternans, and to differentiate it from other causes of alternating pulses.

Matched MeSH terms: Middle Aged

Fulltext Postmenopausal osteoporosis: epidemiology, pathophysiology and treatment

Ismal NMN

Malays J Pathol, 1997 Jun;19(1):21-5.

PMID: 10879238

Matched MeSH terms: Middle Aged

Fulltext Extraskeletal osteosarcoma of the thigh

Dhillon KS, Suntharalingam S, Maurer HJ

Med J Malaysia, 1993 Dec;48(4):453-6.

PMID: 8183173

To our knowledge extraosseous osteosarcoma has not been reported in the Malaysian literature. We report a case of extraosseous osteosarcoma which was treated by intra-arterial chemotherapy, embolization, wide resection of tumour and salvage of limb with good functional result.

Matched MeSH terms: Middle Aged

Fulltext A study of unclaimed prescriptions in Hospital Universiti Sains Malaysia (HUSM)

Kamaruzaman WS

Med J Malaysia, 1995 Dec;50(4):396-400.

PMID: 8668063

An analysis of 524 unclaimed prescriptions (which contributed 0.9% of the total prescriptions) showed that 23.8% were for vitamins, 17.7% for anti-inflammatory drugs, 16.4% medications for skin and mucous membrane and 9.9% for antibiotics. The unclaimed prescription rates varied inversely to the staff-strength working in the dispensary. Sixty-eight point nine per cent of the unclaimed drugs could be purchased at the pharmacy shops without doctor's prescription.

Matched MeSH terms: Middle Aged

Fulltext Sick sinus syndrome in Malaysians

Chin K, Singham KT, Masduki A

Med J Malaysia, 1983 Jun;38(2):108-11.

PMID: 6621438

Forty nine patients with sick sinus syndrome seen at the University Hospital, Kuala Lumpur are reviewed. The ages of patients ranged from 17 to 85 years. There were 21 males and 28 females. The diagnostic criteria were sinus bradycardia in 8 patients (Group I), sinus arrest or sinoatrial block in 24 patients. (Group Il), and bradycardia tachycardia syndrome in 17 patiens (Group Ill). The aetiology was unknown in the majority of patients. Ischaemic heart disease was the commonest known aetiological factor. Patients with symptomatic sinus bradycardia and sinus arrest were initially treated with oral isoprenaline, and if this failed, they were paced. Temporary transvenous pacing was necessary in 27 patients and subsequent permanent pacing performed on 23 patients.

Matched MeSH terms: Middle Aged

Fulltext Review of abdominal aortic aneurysms at the University Hospital, Kuala Lumpur

Yeoh NTL, Lim KH

Med J Malaysia, 1982 Sep;37(3):245-8.

PMID: 7177006

Matched MeSH terms: Middle Aged

Fulltext Experience with malignant tumours of the maxillary sinus in the Department of Otolaryngology Universiti Kebangsaan Malaysia, Kuala Lumpur

Lokman S, Said H, Hakim J, Yusop S

Med J Malaysia, 1989 Mar;44(1):64-8.

PMID: 2626115

Thirty one cases of malignant tumours of the maxillary sinus presenting to the Department of Otolaryngology, Universiti Kebangsaan Malaysia over a four year period from 1982 to 1986 are reviewed. 18 cases (58.1%) were squamous cell carcinoma while seven cases (22.5%) were Non-Hodgkin's lymphoma. There were four cases (12.0%) of adenoid cystic carcinoma while in two cases (6.5%) the tumours were undifferentiated. Presentation was generally late. Nasal obstruction, facial swelling and epistaxis were the main presenting symptoms. Nasal involvement was found in 61.3% of cases, while 51.6% had involvement of the palate as well. Metastasis to the cervical lymph node were uncommon (6.5%). Surgery and radiotherapy with or without chemotherapy were the main modes of treatment in the management of malignant tumours of the maxillary sinus.

Matched MeSH terms: Middle Aged

Fulltext Multiple myeloma in the University Hospital: a retrospective study of biodata, clinical, laboratory and radiological profiles, 1980-1987

Wong KT, Ng SC, Kuperan P, Yap SF, Menaka N, Bosco J

Med J Malaysia, 1990 Jun;45(2):136-43.

PMID: 2152018

A retrospective study of 37 cases of multiple myeloma admitted from 1980 to 1987 to the University Hospital Kuala Lumpur, Malaysia, was carried out to analyse the biodata, clinical presentation, laboratory and radiological profiles. The cases were selected after they had satisfied preset diagnostic criteria. The mean age was 60 years. There was no sex or ethnic preponderance. The most common symptom was bone pain. Pallor was detected in 73% of the patients. Haemoglobin was less than 120 g/L in 95%, and ESR was greater than 100 mm/hr in 70% of cases. Bone marrow and trephine biopsies were diagnostically important. Hypercalcaemia occurred in seven cases out of which three were IgA myelomas. Either serum creatinine or blood urea was raised in nearly 50% of cases. The most common heavy chain paraprotein was IgG while Kappa light chain was the commoner light chain type. 86% of cases had osteolytic lesions. These findings are, in general, similar to those of larger studies on multiple myeloma.

Study site: University Malaya Medical Centre (UMMC)

Matched MeSH terms: Middle Aged

Serum insulin secretion by adult Malaysians

Jones JJ, Aimlt PP, Owyong LY, Kutty MK

Med J Malaysia, 1976 Jun;30(4):285-6.

PMID: 979729

Matched MeSH terms: Middle Aged

Fulltext Visual acuity measured with luminance-modulated and contrast-modulated noise letter stimuli in young adults and adults above 50 years old

Woi PJ, Kaur S, Waugh SJ, Hairol MI

F1000Res, 2016;5:1961.

PMID: 28184281 DOI: 10.12688/f1000research.9410.1

The human visual system is sensitive in detecting objects that have different luminance level from their background, known as first-order or luminance-modulated (LM) stimuli. We are also able to detect objects that have the same mean luminance as their background, only differing in contrast (or other attributes). Such objects are known as second-order or contrast-modulated (CM), stimuli. CM stimuli are thought to be processed in higher visual areas compared to LM stimuli, and may be more susceptible to ageing. We compared visual acuities (VA) of five healthy older adults (54.0±1.83 years old) and five healthy younger adults (25.4±1.29 years old) with LM and CM letters under monocular and binocular viewing. For monocular viewing, age had no effect on VA [F(1, 8)= 2.50, p> 0.05]. However, there was a significant main effect of age on VA under binocular viewing [F(1, 8)= 5.67, p< 0.05]. Binocular VA with CM letters in younger adults was approximately two lines better than that in older adults. For LM, binocular summation ratios were similar for older (1.16±0.21) and younger (1.15±0.06) adults. For CM, younger adults had higher binocular summation ratio (1.39±0.08) compared to older adults (1.12±0.09). Binocular viewing improved VA with LM letters for both groups similarly. However, in older adults, binocular viewing did not improve VA with CM letters as much as in younger adults. This could reflect a decline of higher visual areas due to ageing process, most likely higher than V1, which may be missed if measured with luminance-based stimuli alone.

Matched MeSH terms: Middle Aged

Fulltext Sonographic measurement of the thickness of subcutaneous tissue and hepatic echo-intensity attenuation rate in nonalcoholic fatty liver disease

Abdul Sattar Arif Khammas, Hasyma Abu Hassan

Borneo Journal of Medical Sciences, 2020;14(1):29-38.

MyJurnal

The most common cause of the chronic liver disease is non-alcoholic fatty liver disease (NAFLD). This study was designed to compare a mean subcutaneous tissue thickness (SCTT) and hepatic echo-intensity attenuation rate (HEIAR) among NAFLD grades. Sonography was carried out on 628 consecutive subjects. The distance between the skin surface and the liver capsule was measured and was labelled the SCTT. Also, the ultrasound of HEIAR was retrospectively quantified on an image archiving. HEIAR was calculated as the difference between mean intensity of echo for two regions of interest (ROIs) in near- and far-fields divided by the distance between these two ROIs multiply by frequency of the probe. Of the 628, 235 subjects were diagnosed with NAFLD. The age range was 45 – 75 years with mean 54.5 ± 6.7 years. There was a significant difference of mean SCTT among NAFLD grades (p

Matched MeSH terms: Middle Aged

Fulltext Chest discomfort in a patient with dengue – is it an acute myocardial infarction?

Koh, K.C., Hong, H.C.

Malaysian Family Physician, 2018;13(2):29-31.

MyJurnal

Cardiovascular symptoms presenting in a patient with dengue fever may post a diagnostic
dilemma. We describe a case of dengue myocarditis mimicking an acute myocardial infarction in a
56-year-old woman.

Matched MeSH terms: Middle Aged

Fulltext Comparing a Social and Communication App, Telephone Intervention, and Usual Care for Diabetes Self-Management: 3-Arm Quasiexperimental Evaluation Study

Chiu CJ, Yu YC, Du YF, Yang YC, Chen JY, Wong LP, et al.

JMIR Mhealth Uhealth, 2020 06 02;8(6):e14024.

PMID: 32484448 DOI: 10.2196/14024

BACKGROUND: Many technology-assisted innovations have been used to manage disease. However, most of these innovations are not broadly used by older adults due to their cost. Additionally, disease management through technology-assisted innovations has not been compared with other interventions.

OBJECTIVE: In this study, we tested the employment of a free and widely used social and communication app to help older adults with diabetes manage their distress and glycemic control. We also compared the effectiveness of the app with 2 other methods, namely telephone and conventional health education, and determined which subgroup experiences the most effects within each intervention.

METHODS: Adults aged ≥50 years with type 2 diabetes were recruited from Southern Taiwan (N=231) and were allocated to different 3-month interventions. Informed consent was obtained at the Ministry of Science and Technology and approved by the National Cheng Kung University Hospital Institutional Review Board (No. A-ER-102-425).

RESULTS: Participants in the mobile-based group had significant reductions in hemoglobin A1c compared with the telephone-based and usual care groups (mean changes of -0.4%, 0.1%, and 0.03%, respectively; P=.02). Diabetes-specific distress decreased to a greater extent in the mobile-based group compared to the other 2 groups (mean changes of -5.16, -3.49, and -2.44, respectively, P=.02). Subgroup analyses further revealed that the effects on reducing blood glucose levels in the social and communication app groups were especially evident in patients with lower distress scores, and diabetes-related distress was especially evident in participants who were younger than 60 years or had higher educational levels.

CONCLUSIONS: The findings of this study inform more flexible use of social and communication apps with in-person diabetes education and counselling.

Matched MeSH terms: Middle Aged

Fulltext Proximal stability assessment of knee osteoarthritis patients

D Maryama, A.D., Nur Rasyiqah, A.R.

Medicine & Health, 2018;13(2):145-157.

MyJurnal

Proximal stability consists of core and hip stability play a significant role in supporting the body weight in stationary and in motion. Thus, proximal stability could contribute to knee osteoarthritis (OA). Therefore, this study was carried out to determine the core stability and hip stability of knee OA patients. A total of thirty-two women aged between 45 to 60 years had volunteered to participate in this study, comprised of 16 knee OA patients and 16 normal. Hip stability was assessed using hip crossover test and core stability was assessed using core muscle endurance, core muscle strength and core muscle flexibility. Data of hip stability, core muscle strength and flexibility were analyzed using chi-square; and core muscle endurance data were analyzed using independent sample t-test. Compared to normal subjects, knee OA patients have poor hip stability [Hip Crossover Test (λ=0.500, p=0.033)] and core stability. Core stability was assessed based on core muscle strength [abdominal muscles (χ=12.157, p

Matched MeSH terms: Middle Aged

Displaying publications 81 - 100 of 11202 in total