Memory performance is usually impaired when participants have to encode information while performing a concurrent task. Recent studies using recall tasks have found that emotional items are more resistant to such cognitive depletion effects than non-emotional items. However, when recognition tasks are used, the same effect is more elusive as recent recognition studies have obtained contradictory results. In two experiments, we provide evidence that negative emotional content can reliably reduce the effects of cognitive depletion on recognition memory only if stimuli with high levels of emotional intensity are used. In particular, we found that recognition performance for realistic pictures was impaired by a secondary 3-back working memory task during encoding if stimuli were emotionally neutral or had moderate levels of negative emotionality. In contrast, when negative pictures with high levels of emotional intensity were used, the detrimental effects of the secondary task were significantly attenuated.
OBJECTIVES: Atrial fibrillation (AF) is a well-recognised, major risk factor for ischaemic stroke. The presence of atrial fibrillation in a stroke patient translates into higher mortality rates and significant disability. There is lack of data on the impact of atrial fibrillation on stroke patients in Malaysia. The aim of this study was to determine the prevalence of AF in a hospital setting and determine the risk factors, clinical profile and discharge outcomes in ischaemic stroke patients with and without atrial fibrillation from a tertiary centre in Malaysia.
METHODS: This was a retrospective review of patients admitted consecutively to the University Malaya Medical Centre, Kuala Lumpur with the diagnosis of stroke during the first six months of 2009. The presence of AF was confirmed with a 12- lead ECG. All patients had neuroimaging with either cranial computed tomography (CT) or magnetic resonance imaging (MRI). Other variables such as clinical features, risk factors, stroke subtypes, length of acute ward stay, complications and evaluation at discharge (mortality) with modified Rankin scale (mRS) were also recorded.
RESULTS: A total of 207 patients were admitted with stroke during the study duration. Twenty two patients (10.6%) were found to have non valvular AF. Patients with AF were found to be older with a mean age of 71.0 ± 2.2 than those without AF with a mean age of 63.6 ± 0.89 (p<0.05). Risk factors for stroke such as diabetes mellitus and hypertension were equally common between the two groups while the proportion of patients with ischaemic heart disease was higher among patients with AF (p<0.005). Most of the stroke subtypes among patients with AF were of ischaemic type (n=192; 92.8%) while haemorrhagic stroke was uncommon (n=15; 6.2%). Patients with AF had a longer median hospital stay, higher mortality rate and greater functional disability on hospital discharge compared to non AF patients.
CONCLUSION: The prevalence of AF among stroke patients in a tertiary centre in Malaysia was 10.6%. Stroke patients with AF were observed to have a higher mortality rate and disability on hospital discharge.
Study site: University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia
hemangiopericytoma (hPC) is a rare tumor by definition and intracranial hPC makes up to less than one percent of all the intracranial tumors. It is a dural base tumor and its clinical features and radiological findings are similar to meningiomas. however, cerebellopontine angle hemangipericytoma had only been reported twice and would almost always be misdiagnosed. definite diagnosis is important, as the treatment of hPC is different from meningiomas and acoustic neuromas. we report a case of a young female who presented with atypical symptoms of left cerebellopontine angle mass. A literature review of the nature of the disease, radiological findings, immunohistochemical features and treatment options of the tumor are described.
The present article reports two experiments examining the impact of recollecting emotionally valenced autobiographical memories on subsequent working memory (WM) task performance. Experiment 1 found that negatively valenced recollection significantly disrupted performance on a supra-span spatial WM task. Experiment 2 replicated and extended these findings to a verbal WM task (digit recall), and found that both negative and positive autobiographical recollections had a detrimental effect on verbal WM. In addition, we observed that these disruptive effects were more apparent on early trials, immediately following autobiographical recollection. Overall, these findings show that both positive and negative affect can disrupt WM when the mood-eliciting context is based on autobiographical memories. Furthermore, these results indicate that the emotional disruption of WM can take place across different modalities of WM (verbal and visuo-spatial).
The interface pressure between the residual limb and prosthetic socket has a significant effect on an amputee's satisfaction and comfort. This paper presents the design and performance of a new prosthetic socket that uses an air splint system.
Recent linyphiid collections from Laos as well as some additional specimens from Thailand and West Malaysia are examined. Six species and two genera are described as new to science: Bathyphantes paracymbialis n. sp., Nematogmus asiaticus n. sp., Theoa hamata n. sp.; Asiagone n. gen. is erected for Asiagone signifera n. sp. (type species) and A. perforata n. sp.; Laogone n. gen. is established for Laogone cephala n. sp. The following new synonyms are proposed: Gorbothorax Tanasevitch, 1998 n. syn. = Nasoona Locket, 1982; Paranasoona Heimer, 1984 n. syn. and Millplophrys Platnick, 1998 n. syn. = Atypena Simon, 1894; Gorbothorax ungibbus Tanasevitch, 1998 n. syn. = Oedothorax asocialis Wunderlich, 1974; Hylyphantes birmanicus (Thorell, 1895) n. syn. = H. graminicola (Sundevall, 1830). The following new combinations are proposed: Atypena cirrifrons (Heimer, 1984) n. comb. ex from Paranasoona; A. pallida (Millidge, 1995) and A. crocatoa (Millidge, 1995) both n. comb. ex Millplophrys; Nasoona asocialis (Wunderlich, 1974) n. comb. ex Oedothorax Bertkau, 1883; N. asocialis (Wunderlich, 1974), N. comata (Tanasevitch, 1998), N. conica (Tanasevitch, 1998), N. setifera (Tanasevitch, 1998) and N. wunderlichi (Brignoli, 1983), all n. comb. ex Gorbothorax. Eight linyphiid species are newly recorded from Laos: A. cirrifrons (Heimer, 1984), Bathyphantes floralis Tu & Li, 2006, Hylyphantes graminicola (Sundevall, 1830), Nasoona asocialis, N. crucifera (Thorell, 1895), Nasoonaria sinensis Wunderlich & Song, 1995, Neriene birmanica (Thorell, 1887), and N. oxycera Tu & Li, 2006. The linyphiid spider fauna of Laos currently contains 15 species and is unusually highly specific. All species, except the Palearctic H. graminicola, are probably represented by Southeastern Asian or Oriental autochthons.
Reduced fetal movement is a worrisome common complaint, not only for mothers but also for the attending medical personnel. The aim of this study was to analyse the pregnancy outcomes of women who presented primarily with reduced fetal movements (RFM). A retrospective study was performed based on patients' perception alone. Obstetric, past medical history, current presentation and outcomes of pregnancy were analysed. A total of 230 case notes were reviewed, with the majority being primigravidae. Less than half (48.7%) of the women had spontaneous labour, 45.7% had induction and 5.6% had elective caesarean section. There were no maternal complications in 97.4% (n = 224) of them. About 0.9% (n = 2) and 1.7% (n = 4) had primary postpartum haemorrhage and extended perineal tear, respectively. Although there was no major neonatal mortality and morbidity, until a randomised trial with a significant sample is conducted in the management of RFM, careful selections for elective delivery or conservative management would prevent untoward complications.
Seven new Psechrus species are described from South East Asia: P. arietinus sp. nov.(♂♀, Vietnam), P. insulanus sp. nov.(♂, Thailand), P. ampullaceus sp. nov.(♂♀, Vietnam), P. omistes sp. nov.(♂, Indonesia, Sumatra), P. quasillus sp. nov.(♂♀, Malaysia, Borneo), P. huberi sp. nov.(♀, Philippines), and P. wade sp. nov.(♂, Philippines). For the following species, new records are listed and intraspecific variation is discussed and illustrated: P. libelti Kulczyński, 1908, P. norops Bayer, 2012, P. rani Wang & Yin, 2001, P. khammouan Jäger, 2007, P. luangprabang Jäger, 2007, P. jaegeri Bayer, 2012, P. obtectus Bayer, 2012, P. kenting Yoshida, 2009 and P. crepido Bayer, 2012, and Fecenia protensa Thorell, 1891. The latter species is recorded from Vietnam for the first time. P. norops, P. libelti and an unidentified Psechrus species from Baluno, Mindanao are for the first time characterised and illustrated by their pre-epigynes and pre-vulvae.
The prevalence of hemorrhoids among pregnant women is high in late pregnancy. This study was to evaluate the efficacy between drug treatment with Procort (topical hydrocortisone cream 1%) and mechanical treatment with a Hai's Perianal Support (HPS) toilet seat device in managing symptomatic hemorrhoids during the third trimester of pregnancy.
AIM: This study was performed to determine the accuracy of ultrasound (USG) as compared to mammography (MMG) in detecting breast cancer.
METHODS: This was a review of patients who had breast imaging and biopsy during an 18-month period. Details of patients who underwent breast biopsy were obtained from the department biopsy record books and imaging request forms. Details of breast imaging findings and histology of lesions biopsied were obtained from the hospital Integrated Radiology Information System (IRIS). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of USG and MMG were calculated with histology as the gold standard.
RESULTS: A total of 326 breast lesions were biopsied. Histology results revealed the presence of 74 breast cancers and 252 benign lesions. USG had a sensitivity of 82%, specificity of 84%, PPV = 60%, NPV = 94% and an accuracy of 84%. MMG had a sensitivity of 49%, specificity of 89%, PPV = 53%, NPV = 88% and an accuracy of 81%. A total of 161 lesions which were imaged with both modalities were analyzed to determine the significance in the differences in sensitivity and specificity between USG and MMG. Sensitivity of USG (75%) was significantly higher than sensitivity of MMG (44%) (X(2)1=6.905, p=0.014). Specificity of MMG (91%) was significantly higher than specificity of USG (79%) (X(2)1=27.114, p<0.001). Compared with MMG, the sensitivity of USG was 50% (95% CI 10%-90%) higher in women aged less than 50 years (X(2)1=0.000, p=1.000) and 27% (95% CI 19%-36%) higher in women aged 50 years and above (X(2)1=5.866, p=0.015). Compared with MMG, the sensitivity of USG was 40% (95% CI 10%-70%) higher in women with dense breasts (X(2)1=0.234, p=0.628) and 27% (95% CI 9%-46%) higher in women with non-dense breasts (X(2)1=4.585, p=0.032).
CONCLUSION: Accuracy of USG was higher compared with MMG. USG was more sensitive than MMG regardless of age group. However, MMG was more specific in those aged 50 years and older. USG was more sensitive and MMG was more specific regardless of breast density. In this study, 20% of breast cancers detected were occult on MMG and seen only on USG.
Traditionally, picture-based password systems employ password objects (pictures/icons/symbols) as input during an authentication session, thus making them vulnerable to "shoulder-surfing" attack because the visual interface by function is easily observed by others. Recent software-based approaches attempt to minimize this threat by requiring users to enter their passwords indirectly by performing certain mental tasks to derive the indirect password, thus concealing the user's actual password. However, weaknesses in the positioning of distracter and password objects introduce usability and security issues. In this paper, a new method, which conceals information about the password objects as much as possible, is proposed. Besides concealing the password objects and the number of password objects, the proposed method allows both password and distracter objects to be used as the challenge set's input. The correctly entered password appears to be random and can only be derived with the knowledge of the full set of password objects. Therefore, it would be difficult for a shoulder-surfing adversary to identify the user's actual password. Simulation results indicate that the correct input object and its location are random for each challenge set, thus preventing frequency of occurrence analysis attack. User study results show that the proposed method is able to prevent shoulder-surfing attack.
BACKGROUND AND AIMS: Acne is a common skin disorder which can cause physical scaring and impact the quality of life. The aim of this study is to determine the prevalence, severity and the risk factors for developing acne among medical students in Universiti Kebangsaan Malaysia (UKM).
MATERIALS AND METHODS: A cross sectional study among UKM medical students from academic year 1 to 5 was conducted from July 2011 to May 2012. A total of 361 students were selected by stratified cluster sampling method. Baseline data of the students, risk factors, height and weight were recorded. Acne severity was graded using the Comprehensive Acne Severity Scale (CASS).
RESULTS: The prevalence of acne among medical students is 68.1% (n=246). Males and females were almost equally affected (1:1.1). Majority students with acne were graded as almost clear (55.7%, n=137), mild (35.0%, n=86), moderate (7.7%, n=19), and severe (1.6%, n=4). More than half of them had developed acne scars (59.0%, n= 213). Males were found to be at higher risk of developing acne compared to females (p<0.05, OR=4.734; 95%CL=2.726-8.222). They are also at higher risk of developing moderate and severe grades of acne compared to females (p=0.001). The odds for developing acne was higher when mother (p=0.029; OR=1.752; 95%CL=1.058-2.902) or father (p=0.027; OR=1.852; 95%CL=1.072-3.201) had acne. When both parents were affected by acne the odds of developing acne was 3 times. (p=0.025; OR=3.056; 95%CL=1.153-8.094).
CONCLUSIONS: This study shows that the prevalence of acne among medical students is high. Hence, it is important to identify those at risk and provide optimal treatment to prevent scarring and possible low self esteem among these future doctors.
KEYWORDS: acne vulgaris; medical; prevalence; risk factors; severity; students
Conventional chondrosarcomas rarely metastasize and it is extremely unusual to see multicentric- behaviour in malignant cartilage tumour. We report a 40 year old lady with presentation of two non-contiguous metachronous foci of low to intermediate grade of chondrosarcoma over left pelvic bone and right scalp respectively in the absence of pulmonary or visceral metastasis.
The present study reports the first record of Apseudomorpha from Taiwan and includes descriptions of three new species and one new species record. Paradoxapseudes pangcahi sp. nov. differs from the most similar congener, Paradoxapseudes littoralis, by having one segment less in the antennal flagellum and fewer segments in the uropod endopod. Pseudoapseudomorpha tagopilosus sp. nov. is distinguished from its most similar congener, Pseudoapseudomorpha ornata, by having one long lateral seta on pleonite 4, a four-segmented antennular outer flagellum, and a male with smaller and thinner 'small' cheliped than that of the female and with vestigial pleopods on pleonite 3. Indoapseudes multituberculata sp. nov. stands out from its congeners by having pleopods only on the last two pleonites in females, many small tubercles terminally on the pleotelson, and mandibular palp article 1 with noticeable distal teeth. The Synapseudes species recorded in the present study morphologically agrees with Synapseudes hansmuelleri that was originally described from the Tioman Archipelago, Malaysia, South China Sea. Morphological comparisons between each of the three newly described species and its congeners are tabulated.
A new species of Opecarcinus Kropp & Manning, 1987, is described from Indonesia and Malaysia. Opecarcinus cathyae sp. nov. is associated with the scleractinian corals Pavona clavus (Dana, 1846) and P. bipartita Nemenzo, 1980, inhabiting crescent-shaped cavities or tunnels on the coral surface. The new species is the ninth assigned to the genus. It can be separated from congeners by the anterolateral orientation of the cornea, the carapace with shallow transverse depressions, lacking longitudinal depressions, and the smooth dorsal margin of the fifth female pereiopod carpus. The distinctive colour pattern can be used as a diagnostic character in live specimens.
Azaleothrips, a phlaeothripine genus of fungus-feeding species, is presumably endemic to the Oriental Region between India and Japan. Although only 10 species have been known in this genus until now, a total of 35 species is recorded here, of which 26 are newly described: from Indonesia--A. bali sp.n., A. bulelengi sp.n., A. dentatus sp.n., A. dorsalis sp.n., A. floresi sp.n., A. inflavus sp.n., A. simulans sp.n., A. sulawesicus sp.n., from the Philippines--A. apoensis sp.n., A. bifidius sp.n., A. luzonensis sp.n., A. mindanaoensis sp.n., A. philippinensis sp.n., from Taiwan--A. atayal sp.n., A. formosae sp.n., A. taiwanus sp.n., from Thailand--A. flavicollis sp.n., A. phuketanus sp.n., A. pulcher sp.n., A. toshifumii sp.n., from Vietnam--A. laocai sp.n., A. vietnamensis sp.n., from W. Malaysia--A. malaya sp.n., A. reticulatus sp.n., A. richardi sp.n., A. templeri sp.n. In addition A. magnus Chen, described from Taiwan, is newly synonymized with A. moundi. Azaleothrips laevigatus, described from southern Japan, is newly recorded more widely in Southeast Asia. A key to 33 species is provided, but A. bhattii and A. lineus cannot be recognized because of the poor information in the original descriptions.
This article is the first formal record of the genus Mallinella Strand, 1906 in Brunei Darussalam. Four Mallinella species are documented. Mallinella merimbunenis sp. nov., M. myrmecophaga sp. nov., and M. platyrhyncha sp. nov. are newly described. The females of M. bigemina Dankittipakul, Jocqué & Singtripop, 2012 are here recorded from Brunei for the first time. The latter species was previously known only from an evergreen hill forest at 2,000 m elevation at Mt. Kinabalu of Kinabalu Park in Sabah.