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  1. Cheo FF, Sittampalam K
    Malays J Pathol, 2017 Dec;39(3):305-309.
    PMID: 29279595
    Pseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma is a rare, low grade vascular (endothelial) neoplasm typically presenting as multicentric, superficial to deep nodules in extremities with a slight tendency of affecting young adult males. We report a case of pseudomyogenic hemangioendothelioma in a 15-year-old boy presenting initially with a 1 cm right thigh painless cutaneous lump. The lump was excised with the clinical impression of a sebaceous cyst. On microscopy, a poorly circumscribed, mild to moderately atypical spindle cell lesion in fascicular and storiform patterns with strikingly myoid-like eosinophilic cytoplasm was identified. The spindle cells were highlighted by pancytokeratin AE1/AE3, CD31, and ERG with retained INI-1, while being negative for MNF116, S100, CD34, EMA, desmin, SMA, caldesmon, myogenin, MyoD1, HHV-8 and CD163. Following the first diagnostic report, a positron emission tomography-computed tomography (PET-CT) scan revealed another 4 cm ill-defined nodule accompanied by a smaller adjacent 0.7 cm ipsilateral satellite nodule within the right psoas muscle that displayed similar morphology and immunophenotype as the cutaneous lump, supporting the multicentric feature of this unique entity. It is an uncommon yet increasingly recognised neoplasm of endothelial origin possessing a misleading myoid morphology and distinctive immunophenotype worth notifying.
    Matched MeSH terms: Adolescent
  2. Mohd Zulfakar Mazlan, Nik Abdullah Nik Mohammad, Mohamad Hasyizan Hasan, Irfan Mohamad, Zeti Norfidiyati Salmuna, Roselinda Ab Rahman
    MyJurnal
    Ludwig angina is a submandibular space cellulitis secondary to oral cavity infection. It is strongly associated with difficult intubation due to limitation in the mouth opening. The presentation of Ludwig angina varies according to the severity of the infection. The extreme presentations include upper airway obstruction and respiratory failure. We present a female teenager with right submandibular abscess as the consequence of Ludwig angina, who was planned for incision and drainage. Successful awake fibre optic intubation was performed as a method of induction due to trismus, deferring the need for tracheostomy.
    Matched MeSH terms: Adolescent
  3. Ismail S, Saw CL
    Malays J Pathol, 2018 Aug;40(2):129-135.
    PMID: 30173229 MyJurnal
    INTRODUCTION: The objectives of this study were to analyse, compare and contrast the demographic, clinical and pathological data of odontogenic tumours seen at a regional oral pathology centre in the Northern part of Peninsular Malaysia with other international data as an aid to clinicians in diagnosing odontogenic tumours.

    MATERIALS AND METHODS: This was a descriptive, retrospective study of odontogenic tumours diagnosed from January 2007 to December 2014 at this centre. The odontogenic tumours were classified using the 2005 World Health Organization classification system.

    RESULTS: Among 2,733 biopsy specimens, 173 cases were diagnosed as odontogenic tumours (6.3%), of which 171 (98.8%) are benign and 2 (1.2%) are malignant. The most frequently encountered tumour was ameloblastoma (n=96, 55.5%), followed by keratocystic odontogenic tumour (KCOT) (n=38, 22.0%) and odontomas (n=16, 9.2%). Malignant tumours accounted for 1.2% of the tumours. Most ameloblastomas and KCOTs affected the mandible preferentially. The mean age was 33.5 (± 17.8) years and 64.7% of patients were in the age group of 10 to 39. Odontogenic tumours were slightly more common in males, with a male to female ratio of 1.4:1.

    CONCLUSION: The findings of this study are similar to the other studies in Asia in which the most common tumour encountered is the ameloblastoma, followed by KCOT. The most common signs and symptoms are pain and swelling, while paraesthesia and root resorption are less frequently reported. Such clinical and radiographic features should alert the clinician of a possible odontogenic tumour and though rare, malignant tumours should also be included in the differential diagnoses.

    Matched MeSH terms: Adolescent
  4. Rahimi R, Dahili ND, Anuar Zainun K, Mohd Kasim NA, Md Noor S
    Malays J Pathol, 2018 Aug;40(2):143-148.
    PMID: 30173231 MyJurnal
    INTRODUCTION: Cardiac-related diseases contributed approximately 50-60% of sudden natural death cases. This study aimed to describe the cardiac troponin T (cTnT) findings in post mortem subjects irrespective of the cause and manner of death, and the possible use of post mortem serum cTnT as a modality in investigating sudden natural death.

    METHODS: The study samples comprised 140 subjects aged 18 to 50 years old, natural and unnatural causes of sudden death brought to the Department of Forensic Medicine, Hospital Sungai Buloh (HSgB) and Hospital Sultanah Aminah Johor Bahru (HSAJB) for a period of 12 months. The subjects were categorised into 5 groups: cardiovascular disease (CVD), sudden unexplained death (SUD), thoracic trauma (TT), non-thoracic trauma (NTT) and other diseases (OD).

    RESULTS: Median troponin concentration in cases of CVD, SUD, TT, NTT, and OD were 0.51 μg/L, 0.17 μg/L, 0.62 μg/L, 0.90 μg/L and 0.51 μg/L respectively. We found no significant difference of troponin T level in different causes of death (p ≥ 0.05). NTT has the highest median troponin concentration with 0.90 μg/L, SUD possessed the lowest median concentration with 0.17 μg/L.

    CONCLUSION: Troponin T is neither specific nor useful as cardiac biomarker for post mortem sample. Therefore, it may not be a useful diagnostic tool at autopsy.

    Matched MeSH terms: Adolescent
  5. Lim PK, Ng SC, Lovell NH, Yu YP, Tan MP, McCombie D, et al.
    Physiol Meas, 2018 10 11;39(10):105005.
    PMID: 30183675 DOI: 10.1088/1361-6579/aadf1e
    OBJECTIVE: The photoplethysmography (PPG) signal, commonly used in the healthcare settings, is easily affected by movement artefact leading to errors in the extracted heart rate and SpO2 estimates. This study aims to develop an online artefact detection system based on adaptive (dynamic) template matching, suitable for continuous PPG monitoring during daily living activities or in the intensive care units (ICUs).

    APPROACH: Several master templates are initially generated by applying principal component analysis to data obtained from the PhysioNet MIMIC II database. The master template is then updated with each incoming clean PPG pulse. The correlation coefficient is used to classify the PPG pulse into either good or bad quality categories. The performance of our algorithm was evaluated using data obtained from two different sources: (i) our own data collected from 19 healthy subjects using the wearable Sotera Visi Mobile system (Sotera Wireless Inc.) as they performed various movement types; and (ii) ICU data provided by the PhysioNet MIMIC II database. The developed algorithm was evaluated against a manually annotated 'gold standard' (GS).

    MAIN RESULTS: Our algorithm achieved an overall accuracy of 91.5%  ±  2.9%, with a sensitivity of 94.1%  ±  2.7% and a specificity of 89.7%  ±  5.1%, when tested on our own data. When applying the algorithm to data from the PhysioNet MIMIC II database, it achieved an accuracy of 98.0%, with a sensitivity and specificity of 99.0% and 96.1%, respectively.

    SIGNIFICANCE: The proposed method is simple and robust against individual variations in the PPG characteristics, thus making it suitable for a diverse range of datasets. Integration of the proposed artefact detection technique into remote monitoring devices could enhance reliability of the PPG-derived physiological parameters.

    Matched MeSH terms: Adolescent
  6. Shafiq M, Fong AYY, Tai ES, Nang EEK, Wee HL, Adam J, et al.
    Int J Epidemiol, 2018 10 01;47(5):1399-1400g.
    PMID: 30165399 DOI: 10.1093/ije/dyy168
    Matched MeSH terms: Adolescent
  7. Afandi D, Romus I
    Malays J Pathol, 2018 Aug;40(2):185-189.
    PMID: 30173237
    Sudden unexpected death in epilepsy (SUDEP) is a rare in children; the risk of SUDEP in children is up to 10-fold less than adults. Herein, we report a case of SUDEP in a 14-year-old boy. The post-mortem findings in neuropathological examination in SUDEP are not pathognomonic. Tongue and lip bites marks are only an indication of a seizure before death. Basically, there are no lesions that could explain the incidence of seizures before death. However, post-mortem examination is mandatory in order to determine the diagnosis of SUDEP. Autopsy, histopathological, and toxicologic examinations and a proper medical history of epilepsy are required to come to diagnosis of SUDEP. This case report further demonstrates the importance of medicolegal autopsy in allegedly dead victims.
    Matched MeSH terms: Adolescent
  8. Sabrina B, Tan KL, Johann FK, Andre D
    Med J Malaysia, 2018 08;73(4):255-256.
    PMID: 30121691 MyJurnal
    Ureteric and bladder injuries are uncommon, difficult to diagnose and rarely occur in isolation. Diagnosis is often delayed or missed at presentation. Therefore, high clinical suspicion and appropriate timing of computed tomography (CT) are of paramount importance. We report two cases (ureteropelvic junction avulsion and ruptured dome of bladder) whereby the presentations were subtle and would have been missed if not for high clinical suspicion. This article discusses the problems associated with these urologic injuries, as well as how to develop a high index of suspicion based on the pattern of anatomical disruption, mechanism of injury, physiological abnormality and comorbidity.
    Matched MeSH terms: Adolescent
  9. Bulut G, Colak I, Mik G, Kilic Z, Tasdemir Z
    Malays Orthop J, 2018 Jul;12(2):47-51.
    PMID: 30112129 DOI: 10.5704/MOJ.1807.009
    An 18-year old male patient, with a history of paragliding accident, sustaining a coronal shear fracture of the body of the talus, an anterior process fracture of the calcaneus extending to the calcaneocuboid joint and a nondisplaced navicular body fracture at the right foot and a displaced fracture of the navicular body accompanied with posteromedial process fracture of the talus at the left side was referred to our emergency clinic. For the right foot, the coronal plane fracture of the talar body was anatomically reduced and fixed with screws. For the left foot, screw fixation was performed through the lateral aspect to fix the large posteromedial fragment. Small bone fragments were removed from the left navicular fracture, and the main fragments were also fixed with screw. The talo-navicular joint was stabilised with a Kirschner wire. At 36 months follow-up, bilateral foot and ankle functions were satisfactory, Maryland scores of the right and left foot were 85 (good) and 90 (excellent), respectively, and the patient regained his full activity level by the 5th month postoperatively. With reference to the number and types of fractures in this one patient, we present a standard protocol for treatment of isolated talus, navicular and calcaneal fractures presenting together in a single foot injury.
    Matched MeSH terms: Adolescent
  10. Hidayat R, Zulnaidi H, Syed Zamri SNA
    PLoS One, 2018;13(11):e0206211.
    PMID: 30399170 DOI: 10.1371/journal.pone.0206211
    This study investigates the relationship between metacognition and achievement goals which may influence mathematical modeling competency in students of mathematics education programs. The current study employs 538 students of mathematics education program; 483 (89.8%) of whom are male and 55 (10.2%) are aged from 18 years old to 22 years old. The study follows a correlational research design to investigate and measure the degree of relationship amongst mathematical modeling competencies, achievement goals and metacognition. Results indicate that achievement goals and metacognition positively influence mathematical modeling competency. Moreover, four metacognition dimensions including awareness, planning, cognitive strategy and self-checking are positive partial mediators because they increase the association between achievement goals and mathematical modeling competency. In conclusion, metacognition and achievement goals positively affect students' mathematical modeling competency.
    Matched MeSH terms: Adolescent
  11. Patonah Zakaria, Amna Md. Noor, Azlina Mohd Khir
    MyJurnal
    The main purpose of this study is to determine the relationship between self-concept, family
    relationship quality and externalizing behavior problem (aggressive behavior and delinquency
    behavior) among adolescents in Selangor. Besides that, this study also to determine the level of selfconcept,
    family relationship quality and externalizing behavior among secondary school students as
    well as to compare the differences between these three variables according to sex. A total of 400
    students (nmale =53%, nfemale=47%) from secondary schools were selected in this study. The multi-stage
    cluster sampling technique was used during sample selection. Data were obtained from selfadministered
    questionnaire that are consist of Individual Protective Factors Index Questionnaire
    (1992), Family Relationship Characteristics (1997), Aggression Scale (2001) and Problem Behavior
    Frequency Scale (1977). The findings revealed that majority of students have moderate level of selfconcept,
    family relationship quality as well as externalizing behavior. In terms of sex differences, the
    results showed that family belief, family structure and externalizing behavior have significant
    differences according to sex (t= -4.393 to 7.588, p
    Matched MeSH terms: Adolescent
  12. Fauziah Ani, Asnarulkhadi Abu Samah, Ma'rof Redzuan, Norbaya Ahmad
    MyJurnal
    This paper seeks to illustrate how empowerment theory can be applied as a critical approach which
    could heighten power and capacity in community development. This is because empowerment is not
    just viewed through theory or philosophy only, but as an active approach which could be applied to
    enhance individual, oganizational or even communal prosperity. Many communal issues discussed by
    scholars such as poverty, health, women, people with disability, single mothers, youth, leadership, organization and many others utilises the empowerment approach. This is because it is the most
    effective approach in resolving issues by empowering individual or target group to take effective action
    through ability and potential, which have been developed. Discussion will ensue with definition of
    empowerment, which will be elucidated, with the concept of power. In the context of community
    development, empowerment refers to a mechanism where individual, organization and community will
    amass control on life and related issues affecting them such as economy, social, psychology and
    politics. To understand this concept clearly, discussion of empowerment concept will be closely
    examined to view the definition from two different dimensions, which is whether empowerment can be
    ascertained as a process, benefit or outcome. By using the qualitative approach, which is through
    analysing content, books, journals and other references, a few steps or process have been unearthed to
    apply empowerment as an approach, which could be practiced in the context of community
    development specifically in rural areas.
    Matched MeSH terms: Adolescent
  13. Lim KH, Ghazali SM, Lim HL, Cheong KC, Teh CH, Lim KK, et al.
    BMJ Open, 2019 Oct 28;9(10):e031164.
    PMID: 31662384 DOI: 10.1136/bmjopen-2019-031164
    OBJECTIVE: The identification of susceptible non-smoking adolescents is an essential step in reducing smoking initiation among adolescents. The aim of this study was to examine the prevalence and factors associated with smoking susceptibility among non-smoking school-going adolescents in Malaysia.

    DESIGN: Cross-sectional study.

    SETTING: Primary and secondary schools in Malaysia.

    PARTICIPANTS: 11 246 non-smoking school-going adolescents.

    OUTCOME MEASURES: The prevalence and factors associated with smoking susceptibility among non-smoking school-going adolescents in Malaysia.

    RESULTS: Approximately 14% of non-smokers were susceptible to smoking, and the prevalence of susceptibility was significantly higher among males, ever-smokers and e-cigarette users. The odds of susceptibility to smoking were higher among males, e-cigarette users, those aged 12 years and under and those who had ever smoked or tried cigarettes. Students from schools with educational programmes on the health effects of second-hand smoke (SHS) and who perceived smoking to be harmful were less likely to be susceptible to smoking.

    CONCLUSION: Smoking susceptibility is prevalent among school-going adolescents. A comprehensive approach that enhances or reinforces health education programmes on the adverse health effects of smoking and SHS among school children, that considers multiple factors and that involves all stakeholders is urgently needed to reduce the prevalence of smoking susceptibility among vulnerable subgroups, as identified from the present findings.

    Matched MeSH terms: Adolescent
  14. Mohd Faizal A, Sharifah Raihan SK, Yulianty A, Mahdy Zaleha A
    Minerva Ginecol, 2019 Oct;71(5):387-390.
    PMID: 31698893 DOI: 10.23736/S0026-4784.19.04416-2
    Matched MeSH terms: Adolescent
  15. Foong K, Tan YL
    Citation: Foong K, Tan YL. Smoking in Girls and Young Women in Malaysia. Bangkok: Southeast Asia Tobacco Control Alliance (SEATCA); 2008
    Matched MeSH terms: Adolescent
  16. Rosliza A.M., Ragubathi, M.N., Mohamad Yusoff M.K.A., Shaharuddin M.S.
    MyJurnal
    Introduction: Internet addiction is an increasingly worrying phenomena affecting people globally especially the youths. This study aimed to determine the prevalence of internet addiction among undergraduate students in a Malaysian public university and its associated factors. Materials and Methods: A cross-sectional study involving 322 undergraduate students, identified through cluster sampling was conducted using a pretested, self-administered questionnaire. The questionnaire includes socio-demography, use of information technology gadgets and internet usage. Internet Addiction test (IAT) was used to identify internet addiction. Data was analysed using SPSS version 22. Results: From 322 respondents, 25 (7.8%) were categorised as addictive internet users, while 182 (56.5%) were problematic internet users. The commonest online activity includes social networking (86.6%), entertainment (77.3%) and educational purposes (77.0%). From multivariate analysis, problematic and addictive internet use was significantly more common among male students (AOR=2.47, 95% CI [1.43, 4.26]), those who received study loan (AOR=1.93, 95% CI [1.10, 3.39]) and other types of funding (AOR=3.95, 95% CI [1.59, 9.80]) compared to those on scholarships, and those who spent between four to ten hours a day accessing the Internet (AOR=2.43, 95% CI [1.13, 5.23]) compared to those using the Internet for two hours or less a day. Conclusion: The prevalence of problematic and addictive internet use among respondents were higher compared to previous researches among Malaysian adolescents. It is recommended that an awareness programme on responsible use of the internet be conducted to prevent students from becoming addicted which may impact negatively on their educational performance and social life.
    Matched MeSH terms: Adolescent
  17. Kamath NP, Tandon S, Nayak R, Naidu S, Anand PS, Kamath YS
    Eur Arch Paediatr Dent, 2020 Feb;21(1):61-66.
    PMID: 31111439 DOI: 10.1007/s40368-019-00445-5
    PURPOSE: To evaluate the effect of two herbal mouthwashes containing aloe vera and tea tree oil, on the oral health of school children.

    METHODS: A double-blinded, placebo-controlled prospective interventional study was conducted in school children aged 8-14 years. The study participants were divided into four groups depending upon the mouthwash used: Group 1 (aloe vera), Group 2 (chlorhexidine), Group 3 (tea tree oil) and Group 4 (placebo). The variables studied included plaque index, gingival index and salivary Streptococcus mutans counts, which were recorded at baseline, 4 weeks after supervised mouth rinse and after 2 weeks of stopping the mouth rinse.

    RESULTS: A total of 89 boys and 63 girls were included. A statistically significant decrease in all variables was noted after the use of both the herbal preparations at the end of 4 weeks which was maintained after the 2-week washout period (p 

    Matched MeSH terms: Adolescent
  18. Mohammad Aziz Shah MA, Yusooff F
    Jurnal Psikologi Malaysia, 2010;olume 24:31-47.
    The objective of this experimental study is to investigate the effectiveness of smalla dn big group guidance on the self-concept of the adolescence, using cognitive behaviour therapy and multidimentional self-concept model. The effectiveness of this interventions is measured by looking at the improvement of self concept and the evaluation of self concept by peer group, resiliency and decrease of aggressiveness in the experiment group. This research was carried out among the form four student of two secondary schools in Selangor. The measurement used in this study are questionnaire about personal information, Multi dimentional self concept scale. resiliency scale and aggressiveness scale. A total of 104 subject were selected for this research and they were divided into two groups: controlled and experimental group. The subject in experimental group are given about eight sessions of group guidance within eight weeks. The data were analysed using descriptive analysis, ANOVA, MANCOVA and post hoc test. The result showed that the treatment used in the intervention were effective in improving the self concept and the evaluation of the self concept. The finding implies that the small and big group guidance using cognitive behaviour therapy and multi dimentional self concept model has an effect on the self concept of the student.
    Matched MeSH terms: Adolescent
  19. Muhammad Ajib bin Abd R, Nasrudin S
    HIV /AIDS is a global epidemic problem that is faced by many countries. There is a drastic increase of infection cases in children, youths, adults and elderly. Among students, there is a low level of knowledge that affects the comprehension elasticity based on the educational level which contributes to the increasing stigma among students. The focus of this study is to examine the differences of HIV/AIDS knowledge levels and students' stigma according to their levels of education. This study used HIV Knowledge Questionnaires (HIV-K-Q) version of 45 items and The Berger HIV Stigma Scale version of 40 items. 130 students from UKM and GMI participated in the study. Results showed that there were significant differences in the knowledge levels and stigma of HIV/AIDS between students' educational levels (Diploma level, Bachelor and Masters). The findings can assist educational institutions to develop the awareness of HIV/AIDS knowledge by targeting all levels of students' education. The implementation of various campaigns, talks, and interventions of reducing the stigma should be refined and planned as an annual program.
    Matched MeSH terms: Adolescent
  20. Lim KH, Teh CH, Pan S, Ling MY, Yusoff MFM, Ghazali SM, et al.
    Tob Induc Dis, 2018;16.
    DOI: 10.18332/tid/82190
    INTRODUCTION The continuous monitoring of smoking prevalence and its associated factors is an integral part of anti-smoking programmes and valuable for the evaluation of the effectiveness of anti-smoking measures and policies. This study aimed at determining prevalence of smoking and identifying socio-demographic factors associated with smoking among adults in Malaysia aged 15 years and over.
    METHODS This is a cross-sectional study with a representative sample of 21 445 adults in Malaysia, aged 15 years and over, selected via a stratified, two-stage proportionate-to-size sampling method. Data were obtained from face-to-face interviews by trained research assistants, using a standard validated questionnaire. Multivariable logistic regression was performed to determine socio-demographic factors associated with smoking among Malaysians.
    RESULTS The overall prevalence of smoking was 22.8% (95% CI: 21.9–23.8%), with males having a significantly higher prevalence compared to females (43.0%, 95% CI: 41.1–44.6 vs 1.4%, 95% CI: 1.1–1.7). The highest smoking prevalence was observed among other ethnicities (35.7%), those aged 25–44 years (59.3%), and low educational attainment (25.2%). Males, those with lower educational attainment and Malays were significantly associated with smoking.
    CONCLUSIONS The prevalence of smoking among Malaysians, aged 15 years and over, remains high despite the implementation of several anti-smoking measures over the past decades. Specially tailored anti-smoking policies or measures, particularly targeting males, the Malays, younger adults and those with lower educational attainment, are greatly warranted to reduce the prevalence of smoking in Malaysia.
    Study name: National Health and Morbidity Survey (NHMS-2015)
    Matched MeSH terms: Adolescent
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