The protective effect of the ethanol extract of the rhizome of Zingiber officinale Roscoe on acute hepatotoxicity induced by paracetamol (1000 mg/kg) was studied in plasma and hepatic tissue samples obtained from male Sprague-Dawley rats. The ethanol extract was given in oral doses of 200 mg/kg and 300 mg/kg to the rats at 0, 4 and 8 hrs after paracetamol was given orally. The plasma and liver of the rats were subjected to biochemical analysis 24 hrs after hepatotoxicity was induced to determine the levels of superoxide dismutase(SOD), malonaldehyde (MDA) and aspartate transaminase (AST). The results were compared to the rats which were given the antidote N-acetylcysteine (NAC) (500 mg/kg) at 0, 4 and 8 hrs after the paracetamol dose. The results showed that at 200 mg/kg the extract reduced the plasma levels of SOD significantly (p < 0.05) while at a higher dose of 300 mg/kg it reduced plasma SOD, hepatic MDA, serum AST and increased the levels of plasma proteins significantly (p < 0.05). In conclusion, the ethanol extract of Z. officinale showed protective effect against paracetamol induced hepatotoxicity at both dose levels and the protective effect was better at the higher dose.
This study aims to identify the perception of third year physiotherapy students on the teaching and learning during clinical placements. A sample of 154 third year undergraduate and diploma students from the Universiti Kebangsaan Malaysia, the Universiti Teknologi Mara and the Kolej Sains Kesihatan Bersekutu completed the questionnaire. High internal reliability of teaching and learning activities scale in the questionnaire was determined using Cronbach alpha (α = 0.94). Findings showed significant differences (p < 0.05) of perception among students in the clinical block between different levels of education, the ideal number of students in a group during clinical teaching session, and in the activity of ‘patient-centered activities,’ as well as 'feedback to the student.’ These findings demonstrated that the level of education does influence the students’ perceptions on their teaching and learning during clinical placements. In conclusion, the level of education is a contributory factor that influences the students’ rate of learning in clinical education.
Keywords: Clinical education, physiotherapy students, perception, undergraduate, diploma
The oral health awareness and status among the Universiti Kebangsaan Malaysia first year dental students were studied. Seventy-three subjects underwent two components of assessment: questionnaire assessing oral health awareness and behaviour, and clinical examination of oral health status. Indices used including Plaque, Calculus, Community Periodontal Index for Treatment Needs (CPITN) and total score of Decayed, Missing, Filled and teeth indicated for Extraction (DMFX[T]). More than 90% of the subjects were reported to brush their teeth twice or more daily and used supplemental cleaning tools. They also knew the importance of healthy oral condition, the various causes and prevention of tooth decay and gum diseases. Although 70.3% felt they need dental treatment, the majority (81.9%) visited the dentist only when they feel it is necessary to do so. Clinical examination showed low scores of 0.99 and 0.40 for mean plaque and calculus indices, respectively, while 80.8% of the subjects have mild calculus accumulation. Code 2 of the CPITN Index was the highest (70.3%) among the subjects. The total DMFX was 291, with mean score of 0.14 per subject and the decayed component was the highest (D=186 teeth). These findings suggest that the subjects have acceptable oral health awareness, and also good existing oral health status.
The aqueous and ethanol extracts of Stichopus chloronotus Brandt were investigated for their effectiveness against guinea pig dermatophytosis caused by Microsporum canis and Trichophyton mentagrophytes using the hair root invasion test. The ethanol extract at 10 mg/ml showed 82.8 % efficacy against T. mentagrophytes while the aqueous extract at similar concentration showed 84.8% efficacy against M. canis infection, as compared to econazole which showed 100% efficacy against both infections. No adverse effect on the skin was observed in the treated animals. In conclusion, aqueous and ethanol extracts of S. chloronotus showed high antimycotic activity against experimentally induced dermatophytosis in guinea pigs.
In this study, the effects of palm vitamin E (PV) supplementation on glycemic control and lipid profile in diabetic-induce Sprague-Dawley rats have been evaluated. Diabetes in the rats was induced by a single intravenous streptozotocin (50 mg/kg body weight). The diabetic rats were divided into two groups; supplemented with 200 mg/kg body weight/day of PV and non-supplemented with PV (No PV group). Non-diabetic rats (NDM) formed the control group and only received saline injection. After eight weeks of daily supplementation, PV significantly lowered the fasting blood glucose (FBG) and glycosylated haemoglobin (HbA1c) levels (p
The leaf and bark oils of Cinnamomum verum J.S. Presl. were examined for their antifungal activity against 6 dermatophytes (Trichophyton rubrum, T. mentagrophytes, T. tonsurans, Microsporum canis, M. gypseum and M. audouini), one filamentous fungi (Aspergillus fumigatus) and 5 strains of yeasts (Candida albicans, Ca. glabrata, Ca. tropicalis, Ca. parapsilosis and Crytococcus neoformans) by using the broth microdilution method. The antifungal activities of 4 standard compounds (cinnamaldehyde, eugenol, linalool and a-terpineol) which were major constituents in the oils were also investigated in an effort to correlate the effectiveness of the oils with those of the components of the oils. The combined antifungal effect of the oils against M. canis, M. gypseum and Cr. neoformans was investigated by the checkerboard assay. Isobolograms were constructed and Fractional Inhibitory Concentrations Index (FICI) were calculated to determine the combination effects between the oils. The chemical composition of the oils was analyzed by gas chromatography (GC) and gas chromatography- mass spectrometry (GC-MS). The oils showed strong activity against all the tested fungi with Minimum Inhibition Concentration (MIC) values ranging from 0.04 to 0.31 mg/ml. Cinnamaldehyde which was the most abundant component of the bark oil of C. verum showed the strongest activity against all the fungi studied. Based on the results of the assay on standard samples, it may be that the high levels of cinnamaldehyde and eugenol in the oils and in combination with the minor components could be responsible for the high antifungal activity of the oils. The antifungal effect of the leaf and bark oils of C. verum in combination against the tested fungi was not synergistic. However, the effect was additive against M. gypseum and antagonistic against Cr. neoformans and M. canis.
Perbezaan penjagaan kesihatan di antara orang-orang kurang upaya intelektual dan penduduk umum adalah jelas. Olimpik Khusus Indonesia (SOIna) adalah organisasi NGO yang berkaitan dengan kegiatan olahraga olimpik sedunia yang berkesempatan bekerja dengan warga kurang upaya intelektual. Kajian ini dilakukan untuk mengukur prevalen pereputan karies dan gingivitis di kalangan atlet-atlet Indonesia yang kurang upaya intelek. Jumlah peserta yang terlibat adalah 1452 atlet daripada 11 wilayah (Jawa Timur, Bali, Selatan Sabah, Utara Sumatera, Nusa Tenggara Timur, Kalimantan tengah, DKI, Jawa Barat, Yogyakarta, Nusa Tenggara Barat, Banten) di Indonesia. Pengumpulan data bermula dari tahun 2004 hingga 2009. Setiap tahun pengambilan data minimum dilakukan di dua wilayah yang berbeza. Purata usia atlet adalah 15.04 ± 4,62 tahun. 77.6% atlet mengalami rasa nyeri di rongga mulut kerana karies yang tidak dirawat. Karies tertinggi dijumpai pada atlet yang tinggal di pulau Jawa (81.5% Yogyakarta; Jawa Barat 83.8%. DKI Jakarta 80.2%, dan Jawa Timur 83.5%) berbanding dengan atlet yang tinggal di luar pulau Jawa. Secara umumnya prevalens inflamasi gusi pada atlet kurang upaya intelektual adalah 29.47%. Atlet dari wilayah DKI Jakarta menunjukkan prevalen inflamasi gusi tertinggi iaitu 51.04% berbanding dengan atlet daripada wilayah Nusa Tenggara Barat dengan 14.84%. Berdasarkan hasil tersebut, prevalen karies dan gingivitis adalah tinggi. Atlet yang tinggal di pulau Jawa mengalami kerosakan gigi yang tidak dirawat dan inflamasi gusi yang lebih tinggi berbanding dengan atlet yang tinggal di luar pulau Jawa.
Kajian ini dilakukan untuk menentukan prevalens jangkitan vaginosis bakteria di kalangan wanita yang berumur 20 hingga 59 tahun di Hospital Umum Sarawak, Malaysia melalui pemeriksaan ke atas lumuran Pap lazim. Prevalens jangkitan ini dikaji di kalangan lima kumpulan etnik yang utama iaitu kaum Iban, Cina, Melayu, Bidayuh dan kaum Orang Ulu. Penyaringan mikroskopi dijalankan ke atas 300 sampel slaid yang telah diproses dan dicelup menggunakan pencelup Papanicolaou. Berdasarkan kepada maklumat pada borang permohonan penyaringan lumuran Pap, tanda dan gejala jangkitan diambil kira sebagai petunjuk penting semasa penyaringan kerana melalui tanda dan gejala jangkitan, lumuran Pap mempunyai hubungan yang rapat dengan ciri gambaran sitomorfologi jangkitan yang berlaku ke atas sel–sel epitelium sekiranya ia mengalami jangkitan. Kategori umur untuk setiap golongan etnik juga dijadikan sebagai salah satu faktor pengukur bagi menilai tahap kekerapan jangkitan. Hasil kajian menunjukkan jangkitan vaginosis bakteria mencatatkan sebanyak 79.7% (239/300 kes). Jangkitan berlaku pada kesemua kumpulan etnik dan jangkitan lebih kerap ditemui pada golongan umur 20 tahun hingga 39 tahun. Majoriti kes (93.3%) menunjukkan tanda dan gejala jangkitan. Hasil kajian ini menunjukkan kepentingan menjalani ujian lumuran Pap sebagai ujian mengesan jangkitan vaginosis bakteria selain saringan awal pengesanan kanser serviks.
Establishing time of death has been extensively studied for the last 30 years. Parameters that have been studied included body temperature, biochemistry of rigor mortis, putrefactive changes and entomology. Despite an extensive study in these parameters it was found that all of the parameters were very much dependent on external factors like changes in surrounding temperature and activities done prior to death. To solve this problem, we decided to monitor the mechanism that occurs during death. Until now, various researches have found that during the early stage of death, heart and perfusion to the cells will stop. This will cause the cells to start the death process. The death of the cell will occurs either through apoptosis or necrosis. During apoptosis the cells will switch on and off a few proteins in a sequence. Based on this understanding, a study was conducted to determine if area ratio of apoptosis: necrosis and apoptotic p53 and Bcl-2 markers can be used as a reliable postmortem interval marker (PMI). Sampling of the study had involved 100 dead human skins with a known PMI. All samples were obtained from forensic unit of Hospital Kuala Lumpur (UFHKL). Ratio of apoptosis: necrosis areas were determined using hematoxilin and eosin staining while apoptosis p53 and Bcl-2 markers were done using an apoptosis kit. All staining were then indexed and plotted against PMI data obtained from UFHKL. Results indicated that there were no significant correlations between ratio of apoptosis: necrosis area against PMI (p = 0.144). Whereas for both apoptotic markers p53 and Bcl-2 PMI had shown a significant correlation (p < 0.000 for both results). In conclusion, we suggest that p53 and Bcl-2 parameters should be studied further since it is very likely that it could be a good indicator for PMI.
Kajian ini dijalankan untuk menentukan kandungan nutrien dan antinutrien dalam kernel biji Mangifera pajang Kostermans (bambangan). Analisis proksimat untuk kernel biji bambangan menunjukkan komposisi nutriennya terdiri daripada 38.68% karbohidrat total, 3.08% protein, 4.79% gentian kasar, 9.85% lemak total, 2.23% abu total dan 41.38% air. Kernel ini juga mengandungi 2.04 mg sianogen glikosida/100 g sampel dan 0.64% tanin. Minyak yang diekstrak dari kernel biji bambangan telah menunjukkan ciri fizikokimia yang hampir sama seperti lemak koko. Takat lebur minyak ini adalah pada 34.87°C, indeks refraktif pada 1.458 dan nilai iodinnya adalah 32.97 mg iodin/100 g sampel lemak.
Perkembangan kognitif dan pertumbuhan fizikal di kalangan kanak-kanak bergantung kepada status pemakanan mereka, termasuklah tabiat pengambilan sarapan pagi. Objektif kajian ini adalah untuk melihat pengaruh pengambilan sarapan pagi sebelum ke sekolah ke atas pencapaian kognitif kanak-kanak sekolah rendah. Satu kajian hirisan lintang dijalankan di kalangan kanak-kanak sekolah rendah di bandar dan luar bandar. Subjek kajian mengandungi 165 pelajar Melayu yang berusia 10 tahun. Tiga jenis subskala daripada ujian Wechsler Wechsler Intelligence Scale For Children-III digunakan untuk mengukur tahap kognitif kanak-kanak tersebut iaitu arithmatik, pengkodan dan digit span. Hasil kajian didapati kanak-kanak yang mengambil sarapan pagi mencatatkan pencapaian yang tinggi secara signifikan dalam arithmetik (p
A study was conducted to determine the radioprotective effects of Citrullus vulgaris on the lymphocyte sub-membrane particularly the actin layer. A total of 30 adult male Sprague-Dawley rats were divided into three equal groups of positive control, negative control and treatment. The positive and negative control groups were force fed with 40 ml/kg body weight of normal saline while the treatment group received 40 g/kg body weight of fresh juice of C. vulgaris daily. After a week the positive control and treatment groups were irradiated with 90 rad gamma radiation. Viable lymphocytes were determined using propidium iodine and acridine orange stain and observed under a fluorescent microscope. The percentage of viable lymphocytes of the treatment group (71.0%; p = 0.03) was significantly higher than the positive control group. The results showed that C. vulgaris possessed radioprotective effects because the lymphocyte actin was not damaged. The radioprotection effects could be due to the presence of antioxidants in C. vulgaris.
The calcareous rings of two species of local sea cucumbers, Stichopus hermanni Semper and Holothuria atra Jaeger, were located, dissected, exposed and recorded. The calcareous rings of both species each composed of ten plates knit together by connective tissues. The radial plate of H. atra was a square with a notch at the anterior part whereas in S. hermanni it was squarish consisting of 4 ridges in the anterior part with a notch at the posterior part. The interradial plates of both species were smaller than the radial plates. A ridge was present at the anterior part of the interradial plate in H. atra. In S. hermanii, the ridge at the anterior part of the interradial was thin and prominent. Under the scanning electron microscope the calcareous rings from the two species exhibited a mosaic of small, numerous spicules bound to each other.
This paper outlines the past five decades of scientific interests and advances in medicinal plant research in Malaysia. Initially the prime interest of research programmes has been on phytochemical studies leading to the discovery of biologically active compounds as chemical templates to produce new drug candidates. As the Malaysian herbal medicine market experiences an extraordinary growth, the research approaches taken have recently included activities to develop herbal medicines into quality, efficacious and safe products for human consumption. Advances in chromatographic and spectroscopic techniques have had a tremendous impact on the isolation and structure elucidation of the constituents of medicinal plants. The development of a series of bioassay methodologies and utilization of bioassay-guided isolation techniques have contributed significantly to the progress of medicinal plant research in Malaysia. Research work on some medicinal plants carried out by the local scientists will be illustrated as examples.
Entomologi forensik dapat ditakrifkan sebagai pengetahuan mengenai serangga yang berkait rapat dengan bangkai terutamanya manusia, dengan tujuan ia dapat digunakan dalam penentuan jangka masa pascakematian. Jangka masa pascakematian (PMI) dapat ditentukan dengan mengambil kira spesies serangga dan peringkat perkembangan setiap spesies tersebut. Oleh kerana penentuan jenis spesies memerlukan serangga berkembang ke peringkat dewasa dan ini mengambil masa yang lama, maka objektif utama kajian ini adalah untuk mengoptimumkan suhu dan kelembapan terhadap perkembangan serangga dengan menggunakan larva Chrysomya megacephala sebagai spesimen. Larva C. megacephala dipindahkan ke dalam bekas khas, kemudiannya dimasukkan ke dalam pengeram yang telah dilaraskan suhunya kepada 27, 30, 33, 36 dan 39°C. Selepas menentukan suhu optimum perkembangan larva, aras kelembapan relatif ditentukan. Ini dilakukan dengan menentukan tempoh masa yang diperlukan untuk mengembangkan telur C. megacephala hingga ke peringkat dewasa. Untuk itu aras kelembapan relatif dalam pengeram tersebut dilaraskan kepada 54.2, 57.6, 76.0 dan 67.5% (kawalan). Peringkat perkembangan C. megacephala direkodkan. Hasil yang diperolehi menunjukkan perkembangan C. megacephala lebih pantas pada suhu 33oC berbanding suhu-suhu lain yang digunakan. Aras kelembapan relatif yang optimum juga telah dikenal pasti iaitu pada 76.0%. Dengan menggunakan keduadua data didapati keseluruhan peringkat perkembangan C. megacephala iaitu daripada peringkat telur hingga dewasa dapat dipendekkan daripada 8 hingga 9 hari kepada 5 hari.
This paper aims to describe a Malay version of the Boston Naming Test (MBNT) and its normative data. The M-BNT follows closely the general administration procedures of the original Boston Naming Test (BNT) but is different in terms of item content. A total of 29 items from the original 60 items on the test were deemed culturally and linguistically valid for the Malay population and were thus retained. A total of 41 additional items were added to make a total list of 70 items for pilot testing. These items were first vetted by a panel of experts and then trialed on a sample of 40 Malay adults. Based on the item analysis from the pilot study, the M-BNT was reduced to a 50 item test. This was administered to 230 normal Malay subjects in five age groups (20 - 29 years, 30 - 39 years, 40 - 49 years, 50 - 59 years, and 60 - 69 years), split into two main educational levels (i.e. < 12 years of education, and 12 years or more) and across gender. The Malay subjects were chosen representative of the four major geographical regions in West Malaysia. Initial normative data was computed according to the five age groups and two educational levels. It is hoped that the M-BNT will become a test useful in the identification of patients with an expressive language word-finding disorder.
While the prevalence of visually impaired children constitutes a small portion of the visually impaired population, it is important to determine whether the low vision services available are utilised by these children. This is important as previous studies have shown that children have a very high rate of successful low vision device use compared to adults. This was a cross sectional retrospective study. Fifty nine low vision clinic children records were evaluated. The results showed that 25.4% of the children were categorised as with moderate low vision, 30.5% with severe low vision and 40.7% were categorised as blind. The major causes of low vision were congenital cataract, congenital nystagmus, congenital glaucoma, macular degeneration and retinitis pigmentosa. Low vision rehabilitation for near work using magnifiers improved the vision of 30.5% of the low vision children. This finding suggests that 1/3 of low vision children could benefit from low vision rehabilitation. The low vision devices most commonly prescribed to the children in this study were stand magnifiers, hand-held magnifiers and spectacles. This study illustrates the key role of optometrists in the management of visual impairment in Malaysian children. It would appear that the establishment of low vision services in government hospitals using trained optometrists is a cost effective method of service delivery. Therefore more low vision children would have access to proper low vision rehabilitation and through that rehabilitation, their quality of life can be improved.
Key words: children, low vision
Study site: Klinik Penglihatan Terhad Pusat Perubatana, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Malnutrition is common among pediatric oncology patients. Factors contributing to malnutrition include physiological abnormalities, response to the tumors and side effects of the treatment. A pilot study was carried out to determine the nutritional status of 17 pediatric oncology patients aged 4 to 12 years old in Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur. The
nutritional status was assessed via anthropometric measurements and dietary intake through 3 days repeatitive 24 hours diet recall with subjects and their carers. Biochemical profiles (serum albumin and hemoglobin) were reviewed from the medical record. Through anthropometry measurements, weight and height were used to calculate Z-scores and further determine the percentile weight-for-age, height-for-age using NCHS percentile charts (WHO 1983). Frisancho’s standards (1981) were used to define malnutrition based on MUACfor- age. Underweight as determined using z scores below -2 for weight-for-age was observed in 70.6% of the subjects. Whilst, 76.5% of the subjects were classified as stunted (z score < –2) for height-for-age. Based on MUAC-for-age percentile, the sign of severe malnutrition category (<5 percentile) was observed in 35.3% of the subject and 23.6% of the subject were in the moderate malnutrition (>5 – <10 percentile). About 70.6% of the subject had low haemoglobin (< 11 g/dl) and 29.4% of the subject were hypoalbuminemia (< 35 g/dl) . Total macronutrient intake was assessed and compared with the individual requirement (Seashore 1984) for energy and protein intake were satisfactory, except for subjects in age group 10 – 12 years who achieved only 70% of the individuals requirements. As a conclusion, although food intake of the subjects was satisfactory but chronic malnutrition was prevalent. Early recognition of malnutrition is essential in order to plan for a nutritional intervention and further enhancing the quality of life.
Key words: Nutritional status, pediatric oncology, anthropometric, dietary intake, biochemical profile.
Clinical psychology is a specialised field of professional psychology that is much needed with regards to the treatment of mental disorders, behaviour problems and learning difficulties. The field of clinical psychology has been integrated into the health system, especially the mental health and education system, in many western countries. In Malaysia, clinical psychology is still a new concept and has yet to be accepted into the medical and health systems in Jurnal Sains Kesihatan Malaysia 5 (1) 2007: 59-6660 general. This preliminary study looks at the awareness of 199 medical and health sciences professional with regards to clinical psychology. Results of this survey found that only 13.6% of the respondents demonstrated basic knowledge of what clinical psychology is. The awareness of clinical psychology as a clinical profession, and its benefits within the health system is still very much lacking among medical and health sciences professionals. The need to improve awareness of clinical psychology as a clinical profession as well as a health science discipline is very important as clinical psychology services are able to contribute to more holistic treatment of health problems in Malaysia.Implications of this study includes the need for the awareness of clinical psychology to be improved.
A descriptive study was conducted to evaluate the prevalence of Blastocystis hominis in children aged between 1-12 years old from randomly selected villages in Alor Gajah district Melaka. The sampling was carried out from 1st to 7th of July of 2006. A total of 48 faecal samples were obtained from the children in those studied villages. The faecal specimens were examined by direct saline wet moun, formalin ethyl acetate concentration and trichrome staining method. It was found that 45.8% (22 out of 48) of the examined children were infected with Blastocystis hominis . Based on the results, the cumulative prevalence of three methods used showed that Blastocystis hominis infection in female children higher compared to male children. Whilst the schooling children aged of 6 to 12 years had a higher prevalence than pre school children at the age of 1-5 years. In term of diagnosis, formalin ethyl acetate concentration method showed prevalence of detection at 60.9%. It was followed by direct saline wet mount (43.5%) and trichrome staining at 34.8%.