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Fulltext Does simulated training improve medical students’ knowledge on cardiac life support? A study comparing simulated versus traditional teaching at the International Medical University

Subramaniam T, Loo RCN, Poovaneswaran S

International e-Journal of Science, Medicine & Education, 2014;8(3):4-8.
MyJurnal

Background: At the International Medical University (IMU), a half day cardiac life support teaching session was provided to fourth year medical students which included training on the use of the defibrillator machine, how to handle cardiac or respiratory arrest and drugs used for resuscitation. A new CLS (cardiac life support) training session was introduced and increased to a oneday course where students were given practical training first, which included 5 stations (airway equipment, mega codes, drugs for resuscitation, defibrillator use and cardiac rhythm identification) , MCQ (multiple choice questions) test and a mega code (practical)assessment. Objective: To evaluate the students’ knowledge on cardiac resuscitation after a change in the delivery of the cardiac life support training (CLS).
Methodology: Group I, consisted of 82 students taught using the traditional teaching and Group II consisted of 77 students taught using hands on simulation. The students in both groups had an online manual to read prior to the session, were given an identical written exam six months after the CLS training. Group II, however, had an online pre-test.
Results: There was a statistical difference in the final mean marks between the two groups with group II scoring higher (67.3) than group 1 (62.1). No significant marks difference was noted between male and female students for both the cohorts.
Conclusion: There is a significant difference in medical students’ knowledge when cardiac life support is taught using simulation. IMU has adopted the new teaching method with simulated training for the cardiac life support courses with plans to implement higher fidelity and technology to the existing simulated teaching in other areas of medicine.

Matched MeSH terms: Young Adult
Fulltext Effect of age on bite force

Chong MX, Khoo CD, Goh KH, Rahman F, Shoji Y

J Oral Sci, 2016;58(3):361-3.
PMID: 27665975 DOI: 10.2334/josnusd.15-0675

This study compared bite force in adults older than 60 years with that of young adults. The participants were 20 healthy adults (9 men) older than 60 years (median age, 66 years) and 44 healthy young adults (22 men; age range, 18-25 years; median age, 22 years) at the International Medical University, Malaysia. All participants had at least 20 teeth, and bite force was measured and evaluated using the Dental Prescale system. Average (SD) bite force was 420.5 (242.0) N for the older adults and 541.4 (296.3) N for the young adults. Although mean bite force was higher for the young adults, the difference was not significant. These findings suggest that bite force is unaffected by age in adults with adequate dentition. (J Oral Sci 58, 361-363, 2016).

Matched MeSH terms: Young Adult
Fulltext Relationship between lower body muscle architecture and lunges performance

Ali Md Nadzalan, Chinnasee, Chamnan, Lee, Jeffrey Low Fook

Jurnal Sains Sukan & Pendidikan Jasmani, 2016;5(2):15-23.
MyJurnal

Journal of Sports Science and Physical Education 5(2): 15-23, 2016 - This study was
conducted to determine the relationship between lower body muscle architectures and lunges
performance. Thirty recreationally active, untrained men (mean age = 22.21 ± 1.59 yrs old)
were recruited and involved in two testing sessions; i) anthropometrics and muscle
architecture, and ii) multiple-repetition maximum (RM) lunge test. Muscle thickness,
pennation angle and fascicle length of vastus lateralis (VL), vastus medialis (VM), rectus
femoris (RF) and biceps femoris (BF) were analysed using ultrasonography. Multiple-RM
lunge testing was used as an estimation of 1RM lunges performance. Correlation analysis was
used to determine the relationship between lower body muscle architectures and lunges
performance calculated absolutely and relatively (1RM/body mass). The overall results
showed that muscle thickness and pennation angle of all muscles were significantly positive
correlated with lunges performance. However, fascicle length was shown to be negatively
correlated with lunges performance. Findings of this study suggested the important for having
thicker, more pennated and shorter fascicle of lower body muscle in enhancing lunges
performances that is one of the most specific movements in sport.

Matched MeSH terms: Young Adult
Fulltext Phalangeal Osteosarcoma Mistaken for Tuberculosis: A Case Report

Mohd-Ariff MA, Ali-Noor I, Paul AG, Abdullah S

Malays Orthop J, 2015 Mar;9(1):38-40.
PMID: 28435596 MyJurnal DOI: 10.5704/MOJ.1503.011

We report a 21-year old female patient who presented with an 18-month history of a swelling in the distal phalanx of her right little finger. Although the history, clinical features and MRI were suggestive of a benign tumour or a tuberculous lesion, the histo-pathological examination of the swelling was reported as a conventional osteosarcoma. Osteosarcoma of the hand is very rare. This article highlights the possibility of a seemingly benign lesion seen in a routine clinic could well turn out to be malignant, and the need to maintain a high index of suspicion.

Matched MeSH terms: Young Adult
Fulltext Popliteal artery entrapment syndrome: a rare cause of claudication in a young athlete

Suraya, A., Emy, S.R., Hamzaini, A.H., Sharifah, M.I.A., Maizatuljamny, M.

Journal of Surgical Academia, 2011;1(1):68-71.
MyJurnal

Popliteal artery entrapment syndrome is an important infrequent cause of serious disability among young adults and athletes. We hereby describe a case of popliteal artery syndrome and its clinical implications. Physicians should be aware of the possibility of popliteal artery entrapment in young patients presenting with progressive arterial insufficiency.

Matched MeSH terms: Young Adult
Fulltext High dose intravenous immunoglobulin for systemic lupus erythematosus with lupus nephritis and associated studies - case report

Lim SK, Tan SY

JUMMEC, 2007;10(2):51-56.
MyJurnal

Systemic lupus erythematosus (SLE) is one of the commonest systemic autoimmune diseases that can present with variable clinical manifestations. Intravenous Immunoglobulin (IVIG) has been used as a salvage therapy for severe lupus with encouraging results though there is yet randomised trial to support the usage. This report highlights the efficacy and safety of high dose IVIG in SLE patients with multi-organ involvement particularly lupus nephritis. We also reviewed the literature on the usage of IVIG for lupus nephritis. However, more studies are needed to further clarify the optimal therapeutic dosage and regime for IVIG and to identify the group of patients who might benefit the most from this expensive therapy.

Matched MeSH terms: Young Adult
Fulltext Estimation of energy expenditure among Malaysian young adults: a pilot study comparing heart rate monitoring (HRM) method and activity diary (AD) method

Wong, Jyh Eiin, Ahmad Munir Che Muhamed, Poh, Bee Koon

Malaysian Journal of Medicine and Health Sciences, 2010;6(2):93-100.
MyJurnal

Introduction: Accurate yet inexpensive methods for measuring free-living energy expenditure (EE) are
much needed. The aim of this study was to determine the feasibility of heart-rate monitoring method
(HRM) in measuring EE as compared to the established activity diary (AD) method. Methodology:
Minute-by-minute HRM and an activity diary (AD) were used simultaneously in 34 young adults (18
females, 16 males; mean age 21.5 ± 1.5 years). Estimates of the EE from HRM were based on individual
calibration using the Flex-HR procedure while EE from AD were calculated using both individually
measured and published energy cost of various activities. Total daily energy expenditure (TDEE) and its
components (EE during sleep, during rest and during physical activity) were compared using Student
paired-t tests. Results: TDEE from HRM method averaged 8.17 ± 2.00 MJ/day compared to 8.50 ±
1.28 MJ/day from AD method. Although large intra-individual differences were found (ranging from
-36.9% to 47.4%), there was no significant difference between the two methods (mean difference -3.6 ± 19.4%). The limits of agreement (mean ± 2SD) were -3.77 and 3.11 MJ/day. There were no significant
differences for any of the TDEE components between the two methods, except for EE during sleep
(p

Matched MeSH terms: Young Adult
Fulltext Concomitant Traumatic Peroneal Tendon Dislocation and Medial Malleolus Fracture: A Case Report

Vosoughi AR, Erfani MA

Malays Orthop J, 2018 Mar;12(1):57-59.
PMID: 29725517 DOI: 10.5704/MOJ.1803.014

Peroneal tendon dislocation in association with medial malleolus fracture is a very rare traumatic injury to the ankle. A 19-year old male patient was referred after injury sustained in a motorcycle accident with car, with concomitant traumatic peroneal tendon dislocation and medial malleolus fracture. The possible mechanism of this unusual injury could have been sudden external rotation force to the pronated foot in full dorsiflexed position of the ankle. Diagnosis of peroneal tendon subluxation or dislocation should be carefully evaluated in patients with single medial malleolus fracture.

Matched MeSH terms: Young Adult
Fulltext Optimization of droplet digital polymerase chain reaction (ddPCR) for dna copy number variation analysis of CNV ESV27061 in young adults with higher blood pressure

Siti Radziah Shaik Alaudeen, Aszrin Abdullah, Azarisman Shah Mohd Shah, Norlelawati Abdul Talib

International Medical Journal Malaysia, 2017;16(11):29-29.
MyJurnal

Copy number variation (CNV) caused by changes in DNA sequences of 1000
or more bases is implicated with susceptibility to common diseases. A study on CNV
esv27061 among hypertensive Australian adults reported association with high blood
pressure (BP). In Malaysia, no study on CNV among hypertensive young adults is
available. Thus, this investigation aimed to assess the CNV esv27061 of young Malaysian
adults with high blood pressure using optimized ddPCR. (Copied from article).

Matched MeSH terms: Young Adult
Elevated annexin A5 plasma levels in term pregnancies of M2/ANXA5 carriers

Ang KC, Kathirgamanathan S, Ch'ng ES, Abdullah WZ, Yusoff NM, Jahnke CM, et al.

Thromb Res, 2017 08;156:87-90.
PMID: 28605660 DOI: 10.1016/j.thromres.2017.06.008
Matched MeSH terms: Young Adult
Pelvic organ support several years after a first birth

Ferreira CWS, Atan IK, Martin A, Shek KL, Dietz HP

Int Urogynecol J, 2017 Oct;28(10):1499-1505.
PMID: 28285396 DOI: 10.1007/s00192-017-3297-4

INTRODUCTION AND HYPOTHESIS: Female pelvic organ prolapse is highly prevalent and childbirth has been shown to be an important risk factor. The study was carried out to observe if pelvic organ support deteriorates over time following a first birth.
METHODS: This is a retrospective review using archived data sets of women seen in the context of two prospective perinatal imaging studies. All subjects had undergone a standardised interview, a clinical examination and 4D translabial ultrasound, 3 months and 2-5 years post-partum. Main outcome measures were pelvic organ descent and hiatal area at maximum Valsalva manoeuvre. Means at the two time points were compared using paired Student's t test. Predictors of change over time in continuous variables were explored using linear modelling methods.
RESULTS: A total of 300 women had at least two postnatal follow-ups. They were first seen on average 0.39 (SD 0.2, range 0.2-2.1) years and again 3.1 (SD 1.5, range 1.4-8) years after the index delivery, with a mean interval of 2.71 (SD 1.5, range 0.7-7.7) years, providing a total of 813 (300 × 2.71) woman-years of observation. On univariate analysis, there was a significant decrease in mobility over time of the bladder neck, bladder, and rectal ampulla (P = < 0.004) and hiatal area (P = 0.012). The degree of improvement was less marked in women with levator avulsion.
CONCLUSIONS: A significant reduction in pelvic organ descent and hiatal area was noted over a mean of 2.7 years after a first birth.

Matched MeSH terms: Young Adult
Fulltext You can never have too many accessories - a case of two accessory muscles of the ankle

See PP

Med J Malaysia, 2016 Aug;71(4):199-200.
PMID: 27770119

Accessory muscles are relatively rare anatomic duplications of muscles that may appear anywhere in the muscular system. Though a wide array of accessory and supernumery muscles involving the ankle have been described in the literature, this is the first reported case we are aware of that features two accessory muscles. Accessory muscles are typically asymptomatic and often picked up as incidental findings but are important to be identified in the presence of chronic persistent ankle pain and the absence of other more common aetiologies.

Matched MeSH terms: Young Adult
Fulltext A review of acute rheumatic fever and rheumatic heart disease research in Malaysia

Hung LC, Nadia R

Med J Malaysia, 2016 06;71(Suppl 1):79-86.
PMID: 27801390 MyJurnal

A total of 39 titles related to rheumatic fever or rheumatic heart disease in Malaysia were found with online literature search dating back to their inceptions and through 2014. Additional publications from conference journals were included. Nine papers were selected based on clinical relevance and future research implications. There were no population-based studies on the incidence or prevalence of ARF or RHD. In the 1980s, the incidence of admission due to ARF ranged from 2 to 21.1 per 100 000 paediatric admission per year. The burden of disease was significant in the adult population; 74.5% of patients with RHD were female, of which 77.1% were in the reproductive age group of 15-45 years old. Rheumatic mitral valve disease constituted almost half (46.7%) of all mitral valve repairs, ranging from 44.8 - 55.8 patients per year from 1997 - 2003. From 2010-2012, mitral valve interventions increased to 184 per year, of which 85.7% were mitral valve repair. In children with ARF, 25.4% - 41.7% had past history of rheumatic fever or RHD. In patients with rheumatic mitral valve disease undergoing surgical or medical interventions, only 6% reported history of ARF, none had history of GABHS pharyngitis or antibiotic prophylaxis. Only 44.7% of patients with RHD on follow-up were on intramuscular benzathine penicillin prophylaxis. Overall, there is scarcity of publications on ARF and RHD in Malaysia. Priority areas for research include determination of the incidence and prevalence of ARF and RHD, identification of high-risk populations, evaluation on the implementation and adherence of secondary preventive measures, identification of subclinical RHD especially amongst the high-risk population, and a surveillance system to monitor and evaluate preventive measures, disease progression and outcomes.

Matched MeSH terms: Young Adult
Epidemiology, aetiology, and management of ischaemic stroke in young adults

Ekker MS, Boot EM, Singhal AB, Tan KS, Debette S, Tuladhar AM, et al.

Lancet Neurol, 2018 09;17(9):790-801.
PMID: 30129475 DOI: 10.1016/S1474-4422(18)30233-3

Epidemiological evidence suggests that the incidence of ischaemic stroke in young adults (18-50 years) has increased substantially. These patients have a long life expectancy after stroke, and the costs of long-term care pose huge challenges to health-care systems. Although the current recommendations for treatment of young and old (>50 years) patients with stroke are similar, the optimal management of young adult patients with stroke is unknown. They are usually not included in trials, and specific subanalyses limited to young adult patients with stroke are usually not done, owing to lower incidence of stroke and lower prevalence of vascular risk factors in young adults. Progress has been made in identifying patients with a considerable risk of stroke occurrence, such as those with patent foramen ovale. Future prevention studies might result in a decrease in the incidence of stroke and its sequelae in young adults. The development of guidelines specifically devoted to the management of stroke in young adults will be an important step in achieving this aim.

Matched MeSH terms: Young Adult
Fulltext A review of knowledge, belief and practice regarding osteoporosis among adolescents and young adults

Chan CY, Mohamed N, Ima-Nirwana S, Chin KY

Int J Environ Res Public Health, 2018 08 12;15(8).
PMID: 30103534 DOI: 10.3390/ijerph15081727

Osteoporosis is a major public health problem affecting millions of people worldwide. Increasing knowledge, correcting health belief and promoting osteoprotective practices are effective measures for building and maintaining strong bone throughout ones' life-span. This review aims to summarize the contemporary evidence on the knowledge, beliefs and practice of adolescents and young adults on bone health. We performed literature searches using the PubMed and Scopus databases to identify original studies from 2008 to May 2018 using the search terms "(knowledge OR beliefs OR attitude OR practice OR behaviours OR physical activity OR exercise OR diet OR nutrition) AND (young OR youth OR adolescents OR children OR young adults OR students OR teenager) AND (osteoporosis OR bone health)". Of the 3206 articles found, 34 met the inclusion criteria. Studies showed that most adolescents and young adults had poor knowledge and expressed disinterest in osteoporosis. They believed that other diseases were more serious than osteoporosis, contributing to low perceived susceptibility and seriousness towards this disease. Popular media emerged as a platform to obtain information regarding osteoporosis. The lack of knowledge and misconceptions about osteoporosis led to poor osteoprotective practices. As a conclusion, the current evidence revealed a lack of awareness about osteoporosis among adolescents and young adults. Educational interventions may be useful to improve the awareness of osteoporosis among this population.

Matched MeSH terms: Young Adult
Fulltext Neglected Anterior Dislocation of the Elbow Joint: Case Report of a Rare Injury

Nema SK, Behera G, Poduval M

Malays Orthop J, 2018 Jul;12(2):65-67.
PMID: 30112134 DOI: 10.5704/MOJ.1807.016

We present an unusual case of five months old neglected anterior dislocation of the right elbow joint in a 19-year old man. The patient had been initially treated by a traditional bone setter, but the elbow remained unreduced. He presented to us with pain, deformity and limited range of motion of his right elbow joint. Radiographs revealed an unreduced anterior dislocation of the right elbow joint. We describe the problems encountered during open reduction and rehabilitation and result one year after the operation with the patient having a stable elbow and a functional range of motion.

Matched MeSH terms: Young Adult
Fulltext Tobacco use and attitudes towards tobacco control activities of Malaysian dental students

Mohd Nor NA, Abdul Razak I, Ab-Murat N, Ismail N, Ibrahim F

Archives of Orofacial Sciences, 2018;13(1):6-15.
MyJurnal

Tobacco usage among dental students and the amount of training they received may have an impact on tobacco cessation activities undertaken for their patients. This study aims to assess Malaysian dental students’ tobacco use, exposure to second-hand smoke and their attitude towards tobacco control activities and curriculum. This was a cross-sectional study using a self-administered questionnaire adapted from the Global Health Professions Students Survey (GHPSS). The questionnaire was distributed to all Malaysian fourth and fifth year
dental students in four public dental schools (n=372), namely University of Malaya (UM), Universiti Teknologi Mara (UiTM), Universiti Kebangsaan Malaysia (UKM) and Universiti Sains Islam Malaysia (USIM). The data were analysed using descriptive and chi square tests. In total, (n=349) respondents completed the questionnaire, yielding a 93.8% response rate. Although the prevalence of Malaysian dental students who ‘ever smoked’ was 21.2%, the prevalence of current smokers was low (2.3%). About 62% and 39% of students reported having been exposed to second-hand smoke in public and at home, respectively. USIM students were significantly less likely to recall having received training about approaches to smoking cessation (52.9%, p<0.001). Significantly fewer smokers than nonsmokers agreed on tobacco banning policy. Regardless of their smoking status, the majority of dental students showed positive attitudes towards dentists’ role in tobacco cessation. Tobacco user among Malaysian dental students was low. There were statistically significant differences between ever smokers and non-smokers’ attitudes towards tobacco banning policy. The majority of dental students showed positive attitudes towards dentists’ role in
tobacco cessation.
Keywords: Attitudes; GHPSS; public health; smoking; tobacco

Matched MeSH terms: Young Adult
Echocardiographic Assessment of Left Atrial Systolic Function after Percutaneous Mitral Balloon Valvuloplasty Using Tissue Doppler Imaging

Hasan MN, Banarjee SK, Ahsan SA, Habib SM, Mahmood M

Mymensingh Med J, 2018 Oct;27(4):851-858.
PMID: 30487504

Mitral stenosis (MS) affects left atrial (LA) function as a result of hemodynamic and myocardial factors that causes significant symptoms and complications. Conventional echocardiographic methods have been practicing to see the improvement of left atrial function after successful percutaneous mitral balloon valvuloplasty (PMBV). Introduction of tissue doppler imaging allows direct and non-invasive measurement of myocardial velocities. The aim of the study was to evaluate LA functions after PMBV using colour tissue doppler imaging. This cross sectional study was performed in Cardiology department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from March 2014 to February 2015. Forty six (46) patients (28 females, mean age: 28.96±5.78 years) presenting with mitral valve stenosis who fulfilled the indications for PMBV were included in the study. Within 24 hours before PMBV, all the patients underwent colour tissue doppler study in addition to routine conventional echocardiographic examinations. Late diastolic velocities (A') measured at the septal and lateral annuli were recorded. All the measurements were repeated 24 hours after PMBV. The PMBV was done using the Inoue technique. After PMBV mitral valve areas (MVA) were significantly increased. Maximum and mean gradients, LA diameter, LA area, LA volume, systolic pulmonary arterial pressure and mean LA pressures were decreased while septal and lateral A' were significantly (p<0.001) increased. Lateral and septal A' velocities were correlated with MVA and inversely related to LA pressure measured invasively during PMBV. Tissue doppler velocities illustrated improvement of left atrial systolic function after PMBV in relation to decreased mean left atrial pressure and increased mitral valve area. Therefore, tissue doppler Imaging is a useful tool to detect improvement of left atrial systolic function after PMBV in patients with mitral stenosis.

Matched MeSH terms: Young Adult
Fulltext Voyeuristic disorder and internet pornography addiction: a case report

Wong DTL, Sidi H, Salleh H, Tajjudin I

Malaysian Journal of Medicine and Health Sciences, 2018;14(3):54-56.
MyJurnal

With the availability of the Internet, pornographic materials are readily accessible. Pornographic materials may have a link to addiction and other deviant sexual behaviour. In this case report, we highlighted a link between voyeuristic disorder and internet sex addiction. Mr. SK is a 22-year-old single gentleman who was referred for psychiatric assessment due to voyeuristic acts. He had been watching pornographic materials since 16 years old and became addicted to it.

Matched MeSH terms: Young Adult
A comparison between modified and conventional surgical techniques for surgical lip repositioning in the management of the gummy smile

Alammar A, Heshmeh O, Mounajjed R, Goodson M, Hamadah O

J Esthet Restor Dent, 2018 11;30(6):523-531.
PMID: 30412347 DOI: 10.1111/jerd.12433

AIM: The aim of this study was to evaluate and compare conventional and modified lip repositioning surgical techniques used for management of gummy smile involving hyperactive lip elevator muscles.
METHODS AND MATERIALS: A prospective study was conducted between April 2016 and May 2017. Twenty two adult patients aged 18-38 years with gummy smile ranging from 4 to 6 mm because of soft tissue disorders were included in the study. All patients were treated in the oral and maxillofacial department at Damascus University. The sample was divided into two groups of 11 patients. The first group was treated by the conventional standard technique, and the second group treated by a modified study technique. The amount of gingival display in full smile was evaluated in both groups following each intervention.
RESULTS: Both groups exhibited a statistically significant reduction in the measurement of gummy smile at month 1 and 6 postoperatively (P .05). The recent study showed a significant difference in gingival display between 3 and 6 months postoperatively in group 1, but no significant difference in group 2.
CONCLUSION: This study showed that the modified technique utilized in treating gummy smile has less relapse after surgery, shows excellent cosmesis and compared to the conventional technique, greater sustainability.
CLINICAL SIGNIFICANCE: The recent increase in demand for an esthetic smile has led to the development a modification of conventional lip repositioning for correcting gummy smile by myotomy of lip elevator muscles. This modified technique offers less relapse and greater stability post-operatively than the conventional technique.

Matched MeSH terms: Young Adult

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