MyMedR

Concomitant cerebral and breast cryptococcosis

Arumugasamy N, Chin CS, Wong YH, Chew PH

Aust N Z J Surg, 1985 Oct;55(5):517-8.

A patient with a solitary intracranial cryptococcoma of the occipital lobe of the brain and a concomitant granuloma of similar aetiology in the breast is reported. Despite resistance of the causative fungus to 5-fluorocytosine in vitro, the patient responded well to radical excisional surgery and therapy with 5-fluorocytosine.

Fulltext A microbiological study of vaginal discharge in women attending a Malaysian gynaecological clinic

Cheong YM, Ng YP, Chin CS, Thambu J

Med J Malaysia, 1992 Mar;47(1):44-50.

PMID: 1387449

Vaginal discharge is a common complaint of women attending gynaecological clinics. The purpose of this study was to compare the occurrence of commonly implicated microorganisms in vaginal discharge amongst women with or without the complaint, attending a gynaecological and family planning clinic. The association of Gardnerella vaginalis with bacterial vaginosis was also studied. It was found that there were no significant differences between the cases and controls in the isolation rate of Gardnerella vaginalis, Torulopsis glabrata, Ureaplasma urealyticum, Mycoplasma ssp and Group B streptococcus (p greater than 0.05). Only the isolation rate of Candida albicans was significantly higher in the cases than controls (p less than 0.01). However, there was a significant association of G. vaginalis with bacterial vaginosis.

Fulltext Total occlusion of left main coronary artery in a patient with chronic, stable angina

Soo CS, Choo M, Sim E, Ling LH, Tan K, Lee CN

Med J Malaysia, 1992 Mar;47(1):74-6.

PMID: 1387455

We report a case of total occlusion of the left main coronary artery (LMCA) in a patient with chronic, stable angina. Total occlusion of the LMCA is rare and survival depends on the existence of collateral circulation. In LMCA disease, there is usually also disease in other parts of the coronary arterial tree.

Genetic variation in the malaria mosquito vector Anopheles maculatus from Peninsular Malaysia

Yong HS, Chiang GL, Loong KP, Ooi CS

Southeast Asian J Trop Med Public Health, 1988 Dec;19(4):681-7.

PMID: 3238481

Starch-gel electrophoretic studies on nine gene-enzyme systems comprising 14 loci revealed a fair level of genetic variation in two population samples of Anopheles maculatus from Peninsular Malaysia. The proportion of polymorphic loci was 0.36 for the Fort Bertau sample and 0.29 for the Gua Musang sample, while the mean heterozygosity value was 0.09 for Fort Bertau and 0.07 for Gua Musang. The values of genetic similarity (I = 0.98) and genetic distance (D = 0.02) were of the rank of geographical populations.

Abdominal wall necrotising fasciitis: A rare but devastating complication of the percutaneous endoscopic gastrostomy procedure

Mohd Said MR, Abdul Rani R, Raja Ali RA, Ngiu CS

Med J Malaysia, 2017 02;72(1):77-79.

PMID: 28255151 MyJurnal

Percutaneous Endoscopic Gastrostomy (PEG) tubes were often offered to patients requiring long term enteral feeding. Even though the procedure is relatively safe, it is associated with various complications such as peritonitis or even death.1 We presented a case of a 54-year-old gentleman with underlying ischemic stroke and pus discharges from a recently inserted PEG tube. Computed Topography (CT) scan confirmed abdominal wall necrotising fasciitis complicated with hyperosmolar hyperglycaemia state (HHS) and later succumbed after 48 hours of admission. Our case illustrated the rare complication related to the insertion of PEG tube; abdominal wall necrotising fasciitis that was associated with mortality.

General and specific combining abilities for different economic traits in broiler chickens

Ooi CS, Mukherjee TK, Wong WC, Jalaludin S

Theor Appl Genet, 1975 Jan;46(3):149-55.

PMID: 24419868 DOI: 10.1007/BF00264870

A complete diallel cross of four broiler breeds was made to investigate whether there are breed differences in the combining abilities for the traits, body weight, weight gain and feed efficiency, measured during the growing period from 4 to 12 weeks of age. Data collected from male and female birds were analysed separately. General combining ability (GCA) was found to be the largest and most significant source of variation contributing to differences between crosses for all the traits, in both male and female birds. Specific combining ability (SCA) was important for body weight in both sexes and for weight gain in females. Feed efficiency in both sexes did not appear to be influenced by SCA effects. Reciprocal effects (RE) were generally absent in both sexes for all the traits, except possibly for feed efficiency.

Controlled clinical trial of "Atromid" (androsterone with ethyl-p-chlorophenoxy-isobutyrate) and "Persantin" (dipyridamole) in cases of myocardial infarction

Teik KO, Poh FW, Fun CS, Mong BC

Med J Malaya, 1966 Mar;20(3):186-204.

PMID: 4223070

Reliability and validity of the International Prostate Symptom Score in a Malaysian population

Quek KF, Low WY, Razack AH, Loh CS

BJU Int, 2001 Jul;88(1):21-5.

PMID: 11446839

OBJECTIVE: To validate the English version of the International Prostate Symptom Score (IPSS) in patients with and without urinary symptoms in a Malaysian population.

PATIENTS AND METHODS: Validity and reliability were assessed in patients with lower urinary tract symptoms (LUTS) and in patients with no LUTS. Reliability was evaluated using the test-retest method and internal consistency using Cronbach's alpha. Sensitivity to change was expressed as the effect size in the score before and after intervention in additional patients with LUTS who underwent transurethral resection of the prostate (TURP).

RESULTS: Internal consistency was excellent; there was a high degree of internal consistency for each of the seven domains and for the total score (Cronbach's alpha > or = 0.60 and > or = 0.79, respectively) in the populations studied. The test-retest correlation coefficient for the seven domain scores was highly significant. The intra-class correlation coefficient was high (> or = 0.59). There was a high level of sensitivity and specificity for the effects of treatment, with a very significant change between the seven scores domains in the treated group but not in the control group.

CONCLUSIONS: The IPSS is suitable, reliable, valid and sensitive to clinical change in the Malaysian population.

Cyclophosphamide-induced transitional cell carcinoma of bladder in lupus nephritis

Chow SK, Looi LM, Loh CS, Yeap SS

Intern Med J, 2002 Mar;32(3):114-6.

PMID: 11885838 DOI: 10.1046/j.1445-5994.2002.d01-29.x

Optimisation of Reactive Black 5 dye removal by electrocoagulation process using response surface methodology

Mook WT, Aroua MK, Szlachta M, Lee CS

Water Sci Technol, 2017 02;75(3-4):952-962.

PMID: 28234295 DOI: 10.2166/wst.2016.563

In this work, a regression model obtained from response surface methodology (RSM) was proposed for the electrocoagulation (EC) treatment of textile wastewater. The Reactive Black 5 dye (RB5) was used as a model dye to evaluate the performance of the model design. The effect of initial solution pH, applied current and treatment time on RB5 removal was investigated. The total number of experiments designed by RSM amounted to 27 runs, including three repeated experimental runs at the central point. The accuracy of the model was evaluated by the F-test, coefficient of determination (R(2)), adjusted R(2) and standard deviation. The optimum conditions for RB5 removal were as follows: initial pH of 6.63, current of 0.075 A, electrolyte dose of 0.11 g/L and EC time of 50.3 min. The predicted RB5 removal was 83.3% and the percentage error between experimental and predicted results was only 3-5%. The obtained data confirm that the proposed model can be used for accurate prediction of RB5 removal. The value of the zeta potential increased with treatment time, and the X-ray diffraction pattern shows that iron complexes were found in the sludge.

Fulltext COVID-19 Vaccine Prioritisation for Medical Students: The Forgotten Cohort?

Lim JS, Au Yong TPT, Boon CS, Boon IS

Clin Oncol (R Coll Radiol), 2021 08;33(8):e359.

PMID: 33752932 DOI: 10.1016/j.clon.2021.02.013

Fulltext Anatomic considerations for immediate implant placement in the mandibular molar region: a cross-sectional study using cone-beam computed tomography

Ho JY, Ngeow WC, Lim D, Wong CS

Folia Morphol (Warsz), 2021 Jun 29.

PMID: 34184752 DOI: 10.5603/FM.a2021.0060

BACKGROUND: There is concern regarding immediate implantation in the molar region because of discrepancy between socket size and inserted implant diameter. The purpose of this study was to assess the local anatomy of the posterior mandibular region in relation to immediate implant placement using cone-beam computed tomography (CBCT).

MATERIALS AND METHODS: Using CBCT imaging data, 204 mandibular first molars and 201 mandibular second molars were assessed for the interradicular and alveolar bone dimensions, tooth sizes and proximity to vital structures. The cross-sectional mandibular shape and root configuration of these molars were determined.

RESULTS: Distances to the inferior alveolar canal (IAC) from the root apices of the first molar were significantly greater than the second molar. Up to 14.5% of second molars had less than 10mm of vertical bone height between the IAC and furcation bone crest. Interradicular bone width of <3mm was found in 57% of second molars. All first molars in this study had two to three roots while 16% of second molars presented with a single root. The prevalent mandible shape at the first and second molars was the parallel and undercut ridges, respectively.

CONCLUSIONS: The mandibular second molars from samples of a Southeast Asian population presented with greater anatomical difficulties for immediate implant placement which include absent or inadequate interradicular bone thickness, higher incidence of unfavorable mandible shape and increased proximity to vital structures.

Post mortem computed tomography (PMCT) guided lung biopsy: A preliminary case report

Abdul Hadi D, Mansharan Kaur CS, Effat O, Siew SF

Trop Biomed, 2019 Dec 01;36(4):850-854.

PMID: 33597457

Tuberculosis (TB) is a highly infectious disease on the rise caused by the organism Mycobacterium tuberculosis and health care workers working in emergency departments, medical wards and autopsy rooms are in danger of contacting this disease. We present a case of a 42 year old man found dead under a pedestrian bridge with no medical history available. Post mortem computed tomography showed multiple cavities involving upper lobes of both lungs and areas of consolidation in both lung fields raising the suspicion of pulmonary tuberculosis. This was followed by a computed tomography guided lung biopsy and a limited conventional autopsy done in situ in a special high risk autopsy suite with appropriate ventilation. This case highlights the importance of cross sectional imaging which can be coupled with image guided biopsy in cases of infectious disease to reduce the risk of transmission to health care workers.

Evaluation of commercial serological assays in Malaysia for detection of anti-Zika virus antibodies

Khoo HY, Lee HY, Khor CS, Tan KK, AbuBakar S

Trop Biomed, 2021 Dec 01;38(4):613-621.

PMID: 35001928 DOI: 10.47665/tb.38.4.105

The recommended test guidelines for Zika virus (ZIKV) include using both molecular and serological tools. While the molecular tools are useful for detecting acute infection, the serological tools are useful for the detection of previous infections. Nevertheless, detection of ZIKV-specific antibodies remains a challenge due to the high cross-reactivity between ZIKV and other flaviviruses such as dengue virus (DENV) and Japanese encephalitis virus (JEV). The objective of this study is to evaluate the commercially available enzyme-linked immunosorbent assay (ELISA) for the detection of ZIKV IgG. In this study, we evaluated 6 commercially available anti-ZIKV IgG ELISA kits. Pre-characterized serum panels consisting of 70 sera were selected for the evaluation. The diagnostic accuracy of each ELISA kits was determined and compared to the gold standard, Foci Reduction Neutralization Test (FRNT). The present study established that the performance of the NS1-based anti-ZIKV IgG ELISA kit was superior to that which uses of the E protein as antigen. Overall, commercial ZIKV IgG ELISA showed varying test performances, with some achieving moderate to high test sensitivities and specificities. When compared against the FRNT, the test sensitivities ranged from 7.1% to 78.6%, whereas, the test specificities ranged from 40.0% to 100%. Limitation to the study includes the cross reactivity between flavivirus and specificity of the kit in addressing the cross reactivity.

Abu Bakar A, Ngiu CS, Mohamad Said MS, Periyasamy P

Ann Acad Med Singap, 2011 Oct;40(10):467-8.

PMID: 22206056

Gas chromatographic method validation for the analysis of major components in illicit heroin seized in Malaysia

Chan KW, Tan GH, Wong RC

Sci Justice, 2012 Mar;52(1):9-16.

PMID: 22325905 DOI: 10.1016/j.scijus.2011.07.005

Apart from routine analysis of total morphine content required by the criminal justice system, quantification of other major components in illicit heroin has not been considered by the Malaysian enforcement laboratory. In order to quantify various other cutting agents in addition to alkaloids, a gas chromatographic (GC) method was developed to facilitate simultaneous quantification of eight target analytes commonly found in illicit heroin seized in Malaysia within a 12 min run time. The validation results demonstrated high selectivity with the use of an HP Ultra 2 capillary column. Different solvents were studied and methanol:chloroform (1:9) proved best for sample dissolution. The method was repeatable and reproducible. The study ranges covering 50-150% of the preferred concentrations of the eight analytes obtained r(2)>0.9997. Limits of detection up to 6μg/mL were also obtained and the method achieved 99-102% recovery. The capability of the method in heroin profiling was verified using samples from ten case samples.

A simplified clustering method for novice narcotic chemists

Chan KW, Tan GH, Wong RC

Sci Justice, 2012 Sep;52(3):136-41.

PMID: 22841136 DOI: 10.1016/j.scijus.2012.04.006

Statistical classification remains the most useful statistical tool for forensic chemists to assess the relationships between samples. Many clustering techniques such as principal component analysis and hierarchical cluster analysis have been employed to analyze chemical data for pattern recognition. Due to the feeble foundation of this statistics knowledge among novice drug chemists, a tetrahedron method was designed to simulate how advanced chemometrics operates. In this paper, the development of the graphical tetrahedron and computational matrices derived from the possible tetrahedrons are discussed. The tetrahedron method was applied to four selected parameters obtained from nine illicit heroin samples. Pattern analysis and mathematical computation of the differences in areas for assessing the dissimilarity between the nine tetrahedrons were found to be user-convenient and straightforward for novice cluster analysts.

Fulltext Safety of Brilliant Blue G

Fong KC, Ooi YL, Khang TF

Eye (Lond), 2014 Sep;28(9):1148.

PMID: 24875224 DOI: 10.1038/eye.2014.123

Fulltext A preliminary study of biodegradable waste as sorbent material for oil-spill cleanup

Idris J, Eyu GD, Mansor AM, Ahmad Z, Chukwuekezie CS

ScientificWorldJournal, 2014;2014:638687.

PMID: 24693241 DOI: 10.1155/2014/638687

Oil spill constitutes a major source of fresh and seawater pollution as a result of accidental discharge from tankers, marine engines, and underwater pipes. Therefore, the need for cost-effective and environmental friendly sorbent materials for oil spill cleanup cannot be overemphasized. The present work focuses on the preliminary study of empty palm fruit bunch fibre as a promising sorbent material. The morphology of the unmodified empty palm fruit bunch, EPFB fibre, was examined using an optical microcopy, scanning electron microcopy coupled with EDX and X-ray diffraction. The effects of oil volume, fibre weight, and time on oil absorption of EPFB fibre were evaluated with new engine oil from the model oil. The results show that EPFB fibre consists of numerous micro pores, hydrophobic, and partially crystalline and amorphous with approximately 13.5% carbon. The oil absorbency of the fibre increased with the increase in oil volume, immersion time, and fibre weight. However, sorption capacity decreased beyond 3 g in 100 mL. Additionally unmodified EPFB fibre showed optimum oil sorption efficiency of approximately 2.8 g/g within three days of immersion time.

Fulltext The structural effect of intravitreal Brilliant blue G and Indocyanine green in rats eyes

Ooi YL, Khang TF, Naidu M, Fong KC

Eye (Lond), 2013 Mar;27(3):425-31.

PMID: 23196646 DOI: 10.1038/eye.2012.260

To compare the potential retinal toxicity of two commercially Brilliant blue G dyes (Brilliant Peel and Ocublue Plus) and Indocyanine green (ICG) at usual clinical concentration.

Displaying publications 161 - 180 of 674 in total