MyMedR

Pulmonary Alveolar Microlithiasis in a Patient Requiring Allotransplant

Ganapaty S, Koo CW, Lo YC

Mayo Clin Proc, 2024 Jun;99(6):953-954.

PMID: 38691071 DOI: 10.1016/j.mayocp.2024.02.001

Matched MeSH terms: Middle Aged

Fulltext A Multicomponent Workplace Environmental Intervention to Promote Physical Activity among the Staff of Universiti Malaysia Sarawak

Cheah YX, Cheah WL, Hazmi H

Indian J Public Health, 2024 Jan 01;68(1):66-74.

PMID: 38847636 DOI: 10.4103/ijph.ijph_543_23

BACKGROUND: Physical inactivity is a significant public health issue affecting working adults because it can increase the risk of noncommunicable diseases.

OBJECTIVES: The objective is to determine the outcomes of a multi-component workplace environmental intervention that incorporated physical activity self-regulation (PASR) to promote physical activity (PA) among employees.

MATERIALS AND METHODS: This was a 6-month intervention with a two-group, parallel, quasi-experimental study. A total of 11 workplaces were randomly assigned to intervention group (IG) or control group (CG) using a 1:1 allocation ratio. In each group, 84 eligible participants were recruited. The IG was exposed to the organizational support and the PA support components throughout the study. The PASR Scale, International PA Questionnaire, and pedometer were used to measure the outcome at the baseline, 3rd-month, and 6th-month follow-ups, respectively. The repeated measures-analysis of variance analysis was used to determine the changes in the PASR skills, MET-min/week, and step/week over time.

RESULTS: The IG had 75 participants (51 females and 24 males) and the CG had 73 participants (52 females and 21 males) at the 6th-month follow-up. Despite there was no statistically significant difference in the outcomes between groups over time, the IG showed significant improvements in total PASR (ηp2 = 0.021), goal setting (ηp2 = 0.024), total MET-min/week (ηp2 = 0.031), housework-related PA (ηp2 = 0.101), and step/week (ηp2 = 0.827) throughout this intervention.

CONCLUSION: This intervention was found to be effective in improving the PASR skills, MET-min/week, and step/week of IG participants. Meanwhile, because some effect sizes were small, these findings should be interpreted with caution.

Matched MeSH terms: Middle Aged

The Effect of Young Coconut Water on Blood Pressure in Hypertensive Patients

Awaluddin, Pristika A

J Pak Med Assoc, 2024 May;74(5 (Supple-5)):S51-S54.

PMID: 39221800 DOI: 10.47391/JPMA.Ind-RInC-14

OBJECTIVE: To determine the effect of young coconut water on reducing blood pressure in hypertensive patients.

METHODS: The quasi-experimental study was conducted in the work area of the Perhentian Luas Public Health Centre, Kuantan Singingi district, Riau province, Indonesia, from June 12 to 26, 2022, and comprised people aged >35 years with stage I hypertension. They were divided into intervention group A and control group B. Group A received young coconut water 150ml for 1 week once a day in the morning. Data was collected using observation sheets and blood pressure monitoring. Data was analysed using SPSS 20.

RESULTS: Of the 30 subjects, 15(50%) were each in each of the two groups. All the 15(100%) respondents in group A were females, while there were 10(66.7%) males and 5(33.3%) females in group B. In both the groups, there were 8(53.3%) subjects aged 26-45 years and 7(46.7%) aged >45 years. Systolic and diastolic blood pressure before and after the intervention showed significant difference in group A (p<0.05), while the difference in group B was not significant (p>0.05).

CONCLUSION: Consuming young coconut water every day for 7 days reduced blood pressure in hypertensive patients.

Matched MeSH terms: Middle Aged

Fulltext Does more education always lead to better health? Evidence from rural malaysia

Leeves G, Soyiri I

Biomed Res Int, 2015;2015:539212.

PMID: 25685796 DOI: 10.1155/2015/539212

Background. Education is usually associated with improvement in health; there is evidence that this may not be the case if education is not fully utilised at work. This study examines the relationship between education level, occupation, and health outcomes of individuals in rural Malaysia. Results. The study finds that the incidence of chronic diseases and high blood pressure are higher for tertiary educated individuals in agriculture and construction occupations. This brings these individuals into more frequent contact with the health system. These occupations are marked with generally lower levels of education and contain fewer individuals with higher levels of education. Conclusions. Education is not always associated with better health outcomes. In certain occupations, greater education seems related to increased chronic disease and contact with the health system, which is the case for workers in agriculture in rural Malaysia. Agriculture is the largest sector of employment in rural Malaysia but with relatively few educated individuals. For the maintenance and sustainability of productivity in this key rural industry, health monitoring and job enrichment policies should be encouraged by government agencies to be part of the agenda for employers in these sectors.

Matched MeSH terms: Middle Aged

Comparative effectiveness and safety of various treatment procedures for lower pole renal calculi: a systematic review and network meta-analysis

Lee SW, Chaiyakunapruk N, Chong HY, Liong ML

BJU Int, 2015 Aug;116(2):252-64.

PMID: 25381743 DOI: 10.1111/bju.12983

To compare the effectiveness of various treatments used for lower pole renal calculi.

Matched MeSH terms: Middle Aged

Fulltext The impact of a submaximal level of exercise on balance performance in older persons

Alias HA, Justine M

ScientificWorldJournal, 2014;2014:986252.

PMID: 25383386 DOI: 10.1155/2014/986252

The purpose of this study was to determine the impact of a submaximal level of exercise on balance performance under a variety of conditions.

Matched MeSH terms: Middle Aged

Fulltext Clinical implication of interface pressure for a new prosthetic suspension system

Gholizadeh H, Osman NA, Eshraghi A, Abd Razak NA

Biomed Eng Online, 2014;13:89.

PMID: 24981801 DOI: 10.1186/1475-925X-13-89

Prosthesis suspension systems can alter the distribution of pressure within the prosthetic socket. This study evaluates a new suspension system for lower limb prostheses, and aims to compare the interface pressure and amputees' satisfaction with the new system compared with a common prosthetic suspension system (pin/lock).

Matched MeSH terms: Middle Aged

Chest tube entrapment: a simple solution for technical error

Haron H, Baharudin MN, Ismail I, Zainuddin K, Abdul Rahman MR

Ann Thorac Surg, 2014 Jun;97(6):2166-7.

PMID: 24882295 DOI: 10.1016/j.athoracsur.2013.07.129

Unrecognized chest tube entrapment by surgical closure is a technical error. We present a rare case of chest tube entrapment that was successfully treated with a simple and safe solution in an elderly man after coronary artery bypass grafting (CABG). We visualized the suture using a small endoscope through the chest tube and incised it with the help of thoracoscopic scissors. The tube was then removed without the need for surgical exploration.

Matched MeSH terms: Middle Aged

Ice-cream stick injury resembling torus palatinus

Khajotia R, Kew ST

Ear Nose Throat J, 2013 Sep;92(9):E33.

PMID: 24057915

Matched MeSH terms: Middle Aged

Carotid revascularization in patient with asymptomatic unilateral carotid stenosis undergoing coronary bypass--a futile effort!

Chai FY, Ishamuddin IM, Hairulfaizi H, Joanna SM, Ramzisham AR

Clin Ter, 2012;163(2):125-7.

PMID: 22555827

The best management of asymptomatic carotid artery disease in patient who needs coronary bypass remains controversial. We report the neurological outcome of four patients with asymptomatic unilateral significant carotid artery disease who underwent conventional coronary bypass without carotid revascularization. Our review highlighted the risk of perioperative stroke is not increased despite carotid revascularization was not performed. Asymptomatic carotid artery disease is not the cause for cerebral infarct but soft aortic atheroma encountered during surgery is the main culprit.

Matched MeSH terms: Middle Aged

Urinary metabolic evaluation of stone formers-a Malaysian perspective

Hong YH, Dublin N, Razack AH, Mohd MA, Husain R

Urology, 2012 Sep;80(3):529-34.

PMID: 22578827 DOI: 10.1016/j.urology.2012.02.053

To investigate the urinary metabolic excretion pattern among local stone formers given the great differences in the intrinsic and extrinsic risk factors as well as the urinary metabolic excretions compared with other populations.

Matched MeSH terms: Middle Aged

Variant course of posterior circumflex humeral artery associated with the abnormal origin of radial collateral artery: could it mimic the quadrangular space syndrome?

Mohandas Rao KG, Somayaji SN, Ashwini LS, Ravindra S, Abhinitha P, Rao A, et al.

Acta Med Iran, 2012;50(8):572-6.

PMID: 23109033

Variations in the origin of axillary artery branches are common. But, distinctly abnormal course of its posterior circumflex humeral branch is rare. We are reporting a case of posterior circumflex humeral artery (PCHA) originating from the axillary artery, passing through lower triangular space to reach the scapular region where it accompanied the axillary nerve and posterior circumflex humeral vein to pass around surgical neck of humerus, deep to the fibers of deltoid. Other variations observed in this specimen were the radial collateral artery arising from the PCHA, middle collateral artery arising directly from the brachial artery and absence of profunda brachii artery. PCHA forming a hair pin loop, traversing through lower triangular space instead of quadrangular space taking a long course is being reported for the first time. Further, the clinical and surgical importance of this case especially in relation with quadrangular space syndrome and relevant literature is discussed.

Matched MeSH terms: Middle Aged

Fulltext Longitudinal stent compression: a not so new percutaneous coronary angioplasty (PCI) complication

Yew KL, Cham YL

Med J Malaysia, 2012 Feb;67(1):123-4.

PMID: 22582565

Matched MeSH terms: Middle Aged

Base of tongue tuberculosis: a case report

Hussaini J, Mutusamy S, Omar R, Rajagopalan R, Narayanan P

Acta Med Iran, 2012;50(2):151-2.

PMID: 22359087

We report a rare case of base of tongue tuberculosis following pulmonary tuberculosis. Patient presented to us with chief complaints of sore throat and pain on swallowing for period of 3 months. On examination with 70 degree telescope, we observed an ulcer on right side of base of tongue. The edges of the ulcer appeared to be undermined with whitish slough at the centre of the ulcer. Examination of neck showed a multiple small palpable middle deep cervical lymph nodes on right side of neck. Biopsy of the ulcer was taken, which showed granulomatous inflammation, suggestive of tuberculosis. Laboratory investigations revealed a raise in erythrocyte sedimentation rate, sputum for acid fast bacilli was strongly positive. Chest X ray was performed for patient showed multiple areas of consolidation. Patient was referred to chest clinic for further management of tuberculosis and was started on anti-tuberculous drugs. In conclusion tuberculosis of oral cavity is rare, but should be considered among one of the differential diagnosis of the oral lesions and biopsy is necessary to confirm the diagnosis.

Matched MeSH terms: Middle Aged

Fulltext An analysis of forensic entomological specimens by Universiti Kebangsaan Malaysia

Syamsa RA, Ahmad FM, Marwi MA, Zuha RM, Omar B

Med J Malaysia, 2010 Sep;65(3):192-5.

PMID: 21939166 MyJurnal

This study reviews forensic entomological specimens analysed by the Department of Parasitology & Medical Entomology, Universiti Kebangsaan Malaysia for the year 2004. A total of 10 cases (6 males and 4 females) were observed for the entomological specimens. Various types of death scenes were obtained including indoor and outdoor area such as bushes field, rubbish dumping site, and aquatic areas. Identified fly species collected from the death sites were blow flies, Chrysomya megacephala, Chrysomya rufifacies and Lucilia cuprina and unknown sarcophagid larvae, with Ch. megacephala being the most common species found in the ecologically varied death scene habitats. The post-mortem interval (PMI) estimation ranged from one to five days, based on the entomological specimens collected.

Matched MeSH terms: Middle Aged

Right-sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell's Diverticulum

Mubarak MY, Kamarul AT, Noordini MD

Iran J Radiol, 2011 Sep;8(2):103-6.

PMID: 23329925

A previously healthy 52-year-old man had a chest radiograph for medical check-up and found to have a right-sided aortic arch. Computed tomography of the thorax revealed a right-sided aortic arch with aberrant left subclavian artery originated from Kommerell's diverticulum. Barium swallow examination showed compression of the posterior wall of the esophagus. He was asymptomatic and no surgical intervention was performed.

Matched MeSH terms: Middle Aged

Fulltext A retrospective study of narrowband-UVB phototherapy for treatment of vitiligo in Malaysian patients

Adauwiyah J, Suraiya HH

Med J Malaysia, 2010 Dec;65(4):297-9.

PMID: 21901949 MyJurnal

Psoralen and ultraviolet light A (PUVA) was the mainstay of vitiligo treatment before the introduction of narrowband UVB(NB-UVB). Eighteen patients treated with NB-UVB in Hospital Kuala Lumpur were retrospectively analyzed. Eight patients had Fitzpatrick skin phototype III and 10 with phototype IV. The mean duration of disease was 7.3 +/- 5.4 years, and the mean body surface area affected was 19.3 +/- 16.2%. Mean duration of treatment was 14.3 +/- 9.6 months, number of session 113.5 +/- 88.6 times and cumulative dose 111.7 +/- 108.5 J/ cm2. Concomitant topical steroid was used in 88.9% patients. Repigmentation was moderate in 6 (40%) patients, good in 3 (20%), while 3 (20%) achieved excellent results. One patient (6.6%) showed no response and 2 (13.3%) showed poor repigmentation. Three patients developed side effects. NB-UVB phototherapy results in satisfactory repigmentation in our vitiligo patients and should be offered as a treatment option.

Matched MeSH terms: Middle Aged

Fulltext Current concepts in the management of carotid body tumours

Desmond TH, Christopher HK

Med J Malaysia, 2010 Dec;65(4):268-70.

PMID: 21901942

To review the current management of carotid body tumours and examine our own experience at the Singapore General Hospital.

Matched MeSH terms: Middle Aged

Ureteritis cystica: an interesting case with diagnostic dilemma

Zamri Z, Harunarashid, Das S, Ramzisham AR

Clin Ter, 2010;161(5):457-8.

PMID: 20964103

Ureteritis cystica is a rare, benign, proliferative condition. We report the case of a 51-year-old female who complained of dysuria and frequency for the last 10 years. The symptoms, however, increased in severity and frequency over the past one year. Urine culture and sensitivity showed presence of Escherichia Coli which was sensitive to augmentin and ciproflaxocin. The urinary tract ultrasonography and intravenous urography revealed bladder diverticula with multiple small, smooth well defects with sharp borders that protruded into the lumen along the proximal and mid left ureter. This finding was later confirmed by retrograde pyelogram. She was treated and currently is on long term antibiotic therapy. The diagnostic features and management of ureteritis cystic is being discussed in detail.

Matched MeSH terms: Middle Aged

Fulltext Cavernous hemangioma mimicking anterior jugular vein phlebectesia

Irfan M, Idayu MY, Venkatesh RN

Med J Malaysia, 2010 Mar;65(1):68-9.

PMID: 21265254 MyJurnal

Cavernous hemangioma is a vascular tumor composed of large dilated blood vessels and containing large blood-filled spaces. The formation is due to dilation and thickening of the walls of the capillary loops. Most cavernous hemangiomas present at birth or soon after. On the other hand, jugular phlebectasia is an abnormal benign sacculofusiform dilatation of jugular veins. It should be considered as one of the differential diagnosis of neck swelling. Majority of the reported cases occurred in a young child. We reported a case of an elderly woman who was diagnosed clinically as anterior jugular vein phlebectesia. Histologically the mass turned out to be a cavernous hemangioma.

Matched MeSH terms: Middle Aged

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