Introduction: This cross-sectional study aimed to determine association of age and gender with dental treatment need among first-visit patients at Dental Outpatient Clinic, IIUM Kuantan in 2016.
Materials and Methods: Ethical approval (IREC 762) was obtained from IIUM Human Ethics Committee. List of first-visit patients who attended clinic from 1st January to 31st December 2016 was retrieved to assess patient's age and gender. Dental treatment need was determined according to the normative need which was professionally defined by dental-officer-in-charge. All first-visit patients were included, except those attended Orthodontic department or with old Malaysian identification card or foreign passport. Included patients were classified into six age groups (≤14, 15-19, 20-34, 35-44, 45-64 and ≥ 65). Pearson's chi square test was used for statistical analysis using SPSS Version 20 software.
Results: From a total number of 2,713 patients (age range of 2 to 87), 1,210 (44.6%) were males and 1,503 (55.4%) were females. Age (p<0.001) and gender (p<0.001) were significantly associated with dental treatment need. Paediatric patients (≤14) majorly received paedodontic care (97.5%). Young-age patients (15-19, 20-34 and 35-44) mostly required conservative care (39.5%, 31.2% & 30.6%, respectively) while elder-age patients (45-64 and ≥ 65) have major need for prosthodontics (30.0% & 40.2%, respectively). Females outnumbered males in all age groups, except for the age group of ≥ 65 whereby the situation was the opposite. Females also outnumbered males in all types of treatment need, except for periodontics which was predominated by males.
Conclusion(s): Age and gender have significant associations with treatment need for dental care.
KEYWORDS: treatment need, dental, association, age, gender
Dentist-related factors are one of the major influences on the material selection for
restoration of carious and non-carious tooth surface loss. There were conflicting results regarding
the impact of dentists' gender and age or length of clinical experience on restorative material
selection for posterior dentition. The aims of this study were to determine the influence of gender
and clinical experience on posterior restorative material selection among private dental
practitioner in Malaysia. (Copied from article).
There is a large volume of published studies describing the adverse relationship between treatment non-adherence with tuberculosis treatment outcome. Non-adherence could result in increased risks of prolonged infectiousness, drug resistance, relapse cases and poor survival among tuberculosis patients. Nevertheless, few studies are to be found providing detailed on the reason of defaulting treatment among tuberculosis patients in Malaysia. Hence the goal of this paper is to find out the barriers and motivations factors that affect patients’ treatment compliance among our local tuberculosis patients. This is a qualitative study which included 12 in-depth interviews with tuberculosis non-compliance patients who were treated at Institute of Respiratory Medicine, Kuala Lumpur. All the conversations were recorded, transcribed and analysed by using thematic analysis. It was found that low knowledge, self-negative attitudes, traditional believes, negative perceptions towards health caregiver, drug side effects, stigma, financial problems, less family support and work commitments are the barriers that prevent the patients from religiously taking their anti-tuberculosis treatment. Meanwhile, factors that encourage them to continue their treatment were the believes of bad effects of the disease onto their lives and health, good relationship between patient and health caregiver and social support from people around them. In conclusion, non-adherence involved a dynamic influence of individual, socio-economic and treatment-related factors on the patients. The results presented here may facilitate improvement in the activities in promoting compliance among tuberculosis patients in the future which tailored to the patients’ specific needs.
Tuberculosis or TB is a major issue in Malaysia as the dramatic emerge of infection. In Mac 2016 (Until 15 April 2016)
3049 cases were reported and total cases were reported 7717 cases which increasing 902 (13.0%) cases at same month
2015 (6815 cases). Meanwhile, prevention and diagnosis should be started from children. Educational planning with
the collaboration from Ministry of Education (MOE) and Ministry of Health (MOH) should be intensive to ensure the
prevention and mechanism control of this disease can be cure at the beginning. The focus of the study was given on the
(1) transmission of tuberculosis (TB) in Malaysia (2) practice of prevention of TB (3) mechanism control in educational
institutions and (4) promotion health programmes in schools. The conclusion of this study is drawn on the premise of
providing plausible suggestion that will promote good governance for the Ministry of Education (MOE) and Ministry of
Health (MOH) to strengthening the current policy for a better future implementation.
Gout is a type of arthritis that causes painful inflammation in one or more joints. In gout, elevation of uric acid in the blood triggers the formation of crystals, causing joint pain. Malaysia is a mega-biodiversity country that is rich in medicinal plants species. Therefore, its flora might offer promising therapies for gout. This article aims to systematically review the anti-gout potential of Malaysian medicinal plants. Articles on gout published from 2000 to 2017 were identified using PubMed, Scopus, ScienceDirect, and Google Scholar with the following keyword search terms: "gout," "medicinal plants," "Malaysia," "epidemiology," "in vitro," and "in vivo." In this study, 85 plants were identified as possessing anti-gout activity. These plants had higher percentages of xanthine oxidase inhibitory activity (>85%); specifically, the Momordica charantia, Chrysanthemum indicum, Cinnamomum cassia, Kaempferia galanga, Artemisia vulgaris, and Morinda elliptica had the highest values, due to their diverse natural bioactive compounds, which include flavonoids, phenolics, tannin, coumarins, luteolin, and apigenin. This review summarizes the anti-gout potential of Malaysian medicinal plants but the mechanisms, active compounds, pharmacokinetics, bioavailability, and safety of the plants still remain to be elucidated.
An overview of the Oriental species of Cleruchus Enock (Hymenoptera: Mymaridae) is given, and its five newly described species as well as one undescribed species from Malaysia are keyed. The described new taxa are C. funiculatus Manickavasagam Palanivel sp. n., C. indicus Manickavasagam Palanivel sp. n. and C. orientalis Manickavasagam Palanivel sp. n., all from India, C. blimp Triapitsyn sp. n. from Brunei, and C. pmilb Triapitsyn sp. n. from Thailand. Anaphes quinquearticulatus Huber Triapitsyn is newly reported from India.
Seven species of Strongylophthalmyia are described as new species: Strongylophthalmyia armipes n. sp. (Malaysia), S. biloba n. sp. (Indonesia), S. bukittinggiana n. sp. (Indonesia), S. minutissima n. sp. (Thailand), S. prominens n. sp. (Vietnam), S. strigosa n. sp. (China), S. vichrevi n. sp. (Russia). New data on morphology and distribution of S. bifasciata Yang et Wang 1992 and S. malayensis Evenhuis, 2016 are provided.
Bangithrips mei gen. et sp. n. is described from Peninsular Malaysia. The significance is discussed of outstanding structural autapomorphies that are commonly used in classifications of Thysanoptera. Argyrothrips ommatos described recently from northern Australia is recorded from Malaysia.
Sustainability is an important factor in designing vernacular architecture, including vernacular palace architecture; the latter refers to low-rise buildings similar to Traditional Malay Houses (TMH). However, the Istana Lama Seri Menanti is a 4-storey mid-rise vernacular palace which was designed with sustainability in mind. This mid-rise element of the palace communicates the vernacular architecture of TMH in Negeri Sembilan whereas sustainable designs are factored in environmentally friendly materials, construction methods, and the environmental impact of the building culturally and economically. This research was aimed at examining the sustainability approach of Istana Lama Seri Menanti as a mid-rise vernacular palace in the early 20th Century, and its impact on the current generation after 109 years. The research methodologies include case and precedent studies of vernacular palaces in Malaysia as well as interviews with experts in the field. In conclusion, the architectural sustainability of Istana Lama Seri Menanti had taken into account timber availability, consumption of naturally available resources, designs with minimal environmental impact and high cultural importance in the building design with the ultimate aim of conserving it for future generations.
This paper describes the culture of Traditional Malays, in particular the use of sustainable furniture inside a Traditional Malay House (TMH). The sample houses for this study were retrieved from archived reports, from the Centre for Built Environment in the Malay World (KALAM), Universiti Teknologi Malaysia (UTM). Data collected were analysed using Componential Analysis for the presence of components (based on drawings of archival reports as well as photographic evidence from site visits). The findings showed that the Malays used a variety ofsustainable furniture in their houses. Additionally, their homes had built-in furniture, which indicated the houses were pre-designed based on its user.
Schwannomas are benign tumours arising from neurilemmal cells which forms the myelin sheath of peripheral nerves. It usually occurs in the head, but may be found in the brachial plexus and sciatic nerve. Common peroneal nerve schwannoma are rare. We report a case of a middle age gentleman who presented with pain and swelling over the right popliteal fossa with associated right radicular pain of the anterolateral leg and weakness of ankle dorsiflexion. Examination revealed a 3x2 cm lump behind the posterolateral aspect of the right knee with positiveTinel’s sign upon tapping of the lump, sensory deficit over the anterolateral aspect of the leg and the ankle dorsiflexors had a muscle power of grade 3. Magnetic resonance imaging (MRI) of the right leg revealed a well circumscribed, oval lesion located along the pathway of the common peroneal nerve homogenously hypointense on T1-weighted images and heterogeneously hyperintense on T2 weighted images compared to the muscles. The lesion was not surpressed on fat suppression sequences. Intra-operatively, we noted that the schwannoma was in continuity with the common peroneal nerve. The patient underwent excision of the schwannoma. Post operatively, the pain reduced remarkably but patient suffers from numbness and right foot drop as a complication of the tumour. This case highlights the rarity of common peroneal nerve schwannoma which presents with neuropathic symptoms complicated with right foot drop.
Plantar pressure, force and contact area information may provideinsights regarding stresses imparted to the foot when performing functional tasks. There is limited information regarding plantar pressure, force and contact area when carrying incremental loads (no load, 5 kg, 7.5 kg and 10 kg) using one hand between adults with and without low back pain (LBP). The aim of our study was to investigate the changes in the plantar pressure, force and contact area when carrying incremental loads (no load, 5 kg, 7.5 kg and 10 kg) using one hand between adults with and without low back pain (LBP). A total of 20 adults with non-specific LBP and 20 matched individuals without LBP were recruited according to the predefined recruitment criteria. Plantar pressure (PP), maximum force (MF) and contact area (CA were measured in standing position and during walking while carrying incremental loads (no load, 5 kg, 7.5 kg and 10 kg) using their right hand on a Matscan pressure assessment system. A two-way mixed analysis of variance (group× load) was conducted to analyse the data. No significant main effectof group was demonstrated on both the right and left foot during standing (PP: p = 0.74, p = 0.32; MF: p = 0.17, p = 0.67; CA: p = 0.25, p = 0.24) and walking (PP: p = 0.61, p = 0.48; MF: p = 0.19, p = 0.06; CA: p = 0.16, p = 0.26. Similarly, there was no interaction effect between the loads and groups on the PP (p = 0.89, p = 0.47), MF (p = 0.76, p = 0.83) and CA (p = 0.88, p = 0.20) on theright and left foot, respectively during standing. However, a significant interaction effect (p < 0.05), between the loads and groups was demonstrated on the PP, MF and CA on the left foot during walking. The results of our study suggest that stresses imparted to the foot alters during dynamic postures and this may be a compensatory mechanism. Plantar pressure, force and contact area were similar in adults both with and without LBP when standing and walking. Further biomechanical information that includes both kinematic and kinetic data in lumbopelvic and lower limbs in relation to the foot may be required to justify for prevention and management strategies among adults with LBP.
We collected two specimens of an undescribed species of Lygosoma from pitfall traps in an urban rainforest in Kuching and from the base of a forested hill in western Sarawak, East Malaysia. The new species is diagnosable from all south-east Asian congeners by morphological characters, and most closely resembles Lygosoma herberti from the Thai-Malay Peninsula. The new species shows substantial molecular divergence from its closest relatives in two protein-coding genes, one mitochondrial (ND1) and one nuclear (R35) that we sequenced for several south-east Asian congeners. We describe the new species on the basis of this distinct morphology and genetic divergence. It is the third species of Lygosoma known from Borneo, and highlights the continuing rise in lizard species diversity on the island. In addition, the discovery of this species from a small urban rainforest underscores the importance of preserving intact rainforest areas of any size in maintaining species diversity.
Two new species, Phlegmariurus iminii Kiew (Lycopodiaceae) from limestone karst and P. monticola Kiew from montane habitats, are described from Peninsular Malaysia and a new combination is made for Phlegmariurus pinifolius (Trevis.) Kiew. Phlegmariurus iminii, known from a single hill threatened by quarrying, is Critically Endangered; while P. monticola and P. pinifolius that are relatively widespread are of Least Concern.
This study aims to examine the influences of the plan to further study, career growth
and discriminatory treatment on turnover intention among technicians in electronic
industry in Malaysia. The objectives are: (i) To identify the relationship between the
plan to further study and turnover intention among factory technicians, (ii) To identify
the relationship between career growth and turnover intention among factory
technicians, and (iii)To identify the relationship between discriminatory treatment
factors and turnover intention among factory technicians. The population involved in
this study were the manufacturing technicians at an electronic factory. Survey
questionnaires were used to collect data. A total of 110 questionnaires were analyzed.
Pearson correlation coefficient and regression analysis were used to measure the
degree of relationship between variables. The findings showed that all independent
variables; plan to further study, career growth and discriminatory treatment, were
positive moderately correlated with turnover intention.
The huge population of persuadable, active, healthy and young students is the potential as blood donors to meet safe blood donation. This study focused on the existing level of knowledge regarding voluntary blood donation among medical (Faculty of Medicine and Health Science) and nonmedical students with science background (Faculty of Engineering) at the Universiti Malaysia Sabah. Four hundred and fifty-five students consisting of medical (231) and nonmedical (224) were selected through stratified random sampling to participate in the study. Data was collected using validated structured questionnaire. Statistical analysis was performed by structural equation modelling using SPSS AMOS Graphics version 22 and SPSS version16. The results showed a significant (pp
Introduction: Clinical resolution of periodontitis (CRP) of type-2 diabetic patients with chronic periodontitis (T2DM-PD) after receiving non-surgical periodontal treatment (NSPT) has been reported in the previous studies. This study aimed to evaluate CRP of T2DM-PD under medicaldental coordinated care (M-DCC). Materials and Methods: A 6-months follow-up quasi-experimental study was conducted among 20 subjects who received M-DCC in 2016. M-DCC included standard diabetic care provided by medical professional from 3 health clinics and NSPT provided by periodontal specialists from two periodontal specialist clinics. Target glycemic control achievement (TGCA) HbA1c 6.5% was assessed at baseline and 6 months after NSPT. Clinical resolution of PD was measured in terms of BPE, BOP %, CAL(mm), PPD(mm), PPD 4mm, PPD =4 mm and PPD 6mm at baseline, 3 and 6 months. Paired simple t test and ANOVA F test were applied to infer clinical resolution of periodontitis and its relation to TGCA.
Results: Mean (SD) of average BPE at baseline, 3- and 6-months were 3.52(0.34), 3.12(0.33) and 3(0.45) with (p<0.05); average PPD(mm) were 3.33(0.5), 3.23(0.75) and 2.73(0.57) with (p<0.05); PPD(%) 4mm were 71.03(12.33), 82.77(9.9) and 85.85 (8.9) with (p<0.05); PPD(%) =4 mm were 27.94(11.9), 16.97(10.01) and 13.71(9.1) with (p<0.05); PPD(%) 6mm were 8.04(4.32), 2.66(2.3) and 1.87(2.32) with (p<0.05). Significant resolution of BPE, CAL(mm) and PPD(mm) was noticed among two subjects who has changed from uncontrolled TGCA to controlled TGCA.
Conclusion(s): CRP and TGCA results have verified the effectiveness of M-DCC. A further clinical control trial with adequate sample size needs to confirm the results of the present study.
KEYWORDS: clinical resolution, chronic periodontitis, periodontal therapy, target HbA1C%, Type-2 Diabetic Patients with chronic periodontitis
Introduction: The objective of this study was to determine the prevalence and the pattern of hypodontia among orthodontic patients in Klinik Pergigian Jalan Sultan Mahmud, Kuala Terengganu.
Materials and Methods: A retrospective of 351 orthodontic patients record review study was conducted; comprised of 104 males and 247 females. The records were reviewed by trained dental officer between October 2016 and June 2017. The Chi-square and Fisher's Exact Tests were carried out for statistical analysis.
Results: The prevalence of hypodontia was 10.8%. Thirty-eight patients were found to have at least single missing tooth. A significant difference was found between males and females of having hypodontia (p = 0.048). No significant difference was found for hypodontia patients by races (p = 0.829). The maxillary lateral incisor was the most frequently missing tooth followed by mandibular second premolars and mandibular lateral incisors. Hypodontia cases observed tended to be more likely occurred in the upper left arch compared to the lower arch. The majority of hypodontia patients had single missing tooth, but rarely more than 3 missing teeth. Hypodontia patients had mainly Class III malocclusion, however no statistically significant was found (p= 0.081).
Conclusion(s): The prevalence of hypodontia of this study was within the range of what is being reported in the literature and showed gender significant. Hypodontia was mainly involved maxillary lateral incisors; more prevalent in the upper arch; and mostly observed in patients with Class III malocclusion in the study sample. Early detection and accurate diagnosis are essential. Therefore, alternative treatment modalities can be well planned under multidisciplinary team approach in restoring the aesthetic and function.
KEYWORDS: hypodontia, orthodontics, prevalence, retrospective
Integrated approach of naqli and aqli knowledge is applied in most educational
activities conducted in Faculty of Dentistry, Universiti Sains Islam Malaysia (USIM). Naqli is
knowledge from al-Quran and as-Sunnah while aqli is rational knowledge or knowledge based on
scientific evidence. Currently the integration of naqli and aqli knowledge in periodontology subject
is at the initial stage of implementation. Motivational session for periodontitis patients is identified
to be one of the educational activities that integrates the naqli and aqli knowledge. Therefore, this
study is aimed to identify elements of naqli knowledge that can be included during motivational
session in periodontal clinic. (Copied from article).
Introduction: Transposition is a rare dental anomaly in positional interchange between two adjacent teeth. Studies indicated that tooth transpositions are more frequent unilateral than bilateral (12:1). It is a very rare phenomenon when the anomaly is bilateral and affects same teeth on both sides. The case of a 17 year old girl, with class I incisor relationship on class 1 skeletal base with bilateral transposition of maxillary canines-first premolars, severe crowding and posterior crossbite, is presented. This case report demonstrates the orthodontic management of bilateral transposition of maxillary canines-first premolars and by the end of treatment, the transpositions were maintained while achieving a good functional and aesthetic result.
KEYWORDS: transposition, maxillary canine, malocclusion