MyMedR

Activated recombinant factor VII in the treatment of retroperitoneal haemorrhage in a patient with factor VIII inhibitor

Ng SC

Ann Acad Med Singap, 1994 Nov;23(6):901-2.

PMID: 7741509

The management of haemorrhagic episodes in patients with factor VIII inhibitor is difficult and the outcome rather unpredictable. The use of an investigational drug, that is, activated recombinant factor VII (rFVIIa) in a young non-haemophiliac patient with spontaneous occurrence of factor VIII inhibitor who presented with life-threatening retroperitoneal haemorrhage is reported. There was prompt achievement of haemostasis with rFVIIa after the patient had failed conventional therapy with factor IX and Autoplex. Two further episodes of retroperitoneal bleeding again responded promptly to rFVIIa therapy.

Fulltext Recombinant factor VII

Ng SC

Med J Malaysia, 1995 Dec;50(4):425.

PMID: 8668070

Carbimazole-induced agranulocytosis treated with granulocyte-macrophage colony stimulating factor--a case report

Ng SC

Ann Acad Med Singap, 1995 May;24(3):465-6.

PMID: 7574435

Drug-induced agranulocytosis is a potentially fatal complication despite advances in supportive care. A patient with carbimazole-induced agranulocytosis associated with marked depletion of granulocytic precursors in the marrow was treated with granulocyte-macrophage colony stimulating factor (GM-CSF) at a dose of 5 micrograms/kg subcutaneously daily for one week. The absolute neutrophil count rose above 1 x 10(9)/L after one week of GM-CSF therapy. The GM-CSF probably expedited the recovery of the neutrophil count. Further studies are warranted to delineate the role of GM-CSF in the treatment of drug-induced agranulocytosis.

Evans syndrome: a report on 12 patients

Ng SC

Clin Lab Haematol, 1992;14(3):189-93.

PMID: 1451398

From 1981 to 1989, 12 patients of the University Hospital, Kuala Lumpur, were diagnosed to have Evans syndrome based on direct antiglobulin test (DAT) positive haemolytic anaemia and immune thrombocytopenia occurring either simultaneously (7 patients) or consecutively (5 patients). Their mean age at presentation was 24.8 years with a marked female preponderance. All 12 patients were given high dose steroid after diagnosis. Subsequently, other modalities including intravenous immunoglobulin (1 patient) and high dose methylprednisolone (1 patient) were given. Three patients died of intracranial haemorrhage during the first admission while 1 patient died of pulmonary embolism six months after diagnosis. Three patients had splenectomy because of thrombocytopenia. Six patients tested positive for antinuclear factor and antibodies to double stranded DNA and four of them died. Positive serology appeared to be associated with a poorer prognosis. Follow up observations indicate that patients who survive the acute attacks fare reasonably well.

Orthorhombic modification of triphenyltin 3-ureidopropionate

Ng SW

Acta Crystallogr C, 2000 Mar 15;56(Pt 3):E86-7.

PMID: 15263207

The Sn atom in catena-poly[triphenyltin(IV)-micro-(3-ureidopropionato-O(1):O(3))], [Sn(C(6)H(5))(3)(C(4)H(7)N(2)O(3))](n), is five-coordinate and has a trans-C(3)SnO(2) trigonal-bipyrmidal geometry arising from bridging through the O atom of the ureido fragment of an adjacent carboxylate group. Infinite chains propagate helically along the c axis and adjacent chains are linked by N-H.O [N.O 2.851 (4) A] hydrogen bonds into layers.

Fulltext What Do Mothers know about Neonatal Jaundice? Knowledge, Attitude and Practice of Mothers in Malaysia

Ng SY, Chong SY

Med J Malaysia, 2014 Dec;69(6):252-6.

PMID: 25934954 MyJurnal

Study site: Hospital Teluk Intan, Perak, Malaysia

A case report of refractory kawasaki disease

Ng SH, Roshan S

Med J Malaysia, 2018 12;73(6):410-412.

PMID: 30647216

Kawasaki disease is an autoimmune disease that commonly affects children below the age of 5 years. It is a vasculitic disease of unknown aetiology effecting the skin, eyes, lymph nodes and mucosal layer. Intravenous Immunoglobulin (IVIG) and aspirin therapy are the mainstay treatment however a number of cases have been shown to be refractory to this treatment. Evidence regarding approach and treatment for such cases is limited. This case report is to share our experience in the management of Refractive Kawasaki disease at a district level.

Fulltext Effect of aerobic exercises on physical fitness and mental wellbeing in older adults: a scoping review of published systematic reviews

Ng, S. S., Rasheeqa, S., Zulkiply, H., Lai, N. M., Lim, Yi Heng

Malaysian Journal of Medicine and Health Sciences, 2019;15(102):36-36.

MyJurnal

Introduction: There has been growing interest in recent decades in the effect of physical activity in older people as it was believed to play an important role in maintaining functional independence while reducing health care burden at a low cost. Recent reviews showed aerobic exercises were correlated with healthy ageing outcomes, however between- study variance and variation in study population and outcome measurements warrant a more comprehensive assessment of the current evidence. This scoping review of systematic reviews aimed to evaluate and synthesize review evidence on the effect of aerobic exercises on physical and mental well-being in older adults. Methods: Electronic databases, including Cochrane Database of Systematic Reviews, PubMed/MEDLINE, Embase, PsycINFO, CINAHL were searched from inception to 31 December 2018 to identify systematic reviews, with or without meta-analyses that examined the effectiveness of aerobic exercises in older adults. Methodological quality was assessed using Risk of Bias in Systematic reviews (ROBIS) tool. Results: Two hundred and thirteen reviews met the inclusion criteria. In this scoping review, we included 56 reviews that evaluated the effect of aerobic exercises: 24 examined the effect of aerobic exercises on physical outcomes, 26 examined mental outcomes, 5 examined both physical and mental outcomes and 2 examined the effect on quality of life (QoL). Most reviews showed positive effect of aerobic exercises on physical fitness (18 out of 23), mental well-being (15 out of 26) and quality of life (2 out of 2), while others showed inconsistent or negative results. Majority of the reviews reported low to moderate quality with moderate to high risk of bias. Conclusion: Overall, current evidence showed that aerobic exercises appear to be beneficial for physical fitness and QoL in elderly. The effectiveness of aerobic exercises to improve or maintain cognitive function is inconclusive hence would require further evidence prior to recommendation.

Fulltext Effect of selected high pressure processing parameters on the sensory attributes and shelf life of jackfruit (Artocarpus heterophyllus L.) bulb packed using different packaging materials

Ng, S. K., Tan, T. B., Tan, P. F., Chong, G. H., Tan, C. P.

International Food Research Journal, 2020;27(4):675-682.

MyJurnal

The effect of selected high pressure processing (HPP) parameters on the sensory attributes and
shelf life of jackfruit bulb packed using vacuum skin (VS) and vacuum nylon (VN) packaging
was studied. The samples were stored at chilled temperature (4°C) for shelf life study. HPP
significantly (p < 0.05) increased the shelf life of VS- and VP-packed jackfruit bulbs to 60 d
during chilled storage. In terms of colour stability during storage, both VS- and VP-packed
HP-treated jackfruit bulbs exhibited no significant differences (p > 0.05) in L*, a*, and b*
values. Also, the VS- and VP-packed HP-treated samples exhibited no significant differences
(p > 0.05) in terms of texture. However, the sensory evaluation carried out among 48 panellists
showed that there were significant differences (p < 0.05) between the untreated and HP-treated jackfruit bulbs. The aforementioned results had proven that HPP treatment of 500 MPa for
5 min could successfully extend the shelf life and retain the physicochemical properties of
jackfruit bulbs, regardless of the types of packaging used.

Package plant of extended aeration membrane bioreactors: a study on aeration intensity and biofouling control

Ujang Z, Ng SS, Nagaoka H

Water Sci Technol, 2005;51(10):335-42.

PMID: 16104438

Biofouling control is important for effective process of membrane bioreactor (MBR). In this study, phenomena of biofouling for immersed type extended aeration MBR with two different anti-fouling aeration intensities were studied through a laboratory set up. The objectives of this study were (a) to observe biofouling phenomena of MBR that operates under different anti-fouling bubbling intensity, and simultaneously monitors performance of the MBR in organic carbon and nutrients removal; (b) to compare effectiveness of detergent and detergent-enzyme cleaning solutions in recovering biofouled membranes that operated in the extended aeration MBR. For MBR, which operated under continuous anti-fouling aeration, deposition and accumulation of suspended biomass on membrane surface were prohibited. However, flux loss was inescapable that biofilm layer was the main problem. Membrane cleaning was successfully carried out with detergent-enzyme mixture solutions and its effectiveness was compared with result from cleaning with just detergent solution.

Bullous contact allergy from cinnamon

Goh CL, Ng SK

Derm Beruf Umwelt, 1988 Nov-Dec;36(6):186-7.

PMID: 3069433

A young Malay female presented with a bullous eruption as a manifestation of contact allergy to cinnamic aldehyde in cinnamon. The clinical and histological features resembled bullous pemphigoid but immunological markers for pemphigoid were absent. The patient responded to a short course of oral steroids. Contact allergy can mimic pemphigoid.

Recognition of pernicious syndromes in malaria infections

Sidhu PS, Ng SC

Ann Acad Med Singap, 1991 May;20(3):324-7.

PMID: 1929172

The case records of 64 patients with malaria over a five year period admitted to the University Hospital, Kuala Lumpur were examined. There were 32 cases of P. falciparum, 26 cases of P. vivax and two cases of mixed infections. Four cases of P. malariae were recorded. The clinical findings, biochemical and haematological parameters were examined for any indication of a pernicious syndrome. A high index of suspicion of a malarial infection may be based on the findings of anaemia, thrombocytopaenia, hyponatraemia, renal failure and abnormal liver function tests in the face of a negative blood film. These pernicious syndromes occur more often in malignant tertian malaria (anaemia 50%, hyponatraemia 39.1%) but a high percentage of the other malarial species show these abnormalities (P. vivax anaemia 57.7%, hyponatraemia 19.2%). When these abnormalities are present but blood films for malaria parasites are negative, repeat blood films are warranted until a parasitological diagnosis is achieved and correct treatment may be started.

Thrombotic thrombocytopenic purpura with terminal pancytopenia

Ng SC, Adam BA

Postgrad Med J, 1990 Nov;66(781):955-7.

PMID: 2267212

A 27 year old housewife developed thrombotic thrombocytopenic purpura during the twelfth week of pregnancy. She had partial response to initial plasma infusion and subsequent plasmapheresis. However, her clinical course was complicated by the development of severe pancytopenia the consequence of a hypocellular marrow. She succumbed to septicaemic shock one month after diagnosis. The development of hypocellular marrow in thrombotic thrombocytopenic purpura has not been reported before.

A review of patients with deep vein thrombosis diagnosed at University Hospital, Kuala Lumpur

Liam CK, Ng SC

Ann Acad Med Singap, 1990 Nov;19(6):837-40.

PMID: 2130750

In this retrospective study, 81 patients were diagnosed to have deep vein thrombosis (DVT) at the University Hospital, Kuala Lumpur over a ten year period from 1977 to 1986. Fifty-six patients had their DVT confirmed by venograms. The left side was affected in 79.5% of venographically proven cases of DVT of the lower limbs above the popliteal vein. The incidence of clinically apparent DVT following surgery was 0.21 per 1,000 operations. The incidence of pregnancy-related DVT was 0.039%. DVT was 3 times more frequent in the puerperium than in the antenatal period. The overall incidence of symptomatic pulmonary embolism was 13.6% of the cases of DVT.

Fulltext The leopard (multiple lentigines) syndrome: a case report

Ting HC, Ng SC

Med J Malaysia, 1983 Jun;38(2):98-101.

PMID: 6621454

A case of the leopard (multiple lentigines) syndrome is described. To our knowledge this is the first documented case of this rare but interesting syndrome to be reported in this country.

Cerebral venous thrombosis associated with antithrombin III deficiency

Lee MK, Ng SC

Aust N Z J Med, 1991 Oct;21(5):772-3.

PMID: 1759929

Fulltext A retrospective study on malaria cases admitted to the University Hospital, Kuala Lumpur, 1984-1988

Sidhu PS, Ng SC

Med J Malaysia, 1991 Jun;46(2):177-82.

PMID: 1839423

A review of malaria cases over a five year period from 1984-1988 at the University Hospital, Kuala Lumpur, Malaysia is presented. A total of 64 cases were recorded; 50% of which were due to Plasmodium falciparum, 40.6% were due to Plasmodium vivax, 6.2% due to Plasmodium malariae and 3.1% due to a mixed infection of Plasmodium falciparum and Plasmodium vivax. The breakdown of species type compared similarly with other studies conducted in the region. Of this total, sixteen cases were imported from Pakistan, India, Thailand, Indonesia, Sri Lanka, Vietnam, Madagascar and Mali. The presenting symptoms and the clinical findings were typical of a malaria infection. The main problem in the future will be the increase in imported cases of malaria.

Basal Cell Carcinoma Surgery in general practice: Is there a role for the local General Practitioner?

Keah SH, Ng SC

Malays Fam Physician, 2020;15(3):10-21.

PMID: 33329859

Basal cell carcinoma (BCC) is a common disease of the skin caused principally by prolonged solar radiation exposure. It is normally a malignancy with favorable prognostic features and is potentially curable by standard excision. In White populations with high disease incidence, general practitioners (GPs) play a vital role in diagnosing and managing BCC, including surgical excision. Dedicated care at the primary care level by adequately trained GPs is conceivably cost effective for the health system and more convenient for the patient. In Asia and other parts of the world with low incidence, this valuable role of GPs may appear to be inconsequential. In this regard, any justification for the involvement of local GPs in BCC surgery is debatable. This article aims to provide a clinical update on essential information relevant to BCC surgery and advance understanding of the intricate issues of making a treatment decision at the primary care level.

Case Report: Madam Tan, a 71-year-old Malaysian Chinese lady, otherwise healthy, presented to her local GP with a complaint of a nodule over the left cheek that had been there for more than a decade. Her concern was that the lesion was growing and had become conspicuous. She had spent most of her life as a farmer working in her orchard.Upon examination, she had an obvious dome-shaped nodule over the left cheek measuring approximately 1.8 cm in diameter. The lesion was firm, pigmented, well-demarcated, and slightly ulcerated at the top. Clinically, she was diagnosed with a pigmented nodular basal cell carcinoma of the left cheek. Examination of the systems was unremarkable.She requested that the consulting GP remove the growth. The cost for specialist treatment and waiting time at the local hospital were her concerns.

Clinical Questions: Can the basal cell skin cancer be excised safely and effectively in the local primary care setting? What are the crucial preoperative concerns?

Fulltext Hereditary spherocytosis: a study of 16 patients from University Hospital, Kuala Lumpur

Koh MT, Ng SC

Singapore Med J, 1991 Feb;32(1):67-9.

PMID: 2017710

Hereditary spherocytosis is a rather uncommon disease in Malaysia as only 16 patients were seen in our hospital over a 13 year period. Pallor, jaundice and splenomegaly were common physical signs. Clinical severity of the disease was variable and more than half of them needed splenectomy. Complications including haemolytic crisis and cholelithiasis were encountered but not aplastic crisis. All 10 patients who underwent splenectomy had uniformly good results and none of them had post-operative complications.

Possible intermolecular association in triphenyltin chloride in the solution state as detected by NMR spectroscopy

Ng S, Sathasivam RV, Lo KM

Magn Reson Chem, 2011 Nov;49(11):749-52.

PMID: 22002760 DOI: 10.1002/mrc.2827

NMR measurements ((119)Sn chemical shift, line width and (13)C relaxation) were made on triphenyltin chloride in two solutions, 2.5 and 0.75 mol% in CDCl(3), at several temperatures. The (13)C spin-lattice relaxation time and NOE data for the phenyl carbons provide the corresponding correlation times for the overall molecular reorientational motion and the internal rotation of the phenyl groups. The results are indicative of a weak intermolecular association of the triphenyltin chloride molecules in solution and are discussed with reference to a model for intermolecular phenyl ring π-π stacking interactions.

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