Hepatocystis brayi n. sp. is described and separated from the second species parasitising Malaysian Sciuridae, H. malayensis Field and Edeson, 1950. H. brayi is characterized by: 1) the evolution of its tissue schizonts which are intracellular throughout all their development; the cytoplasm and the nucleus of the host cell are highly hypertrophied; 2) the scarcity of the colloid. The schizogony persists for several months in the liver of infected animals and the gametocytaemia apparently undergoes seasonal relapses. H. brayi is a parasite of hosts occurring in the middle and under canopy, H. malayensis the middle and top canopy.
Microalbuminuria is the earliest indicator of diabetic kidney disease and generalised vascular endothelial dysfunction. The Microalbuminuria Prevalence (MAP) Study was carried out to assess the prevalence of macroalbuminuria, microalbuminuria and normoalbuminuria in Asian hypertensive patients with type 2 diabetes on usual care. This paper presents a subanalysis of data from patients in Malaysia. In 733 analysed patients, the prevalence of macroalbuminuria and microalbuminuria was 15.7% and 39.7%, respectively. The high prevalence of diabetic nephropathy in these high-risk patients is a cause for concern, and the Malaysian Health Care system should be prepared for a pandemic of end-stage renal disease due to diabetic nephropathy.
Study site: six medical centres in Kuala Lumpur, Kota Bharu,
Kuching and Kota Kinabalu