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Fulltext Puerperal acquired factor VIII inhibitor causing a von Willebrand-like syndrome in a patient with anti-DNA antibodies

Jackson N, Hashim ZA, Zainal NA, Jamaluddin N

Singapore Med J, 1995 Apr;36(2):230-1.
PMID: 7676276

A 30-year-old Malay lady, with no previous or family history of bleeding, presented with severe gum bleeding 25 days post-partum. The factor VIII:c was 0.03 iu/ml with evidence of a slow-acting factor VIII inhibitor. Von Willebrand factor antigen (VWF:age) varied from less that 0.05 to 0.17 iu/ml, and there was absent ristocetin-induced platelet aggregation. Anti-nuclear and anti-DNA antibodies were present, but there were no other features of systemic lupus erythematosus. There was some clinical response to cryoprecipitate and tranexamic acid, and slight improvement with corticosteroid. Fifteen months later, the patient has no active bleeding problem, and her VWF-ag is increasing spontaneously. However, factor VIII:c is less than 0.01 iu/ml and her factor VIII inhibitor titre is still > 20 Bethesda units/ml.
Expanding nursing education through e-learning: A case study in Malaysia

Syed-Mohamad SM, Pardi KW, Zainal NA, Ismail Z

Stud Health Technol Inform, 2006;122:186-9.
PMID: 17102245

The School of Health Sciences, Universiti Sains Malaysia (SHS) is planning to expand its contribution to produce more graduate nurses by offering a nursing degree through e-learning. After three years of using e-learning by four lecturers in seven nursing courses, we conducted a study to get the lecturers feedback and to compare the students' preference and their actual experiences in e-learning. Lecturers' feedback were collected based on six open-ended questions. Feedback from all the 36 final year nursing students were collected using Constructivist On-line Learning Environment Survey (COLLES)--the Student Experience/Preferred Form. Results show that lecturers and students have positive perception on e-learning. They perceive e-learning as a powerful and effective tool for expanding nursing education to meet the demand for a labour force that is knowledgeable, highly skilled and equipped with positive values. We believe blended learning is the most suitable approach to implement e-learning and social constructivism theory provides the dynamic view of learning. To increase success in e-learning implementation for the nursing programme, lecturers should be educated regarding proper instructional design so that their content delivery blends well with the technology and pedagogy.
Fulltext Response Surface Methodology (RSM) on the Hybrid Nanofluid Flow Subject to a Vertical and Permeable Wedge

Khashi'ie NS, Waini I, Mukhtar MF, Zainal NA, Hamzah KB, Arifin NM, et al.

Nanomaterials (Basel), 2022 Nov 15;12(22).
PMID: 36432302 DOI: 10.3390/nano12224016

The mixed convection flow with thermal characteristics of a water-based Cu-Al2O3 hybrid nanofluid towards a vertical and permeable wedge was numerically and statistically analyzed in this study. The governing model was constructed using physical and theoretical assumptions, which were then reduced to a set of ordinary differential equations (ODEs) using similarity transformation. The steady flow solutions were computed using the Matlab software bvp4c. All possible solutions were presented in the graphs of skin friction coefficient and thermal rate. The numerical results show that the flow and thermal progresses are developed by enhancing the controlling parameters (wedge parameter, volumetric concentration of nanoparticles, and suction parameter). Moreover, the response surface methodology (RSM) with analysis of variance (ANOVA) was employed for the statistical evaluation and conducted using the fit general linear model in the Minitab software. From the standpoint of statistical analysis, the wedge parameter and volumetric nanoparticle concentration have a considerable impact on all responses; however, the suction parameter effect is only substantial for a single response.
Fulltext Chemopreventive Properties and Toxicity of Kelulut Honey in Sprague Dawley Rats Induced with Azoxymethane

Saiful Yazan L, Muhamad Zali MF, Mohd Ali R, Zainal NA, Esa N, Sapuan S, et al.

Biomed Res Int, 2016;2016:4036926.
PMID: 27525267 DOI: 10.1155/2016/4036926

Ethnopharmacological Relevance. Colon cancer has been a major problem worldwide. Kelulut honey (KH) is produced by the stingless bees from Trigona species and has strong antioxidant activities that could be one of the potential chemopreventive agents from natural resources. Aim of This Study. This study investigated the chemopreventive properties and toxicity of KH in Sprague Dawley rats induced with azoxymethane (AOM). Material and Method. Twenty-four male Sprague Dawley rats aged 5 weeks were divided into 4 groups: (G1) untreated group not induced with AOM, (G2) untreated group induced with AOM, (G3) treated group induced with AOM, and (G4) treated group not induced with AOM. Injection of AOM (15 mg/kg) was via intraperitoneal route once a week for two subsequent weeks. The treatment groups were given oral administration of KH (1183 mg/kg body weight) twice daily for 8 weeks. Results. Treatment with KH significantly reduced the total number of aberrant crypt foci (ACF) and aberrant crypts (AC) and crypt multiplicity. KH was not toxic to the animals since the level of blood profile parameters, liver enzymes, and kidney functions was in normal range. Conclusions. The current finding shows that KH has chemopreventive properties in rats induced with colorectal cancer and also was found not toxic towards the animals.
Fulltext Parental health risk perceptions and preventive measures related to Children's second-hand cigarette smoke exposure in Malaysia

Junus S, Chew CC, Sugunan P, Meor-Aziz NF, Zainal NA, Hassan HM, et al.

BMC Public Health, 2021 10 15;21(1):1860.
PMID: 34654405 DOI: 10.1186/s12889-021-11825-2

BACKGROUND: Secondhand smoke (SHS) exposure can affect physical development in children. An understanding of parental risk perception of SHS could guide efforts to develop measures for prevention of SHS exposure among children. This study aimed to assess parental risk perceptions of SHS and action taken by parents to minimise SHS exposure in their children.
METHODS: This cross-sectional nationwide study conducted in 2018 recruited convenience sample of 289 parents with children up to age 12 at public areas. Parents were asked to rate the risk level from 1 (no risk) to 5 (extremely high risk) by looking at photographs of an adult smoking in the presence of a child in 8 different situations. The implementation of smoking restriction rules was assessed. Mean scores were calculated with higher scores representing higher risk perception of SHS to child's health. Linear regression analysis was used to determine factors associated with the level of parental risk perception of SHS exposure to their children's health.
RESULTS: A total of 246 parents responded. Their mean age was 35 years (SD 6.4). The majority were mothers (75.6%), Malays (72.0%) and had tertiary education level (82.5%), and non-smoker (87.1%). The mean age of respondents' youngest child was 3 years (SD 3.1). The risk perception level was high [mean scores: 4.11 (SD: 0.82)]. Most parents implemented household (65.0%) and car (68.3%) smoking restriction rules. Lower levels of risk perception were observed among participants who were current smokers (p