Displaying publications 1 - 20 of 105 in total

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  1. Med J Malaysia, 2005 Jul;60 Suppl B:1-186.
    PMID: 16231444
    Matched MeSH terms: Liver Diseases*
  2. Looi LM
    Med J Malaysia, 2005 Jul;60 Suppl B:144-5.
    PMID: 16108199
    The liver biopsy has a unique place in the investigation of liver disease because the concepts and classification of liver disease are rooted in morphology. Today, the use of the liver biopsy has extended beyond that of diagnosis, to the assessment of disease progression, response to therapy and transplant rejection. To get the best out of the liver biopsy, it is necessary to appreciate the usefulness and limitations of the biopsy specimen. Aspects to consider include: (1) minimizing sampling errors, and appreciating that the changes in the biopsy may not be representative of the primary pathology, (2) good laboratory quality practices to avoid processing artifacts, which may render a biopsy undiagnosable, (3) the appropriate use of special stains and other laboratory techniques, (4) adoption of a systematic and algorithmic approach in the microscopic examination of the biopsy, and (5) good clinicopathological correlation.
    Matched MeSH terms: Liver Diseases/pathology*
  3. Chong KC
    Med J Malaysia, 1974 Jun;28(4):296-9.
    PMID: 4278779
    Matched MeSH terms: Liver Diseases/diagnosis; Liver Diseases/pathology*
  4. McCormick A, Sultan J
    Med J Malaysia, 2005 Jul;60 Suppl B:83-7.
    PMID: 16108182
    Liver transplantation has been successfully used in the treatment of a large number of liver diseases. The largest patient group comprises patients with end stage decompensated liver disease. Decompensation is defined as the presence of cirrhosis and one or more of the following: jaundice, ascites, hepatic encephalopathy, hepatorenal syndrome or bleeding oesophageal varices. In general patients in this category should be considered for liver transplantation, if available. Guidelines for liver transplant assessment have been published by both the British Society of Gastroenterology and the American Association for the Study of Liver Disease. These guidelines provide a good basis for patient selection. As new information becomes available the indications for individual diseases may change somewhat. One of the most important changes in recent years was the introduction of the MELD/PELD scoring system. This is the model for end stage liver disease which provides a reasonably robust estimate of prognosis for individual patients. Prior to this patient waiting time on the transplant list was one of the principal determinants of priority for liver allocation. The MELD scoring system has been widely adopted with the aim of allocating the available livers to patients in the greatest clinical need.
    Matched MeSH terms: Liver Diseases/classification; Liver Diseases/surgery*
  5. Liat LB, Fong YL, Krishnasamy M
    PMID: 607425
    Capillaria hepatica infection in wild rodents collected from the States of Kelantan, Selangor and Johore in Peninsular Malaysia since 1973 is reported. A total of 1,258 rodents consisting of 20 species of house, field and forest rats, and 7 species of squirrels were examined for the parasite and 17 species consisting of 111 murids and 1 flying squirrel were found infected. The house rat, Rattus norvegicus had the highest prevalence rate, followed by 3 species of field rats, R. tiomanicus, R. argentiventer and Bandicota indica. The prevalence of infection was low among forest rats with the exception of Lenothrix canus. Only 1 flying squirrel, Hylopetes spadiceus was found with the parasite. The prevalence of infection in relation to the host behaviour and habitats was discussed. C. hepatica appears to be widespread throughout Malaysia with a wide range of hosts among rodent species. Some new host records are presented herein.
    Matched MeSH terms: Liver Diseases/etiology; Liver Diseases/veterinary*
  6. Chua HH, Abdul Rashid K, Law WC, Hamizah A, Chem YK, Khairul AH, et al.
    Med J Malaysia, 2010 Mar;65(1):83-4.
    PMID: 21265260 MyJurnal
    Recovery from chikungunya is previously considered universal and mortality due to the virus is rare and unusual. Findings from recent chikungunya outbreaks occurred in Reunion Island and India have since challenged the conventional view on the benign nature of the illness. Malaysia has experienced at least of 4 outbreaks of chikungunya since 1998. In the present on-going large outbreak due to chikungunya virus of Central/East African genotype, a previous healthy sixty six years gentleman without co-morbidity was noted to have severe systemic infection by the virus and involvement of his liver. He subsequently passed away due to cardiovascular collapse after 5 days of illness.
    Matched MeSH terms: Liver Diseases/etiology*
  7. Ponnudurai R
    Med J Malaysia, 2005 Jul;60 Suppl B:81-2.
    PMID: 16108181
    Matched MeSH terms: Liver Diseases/ultrasonography*
  8. Md Alif AK
    Med J Malaysia, 1981 Jun;36(2):100-3.
    PMID: 7343816
    Over a two year period, 323 livers were examined using ultrasound. Majority of these cases were icteric and ultrasound could distinguish obstructive from non-obstructive jaundice. Primary and secondary liver tumours were also detected. Liver abscesses, and radiolucent gallstones were picked up by ultrasound, the areas under study being scanned using standard methods as outlined by various ultrasonographists.
    Matched MeSH terms: Liver Diseases/diagnosis*
  9. Dharmalingam SK, Mahadev V
    Med J Malaya, 1970 Dec;25(2):83-90.
    PMID: 4251140
    Matched MeSH terms: Liver Diseases/diagnosis*
  10. Zhou XD, Targher G, Byrne CD, Somers V, Kim SU, Chahal CAA, et al.
    Hepatol Int, 2023 Aug;17(4):773-791.
    PMID: 37204656 DOI: 10.1007/s12072-023-10543-8
    BACKGROUND: Fatty liver disease in the absence of excessive alcohol consumption is an increasingly common condition with a global prevalence of ~ 25-30% and is also associated with cardiovascular disease (CVD). Since systemic metabolic dysfunction underlies its pathogenesis, the term metabolic (dysfunction)-associated fatty liver disease (MAFLD) has been proposed for this condition. MAFLD is closely intertwined with obesity, type 2 diabetes mellitus and atherogenic dyslipidemia, which are established cardiovascular risk factors. Unlike CVD, which has received attention in the literature on fatty liver disease, the CVD risk associated with MAFLD is often underestimated, especially among Cardiologists.

    METHODS AND RESULTS: A multidisciplinary panel of fifty-two international experts comprising Hepatologists, Endocrinologists, Diabetologists, Cardiologists and Family Physicians from six continents (Asia, Europe, North America, South America, Africa and Oceania) participated in a formal Delphi survey and developed consensus statements on the association between MAFLD and the risk of CVD. Statements were developed on different aspects of CVD risk, ranging from epidemiology to mechanisms, screening, and management.

    CONCULSIONS: The expert panel identified important clinical associations between MAFLD and the risk of CVD that could serve to increase awareness of the adverse metabolic and cardiovascular outcomes of MAFLD. Finally, the expert panel also suggests potential areas for future research.

    Matched MeSH terms: Liver Diseases*; Non-alcoholic Fatty Liver Disease*
  11. Lee WS, Sokol RJ
    Hepatology, 2007 Jun;45(6):1555-65.
    PMID: 17538929
    Hepatic involvement is a common feature in childhood mitochondrial hepatopathies, particularly in the neonatal period. Respiratory chain disorders may present as neonatal acute liver failure, hepatic steatohepatitis, cholestasis, or cirrhosis with chronic liver failure of insidious onset. In recent years, specific molecular defects (mutations in nuclear genes such as SCO1, BCS1L, POLG, DGUOK, and MPV17 and the deletion or rearrangement of mitochondrial DNA) have been identified, with the promise of genetic and prenatal diagnosis. The current treatment of mitochondrial hepatopathies is largely ineffective, and the prognosis is generally poor. The role of liver transplantation in patients with liver failure remains poorly defined because of the systemic nature of the disease, which does not respond to transplantation. Prospective, longitudinal, multicentered studies will be needed to address the gaps in our knowledge in these rare liver diseases.
    Matched MeSH terms: Liver Diseases/etiology; Liver Diseases/genetics*; Liver Diseases/pathology*
  12. Ravindran J, Jayadev R, Lachmanan SR, Merican I
    Med J Malaysia, 2000 Jun;55(2):209-19.
    PMID: 19839149
    Liver disease is an important and serious condition in pregnancy. The Confidential Enquiries Into Maternal Deaths in Malaysia showed that there were 23 maternal deaths attributed to liver disease between 1991-1994. Over the same period, there were 1066 reported maternal deaths with 929 of them being due to direct and indirect causes. Thus 2.15% of such deaths were due to liver disease in Malaysia. The three main causes of maternal deaths due to liver disease in pregnancy were hepatitis (6 cases), acute fatty liver in pregnancy (6 cases) and septicaemia (4 cases). Liver disease is common at a mean of thirty weeks of gestation with a preponderance to women of low parity. Only two patients in this series had no antenatal care. The majority of cases (45.8%) presented between 28-37 weeks of gestation. All cases delivered by spontaneous vaginal delivery. Remediable factors that were identified included failure to appreciate the severity of disease. Case summaries of all the cases of maternal deaths due to liver disease are discussed and a guideline to management of liver disease in pregnancy presented.
    Matched MeSH terms: Liver Diseases/ethnology; Liver Diseases/mortality*; Liver Diseases/physiopathology
  13. Lee WS, Sokol RJ
    Semin Liver Dis, 2007 Aug;27(3):259-73.
    PMID: 17682973
    Liver involvement, a common feature in childhood mitochondrial hepatopathies, particularly in the neonatal period, may manifest as neonatal acute liver failure, hepatic steatohepatitis, cholestasis, or cirrhosis with chronic liver failure of insidious onset. There are usually significant neuromuscular symptoms, multisystem involvement, and lactic acidemia. The liver disease is usually progressive and eventually fatal. Current medical therapy of mitochondrial hepatopathies is largely ineffective, and the prognosis is usually poor. The role of liver transplantation in patients with liver failure remains poorly defined because of the systemic nature of the disease that does not respond to transplantation. Several specific molecular defects (mutations in nuclear genes such as SCO1, BCS1L, POLG, DGUOK, and MPV17 and deletion or rearrangement of mitochondrial DNA) have been identified in recent years. Prospective, longitudinal multicenter studies will be needed to address the gaps in our knowledge in these rare liver diseases.
    Matched MeSH terms: Liver Diseases/diagnosis; Liver Diseases/etiology*; Liver Diseases/therapy*
  14. Balasegaram M
    Ann Surg, 1972 Feb;175(2):149-54..
    PMID: 5059599
    Matched MeSH terms: Liver Diseases/complications*; Liver Diseases/etiology*; Liver Diseases/surgery*
  15. Noordin MM, Salam Abdullah A, Rajion MA
    Vet Res Commun, 1989;13(6):491-4.
    PMID: 2631385
    Although Brachiaria decumbens was not toxic when fed to cattle, the infusion of rumen liquor from B. decumbens intoxicated sheep into the rumen of cattle produced evidence suggesting hepatic and renal dysfunction. Several biochemical changes were observed including increases in serum aspartate amino transferase, serum creatinine and blood urea nitrogen and a marked reduction in the plasma bromosulphthalein clearance.
    Matched MeSH terms: Liver Diseases/blood; Liver Diseases/etiology; Liver Diseases/veterinary
  16. Lai FM, Jayakumar CR, Saw L, Kumar G
    Singapore Med J, 1996 Apr;37(2):226-8.
    PMID: 8942272
    Primary tumours of the liver are uncommon in childhood. Of these, more than two-thirds are malignant. As such, benign hepatic tumours are often not considered in the differential diagnosis of a hepatic mass in childhood. We report a case of hepatic mesenchymal hamartoma, a rare benign tumour, in a 10-month-old infant. This tumour is characterised by an admixture of ductal structures within a copious loose connective tissue stroma. Only approximately 160 cases had been reported in the literature. Awareness of the ultrasound (U/S) and computed tomography (CT) features, although not diagnostic, is helpful in distinguishing it from the more common malignant tumours. A correct preoperative diagnosis is important as surgical excision is often curative.
    Matched MeSH terms: Liver Diseases/diagnosis*; Liver Diseases/radiography; Liver Diseases/ultrasonography
  17. Assayaghi RM, Alabsi AM, Swethadri G, Ali AM
    Asian Pac J Cancer Prev, 2019 Oct 01;20(10):3071-3075.
    PMID: 31653156 DOI: 10.31557/APJCP.2019.20.10.3071
    BACKGROUND: Treatment of cancer with chemo-radiotherapy causes severe side effects due to cytotoxic effects towards normal tissues which often results in morbidity. Therefore, developing anticancer agents which can selectively target the cancer cells and cause less side effects are the main objectives of the new therapeutic strategies for treatment advanced or metastatic cancers. Newcastle disease virus strains AF2240 and V4-UPM were shown to be cytolytic against various cancer cells in-vitro and very effective as antileukemicagents.

    METHODS: 45 rats at 6 weeks of age, were randomly assigned to nine groups with 5 rats in each group, both azoxymethane (AOM) and 5-Fluorouracil (5-FU) were given to rats according to the body weight. NDV virus strains (AF2240 and V4-UPM) doses were determined to rats according to CD50 resulted from MTT assay. After 8 doses of NDV strians and 5-FU, tissue sections preparations and histopathological study of rats' organs were done.

    RESULTS: In this article morphological changes of rats' organs, especially in livers, after treatment with a colon carcinogen (azoxymethane) and Newcastle disease virus strains have been recorded. We observed liver damage caused by AOM evidenced by morphological changes and enzymatic elevation were protected by the oncolytic viruses sections. Also we found that combination treatment NDV with 5-FU had greater antitumor efficacy than treatment with NDV or 5-FU alone.

    CONCLUSION: We noted morphological changes in liver and other rats' organs due to a chemical carcinogen and their protection by NDV AF2240 and NDV V4-UPM seems to be most protective.

    Matched MeSH terms: Liver Diseases/etiology; Liver Diseases/pathology*; Liver Diseases/therapy*
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