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  1. Fulltext Prevalence of obesity among young adults in Africa - a meta-analysis
    Rodo Mohamud Hassan, Regidor-111 Dioso
    Malaysian Journal of Medical Research, 2017;1(3):1-6.
    MyJurnal
    Background: In Africa high prevalence of overweight and obesity was found in regions of East Africa (0.3%),
    West Africa (0.7%), Central Africa (0.2%), South Africa (3.8%), and North Africa (12.5%).

    Aims: This meta-analysis aimed to analyze the prevalence of obesity among young adults, aged 18-25 years
    from five African countries.

    Methods: The Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines were applied to
    search published studies. of the 100 studies published as found in scientific databases from 2010 to 2017, only
    five were selected. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)
    checklist was used to eliminate other studies.

    Outcomes: A total of 22,320 obese young adults were analyzed to be prevalent. The obesity among adults in
    SouthAfrica was found to be correlated with less physical activities. In Uganda, the prevalence of obesity is
    683 which relates with their sedentary lifestyle and socio-demography. Among 371 young adults in Nigeria, the
    prevalence of obesity was 5.1% among male and 10% among female related to diet and other consumptions.
    Among 646 adults in Ghana, the prevalence of general obesity was observed to be related to genetics.

    Conclusion: Prevalence of the male gender was 9,509 having a p=0.284 (at 95% C.I.±4,440.87845-
    8,788.87845) with a mean score of 1,251, and a SD= 61,066. While the prevalence of obesity on females was
    10,874 having a p= 0.00019, (at 95% C.I.±3,592.07-6,094.07) with a mean score of 2,174, and SD= 3,375.
    Matched MeSH terms: Young Adult*
  2. A case of Sparganum prolifer infection
    Marjoribanks RM, Le Sueur E
    Trans R Soc Trop Med Hyg, 1924;18:70.
    DOI: 10.1016/S0035-9203(24)90769-3
    Matched MeSH terms: Young Adult
  3. Fulltext Symptomatic oral squamous papilloma of the uvula - a rare incidental finding
    Ramasamy K, Kanapaty Y, Abdul Gani N
    Malays Fam Physician, 2019;14(3):74-76.
    PMID: 32175046
    Oral squamous papillomas are benign neoplasms of the oral cavity that occur commonly on the palate. Albeit benign and often asymptomatic, they may still cause concern due to their appearance, which may mimic other malignant oral pathologies. Human papillomavirus (HPV) is usually implicated in papilloma pathogenesis. We present a rare case of symptomatic oral squamous papilloma arising from the uvula and causing tongue and throat irritation. This benign lesion was excised with electrocautery.
    Matched MeSH terms: Young Adult
  4. Fulltext Challenges in imaging and histopathological assessment of a giant cell tumour with secondary aneurysmal cyst in the patella
    Low SF, Hanafiah M, Nurismah MI, Suraya A
    BMJ Case Rep, 2013;2013.
    PMID: 24057334 DOI: 10.1136/bcr-2013-200790
    The patella is an uncommon site for all primary and metastatic bone tumours and primary intra-osseous tumours of the patella are very rare. A majority of the patella tumours are benign. We report a patient with a sudden onset swelling and pain of the right knee following a staircase fall. The plain radiograph showed an expansile multiseptated patella lesion and it was further assessed with an MRI. The radiological findings and the initial histopathological features from a limited sample were suggestive of a primary aneurysmal bone cyst. However, the final histopathological diagnosis from a more adequate specimen was a giant cell tumour with a secondary aneurysmal bone cyst.
    Matched MeSH terms: Young Adult
  5. Fulltext Rare presentation of idiopathic duodenoduodenal intussusception
    Loo GH, Mohamad Abu Zeid WM, Lim SL, Ismail AM
    Ann R Coll Surg Engl, 2017 Jul;99(6):e188-e190.
    PMID: 28660832 DOI: 10.1308/rcsann.2017.0104
    Enteroenteric intussusception is a condition in which the full-thickness bowel wall becomes telescoped into the lumen of distal bowel. Intussusception in adult occurs infrequently and varies from childhood intussusception, particularly in its presentation, aetiology and treatment. Duodenoduodenal intussusception is rare because the duodenum is fixed in the retroperitoneal position. It usually occurs secondary to tumour, lipoma, Brunner's gland hamartomatous polyp or adenoma. The diagnosis in adults is usually made at laparotomy, where presentation is with intestinal obstruction. In non-emergency presentation, it may be difficult to arrive at an accurate diagnosis as symptoms may be vague, self-limiting intermittent abdominal pain. Clinical examinations and investigations may not be conclusive and another working diagnosis such as irritable bowel syndrome would be made. We describe a case where a patient initially presented with symptoms mimicking pancreatitis but his symptoms persisted over the course of 2 weeks. When a laparotomy was performed, duodenoduodenal intussusception was discovered and confirmed with histopathology. In this case, a discernible leading point could not be identified.
    Matched MeSH terms: Young Adult
  6. Fulltext The man with sweaty palms and soles
    Jamani NA, Puteri Shanaz JK, Azwanis AH
    Malays Fam Physician, 2018;13(1):52-54.
    PMID: 29796213 MyJurnal
    A 21-year-old male college student presented with excessive severe bilateral sweating of his palms and
    soles for the past 3 years, which has progressively worsened. His symptoms occur throughout the day
    but worsened during exams or whenever he felt anxious. The condition has caused him difficulty in
    holding objects and writing assignments, and has resulted in public embarrassment on several occasions.
    He has to wipe his hands with a handkerchief each time they sweat. He also needs to change his socks
    frequently. No other area of his body is similarly affected. He denied any associated symptoms, such as
    pungent body odour, changes in weight, fever, heat intolerance, or changes in bowel habits. He has no
    known medical illness and is not on any medication. (Copied from article).
    Matched MeSH terms: Young Adult
  7. Validity and Reliability of the Wii Balance Board for Static Balance Assessment in Healthy Young Adults
    Kaewkaen K, Uthama S, Ruengsirarak W, Puntumetakul R
    Malays J Med Sci, 2019 Mar;26(2):114-121.
    PMID: 31447614 DOI: 10.21315/mjms2019.26.2.12
    Introduction: The Wii Balance Board (WBB) is a commonly used tool for balance assessment, however the inconsistency in the reported validity for the WBB when used for the assessment of healthy young adults needs to be clarified.

    Aim: To investigate the concurrent validity and reliability of the WBB for balance assessment in healthy young adults.

    Methods: Thirty-two young adults participated in this study. Their ability to balance was tested while standing on a WBB and a laboratory-grade force platform, under three conditions: feet together with eyes open, feet together with eyes closed and semi-tandem standing with eyes open. They had 10 min resting period between tests. The agreement between the WBB and the laboratory-grade force platform was investigated, and the reliability of the WBB was determined.

    Results: A poor agreement between the WBB and the laboratory-grade force platform was found for all standing conditions [intraclass correlation coefficient (ICC) = 0.03 to 0.07]. A moderate to high reliability was found for the WBB for balance assessment in healthy young adults (ICC = 0.66 to 0.76).

    Conclusion: The WBB was found to be a reliable tool for static balance assessment in healthy young adults. However, it had poor validity compared to the laboratory-grade force platform.

    Matched MeSH terms: Young Adult
  8. Fulltext Notes on two cases of paralysis
    Hoad W
    Journal of the Straits Medical Association, 1894;5:103-6.
    Matched MeSH terms: Young Adult
  9. Diet, nutrition and excretion of the Asiatic races in Singapore. No. 1, Medical students
    Campbell JA
    Journal of the Straits Branch of the Royal Asiatic Society, 1917.
    Matched MeSH terms: Young Adult
  10. Surgical observations. Malformation of both extremities of the right side.
    Smith GH
    Lancet, 1841;37:358-359.
    DOI: 10.1016/S0140-6736(02)84452-X
    Matched MeSH terms: Young Adult
  11. Fulltext Urinary frequency: going beyond the tract
    Rahmat R
    Malays Fam Physician, 2020;15(1):58-60.
    PMID: 32284808
    Obsessive-compulsive disorder (OCD) is a common anxiety disorder which can be chronic and sustained. An OCD sufferer experiences intrusive and repetitive thoughts, impulses, and behaviors, which ultimately cause extreme discomfort. We report a case of a patient that primarily presented with lower urinary tract symptoms who was subsequently treated with antibiotics. Nonetheless, the symptoms persisted. In subsequent consultations, the patient clarified the compulsive nature of his symptoms and was treated as a case of OCD. Therefore, it is crucial for physicians to correctly identify the nature of the symptoms to manage the disorder properly and to avoid unnecessary consultation and treatment. To the best of our knowledge, this is the first report of other presentations of OCD.
    Matched MeSH terms: Young Adult
  12. Rectal Foreign Body: A Successful Removal at the Bedside and Detailing of a Stepwise Management
    Gan DEY, Chan KH, Veerappan P, Sun KJ, Hayati F
    Am J Case Rep, 2021 Jun 17;22:e930967.
    PMID: 34135299 DOI: 10.12659/AJCR.930967
    BACKGROUND A rectal foreign body (RFB) can be stigmatizing for patients and present a dilemma for the treating physician. Removal can be challenging owing to the variety of objects introduced. The goals of therapy are to safely remove the RFB and to minimize injury to the bowel. CASE REPORT A 22-year-old man was referred from a district hospital to our institution after being unable to remove a self-inflicted RFB after sexual gratification. He was hemodynamically stable with a soft and nontender abdomen. A mass was felt in the suprapubic region. Abdominal radiography revealed a well-defined radiolucent object in the pelvic region, which was consistent with a lubricant bottle. No sign of bowel obstruction or perforation was observed. The RFB was successfully retrieved by a combination of transrectal digital manipulation and directed gentle abdominal pressure, allowing for descent of the RFB and transanal traction at the bedside. Various approaches have been described for removal of a RFB, from simple bedside strategies to open surgery for complicated cases. Endoscopy and minimally invasive techniques have also demonstrated a role in formulating a tailored approach. CONCLUSIONS We describe a successful retrieval of an RFB at the bedside, avoiding unnecessary open surgery.
    Matched MeSH terms: Young Adult
  13. Attenuation of stress-induced cardiovascular reactivity following high-intensity interval exercise in untrained males
    Farah NM, Amran AD, Che Muhamed AM
    J Sports Sci, 2021 Dec;39(24):2755-2762.
    PMID: 34323655 DOI: 10.1080/02640414.2021.1957294
    Exaggerated cardiovascular (CV) reactivity to stress is associated with negative cardiovascular outcomes. This study aimed to investigate the effects of acute high-intensity interval exercise (HIIE) and moderate-intensity exercise (MIE) on CV reactivity in response to a stress challenge in untrained males. Thirteen, normotensive males (age: 22.8 ± 2 years, BMI: 21.9 ± 3.6 kg/m2) underwent three conditions in counterbalanced order: HIIE (bodyweight exercises; 80-90% HRR), MIE (treadmill-jog; 55-60% HRR) and seated rest (CON) separated by 7-10 days. Thirty minutes after performing HIIE, MIE or CON, subjects underwent a 2-min cold pressor task (CPT). Blood pressure (BP) and heart rate (HR) were measured before, during, and after CPT. CV reactivity, i.e., the change in BP and HR responses were compared across conditions. Systolic BP reactivity were attenuated following HIIE (-60%, p = 0.015) and MIE (-42%, p = 0.033) compared to CON, but no differences were observed between HIIE and MIE. HR reactivity was not different across all conditions. We conclude that performing HIIE or MIE 30 minutes prior to acute stress exposure lowers BP reactivity compared to rest in untrained males. These findings highlight the potential benefits of HIIE in lowering stress-induced elevations in blood pressure.
    Matched MeSH terms: Young Adult
  14. Fulltext Empathy levels among first year Malaysian medical students: an observational study
    Williams B, Sadasivan S, Kadirvelu A, Olaussen A
    Adv Med Educ Pract, 2014;5:149-56.
    PMID: 24876799 DOI: 10.2147/AMEP.S58094
    BACKGROUND: The literature indicates that medical practitioners experience declining empathy levels in clinical practice. This highlights the need to educate medical students about empathy as an attribute early in the academic curriculum. The objective of this study was to evaluate year one students' self-reported empathy levels following a 2-hour empathy workshop at a large medical school in Malaysia.
    METHODS: Changes in empathy scores were examined using a paired repeated-measures t-test in this prospective before and after study.
    RESULTS: Analyzing the matched data, there was a statistically significant difference and moderate effect size between mean empathy scores before and 5 weeks after the workshop (112.08±10.67 versus 117.93±13.13, P<0.0001, d=0.48) using the Jefferson Scale Physician Empathy (Student Version).
    CONCLUSION: The results of this observational study indicate improved mean self-reported empathy scores following an empathy workshop.
    KEYWORDS: Malaysia; empathy; medical students
    Study site: Jeffry Cheah School of Medicine and Health Sciences, Monash University Malaysia.
    Matched MeSH terms: Young Adult
  15. Fulltext An assessment of dental students' empathy levels in Malaysia
    Babar MG, Omar H, Lim LP, Khan SA, Mitha S, Ahmad SFB, et al.
    Int J Med Educ, 2013;4:223-229.
    DOI: 10.5116/ijme.5259.4513
    Objectives: To examine the validity and reliability of the Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS) in a sample of dental students in Malaysia, with the secondary aim of assessing empathy levels in first to final year dental students in public and private universities in Malaysia.
    Methods: The JSE-HPS was administered to 582 first to fifth (final) year dental students; 441 were enrolled at two public universities and 141 at a private university in Malaysia. Both descriptive and inferential statistics were performed using SPSS® version 18.
    Results: The JSE-HPS demonstrated good internal consistency (Cronbach’s α = 0.70). A three-factor solution emerged and included ‘perspective taking’, ‘compassionate care’ and ‘standing in patient’s shoes’ factors, accounting for 27.7%, 13.9%, and 6.3% of the variance, respectively. The total mean empathy score was 84.11±9.80, where the actual scores ranged from a low of 22.05 to a high of 133.35. Overall, male students (84.97 ± 11.12) were more empathic than female students (83.78±9.24). Fourth-year students were more empathic than students in other undergraduate years, and public university students had significantly higher mean empathy score compared to those enrolled at a private university (84.74 versus 82.13, p=0.001).
    Conclusions: This study confirms the construct validity and internal consistency of the JSE-HPS for measuring empathy in dental students. Empathy scores among students vary depending on type of university and year of study. Future studies, preferably longitudinal in design should explore changes in empathy among dental students during progression through undergraduate courses.
    Keywords: Empathy, dental, students, university, Malaysia
    Study site: University of Malaya (UM), University Technology Mara (UiTM), International Medical University (IMU), Malaysia
    Matched MeSH terms: Young Adult
  16. Fulltext Comparison of reading speed with 3 different log-scaled reading charts
    Buari NH, Chen AH, Musa N
    J Optom, 2014 Oct-Dec;7(4):210-6.
    PMID: 25323642 DOI: 10.1016/j.optom.2013.12.009
    A reading chart that resembles real reading conditions is important to evaluate the quality of life in terms of reading performance. The purpose of this study was to compare the reading speed of UiTM Malay related words (UiTM-Mrw) reading chart with MNread Acuity Chart and Colenbrander Reading Chart.
    Matched MeSH terms: Young Adult
  17. Fulltext The Islamic Perspectives of Gender-Related Issues in the Management of Patients With Disorders of Sex Development
    Zainuddin AA, Mahdy ZA
    Arch Sex Behav, 2017 Feb;46(2):353-360.
    PMID: 27102604 DOI: 10.1007/s10508-016-0754-y
    In Islam, the person with somatic sex ambiguity due to a disorder of sex development (DSD), such as 46,XX congenital adrenal hyperplasia or 46,XY androgen insensitivity, is recognized as khunsa. Two types of khunsa are distinguished: wadhih (discernible) and musykil (intractable). A recent fatwa (religious edict) in Malaysia decreed that it is permissible for male-assigned patients from these two groups to have gender reassignment surgery to female following diagnosis; however, the religious authority has yet to rule on the reassignment from female to male, if requested. The different schools of law in Islam agree on some aspects of gender-related issues like the position of khunsa in prayer congregations, but differ in their opinions on others such as property inheritance and bathing rituals. For purposes of illustration, this article includes three case reports on Muslim patients with DSD in Malaysia, focusing on issues of gender assignment: (1) a patient with 46,XX CAH, assigned as female, requesting reassignment to male; (2) a patient with 46,XX CAH, assigned female, and gender dysphoric, but undecided on the gender to be; and (3) a patient with 46,XY complete gonadal dysgenesis, raised female due to her phenotype at birth, diagnosed late, at age 18 years, and content to remain female. Gender-related issues from the perspective of Islamic jurisprudence are highlighted and discussed. To ensure holistic care, health-service providers involved in the care of Muslim patients with DSDs need to be aware of the Islamic perspectives on gender-related issues and involve expert religious authorities.
    Matched MeSH terms: Young Adult
  18. Fulltext Disinhibition of negative true self for identity reconstructions in cyberspace: Advancing self-discrepancy theory for virtual setting
    Hu C, Kumar S, Huang J, Ratnavelu K
    PLoS One, 2017;12(4):e0175623.
    PMID: 28399153 DOI: 10.1371/journal.pone.0175623
    In face-to-face communications, to avoid sanctions and disapproval from others, people are more likely to hide negative aspects of their true self (such as socially undesirable personalities, minds, beliefs and consciousness) to avoid conflict with social norms and laws. The anonymity of cyberspace provides people a unique environment to behave more freely and openly with less restraint from the real word. Existing research related to online true self expression has mainly explored true self as an independent aspect of self. Regarding true self as a two-dimensional concept, this study investigates true self from the perspective of individuals' self-guide and identity reconstruction in both online and offline world. Using qualitative research methods, the current study investigates 57 participants through interviews and questionnaires. Content analysis reveals four factors that motivate people to express more true self (especially negative true self) when reconstructing their online identity and involve true self as a part of their self-guide in anonymous environment. By incorporating true self as an important part of individuals' self-guide and identity online, the current study advances self-discrepancy theory, making it more comprehensive for cyberspace. The results are also interpreted based on self-determination theory. The theoretical contributions of this study are discussed and practical implications are also presented.
    Matched MeSH terms: Young Adult
  19. Fulltext Facial subcutaneous emphysema as a rare complication of tonsillectomy
    Mark Paul, Najihah Hanim Asmi, Rohaida Ibrahim, Eshamsol Kamar Omar, Irfan Mohamad
    International Medical Journal Malaysia, 2017;16(2):121-124.
    MyJurnal
    Tonsillectomy is a very common procedure in Otolaryngology practice. Common complications include
    bleeding, which can be primary or secondary due to infection of the tonsillar bed. Subcutaneous emphysema
    after a tonsillectomy is very rare. We report a 19-year-old girl who developed cervicofacial subcutaneous
    emphysema several hours after tonsillectomy with successful conservative treatment outcome.
    Matched MeSH terms: Young Adult
  20. Fulltext Morel-lavallee lesion: a forgotten cause of bleeding in trauma
    Khor, C. C., Tan, T. L.
    Medicine & Health, 2017;12(2):363-367.
    MyJurnal
    The Morel-Lavallee lesion is a rare soft tissue injury that occurs due to traumatic shearing force on skin surface causing separation of skin and subcutaneous tissue resulting in hematoma. This case report depicts a 22-year-old gentleman who was involved in a motor vehicle accident. He complained of pain and swelling over lower back. He was treated for soft tissue injury and admitted for pain control. One day post-trauma, he complained of increased swelling over the back. His hemoglobin dropped from 12.2g/dL to 10.7g/dL. Diagnosis of Morel-Lavallae lesion was made. Initially no surgical intervention was planned. However, in view of worsening of swelling, bedside aspiration was performed and subsequently a pigtail catheter was inserted to drain the hematoma. In total, 2.05 litre of liquefied hematoma was drained. Thus, Morel-Lavallee lesion is an uncommon soft tissue injury that can cause significant bleeding following trauma.
    Keywords: degloving injuries, hematoma, trauma
    Matched MeSH terms: Young Adult
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