Browse publications by year: 1996

  1. Mansor SM, Navaratnam V, Yahaya N, Nair NK, Wernsdorfer WH, Degen PH
    J Chromatogr B Biomed Appl, 1996 Jul 12;682(2):321-5.
    PMID: 8844426
    A rapid and selective high-performance liquid chromatographic assay for determination of a new antimalarial drug (benflumetol, BFL) is described. After extraction with hexane-diethyl ether (70:30, v/v) from plasma, BFL was analysed using a C18 Partisil 10 ODS-3 reversed-phase stainless steel column and a mobile phase of acetonitrile-0.1 M ammonium acetate (90:10, v/v) adjusted to pH 4.9 with ultraviolet detection at 335 nm. The mean recovery of BFL over a concentration range of 50-400 ng/ml was 96.8 +/- 5.2%. The within-day and day-to-day coefficients of variation were 1.8-4.0 and 1.8-4.2%, respectively. The minimum detectable concentration in plasma for BFL was 5 ng/ml with a C.V. of less than 10%. This method was found to be suitable for clinical pharmacokinetic studies.
    MeSH terms: Adult; Antimalarials/blood*; Antimalarials/pharmacokinetics; Chromatography, High Pressure Liquid/methods*; Ethanolamines/blood*; Ethanolamines/pharmacokinetics; Fluorenes/blood*; Fluorenes/pharmacokinetics; Humans; Male; Spectrophotometry, Ultraviolet; Area Under Curve
  2. Jin LZ, Ho YW, Ali MA, Abdullah N, Jalaludin S
    J. Appl. Bacteriol., 1996 Aug;81(2):201-6.
    PMID: 8760330
    Single strains of Lactobacillus acidophilus and Lact. fermentum, isolated from chicken intestine, were used to study in vitro interactions with Salmonella enteritidis, Salm. pullorum or Salm. typhimurium in an ileal epithelial cell (IEC) radioactive assay. Exclusion, competition and displacement phenomena were investigated by respectively incubating (a) lactobacilli and IEC together, prior to addition of salmonellae, (b) lactobacilli, IEC and salmonellae together, and (c) salmonellae and IEC, followed by the lactobacilli. Lactobacilli were selected for study because of their strong ability to adhere to IEC and poor aggregation with salmonellae. The results demonstrated that Lact. acidophilus significantly reduced (P < 0.05) the attachment of Salm. pullorum to IEC in the tests for exclusion and competition, but not in the displacement tests. Lactobacillus fermentum was found to have some ability to reduce the attachment of Salm. typhimurium to IEC under the conditions of exclusion (P < 0.08), competition (P < 0.09), but not displacement. However, both Lact. acidophilus and Lact. fermentum were unable to reduce the adherence of Salm. enteritidis to IEC under any of the conditions.
    MeSH terms: Animals; Bacterial Adhesion/physiology*; Cells, Cultured; Chickens/microbiology; Epithelial Cells; Epithelium/microbiology; Ileum/cytology; Ileum/microbiology*; Intestines/microbiology; Lactobacillus/physiology*; Lactobacillus acidophilus/physiology*; Salmonella/pathogenicity; Salmonella/physiology*
  3. Druka A, Burns T, Zhang S, Hull R
    J Gen Virol, 1996 Aug;77 ( Pt 8):1975-83.
    PMID: 8760450
    Rice tungro spherical virus (RTSV) has an RNA genome of more than 12 kb with various features which classify it as a plant picornavirus. The capsid comprises three coat protein (CP) species, CP1, CP2 and CP3, with predicted molecular masses of 22.5, 22.0 and 33 kDa, respectively, which are cleaved from a polyprotein. In order to obtain information on the properties of these proteins, each was expressed in E. coli, purified as a fusion to the maltose-binding protein and used for raising a polyclonal antiserum. CP1, CP2 and CP3 with the expected molecular masses were detected specifically in virus preparations. CP3 is probably the major antigenic determinant on the surface of RTSV particles, as was shown by ELISA, Western blotting and immunogold electron microscopy using antisera obtained against whole virus particles and to each CP separately. In some cases, especially in crude extracts, CP3 antiserum detected several other proteins (40-42 kDa), which could be products of CP3 post-translational modification. No serological differences were detected between the three CPs from isolates from the Philippines, Thailand, Malaysia and India. The CP3-related 40-42 kDa proteins of the Indian RTSV isolate have a slightly higher electrophoretic mobility (42-44 kDa) and a different response to cellulolytic enzyme preparations, which allows them to be differentiated from south-east Asian isolates.
    MeSH terms: Antibodies, Viral/immunology; Antigens, Viral/immunology; Base Sequence; Capsid/immunology*; DNA, Viral; Escherichia coli; India; Molecular Sequence Data; Philippines; Plant Viruses/immunology*; Plant Viruses/isolation & purification; Recombinant Fusion Proteins; Oryza/virology; RNA Viruses/immunology*; RNA Viruses/isolation & purification; Immunodominant Epitopes/immunology; Epitopes, B-Lymphocyte/immunology
  4. Ng KH, Siar CH
    J Laryngol Otol, 1996 Aug;110(8):757-62.
    PMID: 8869610
    We reviewed the clinicopathological characteristics of 13 cases of calcifying epithelial odontogenic tumour (CEOT) (Pindborg tumour) diagnosed in the Division on Stomatology, Institute for Medical Research, Kuala Lumpur, over a 29-year period. There were eight female and five male patients. These consisted of eight (61.5 per cent) Malays, three (23.1 per cent) Chinese, one (7.7 per cent) Indian and one (7.7 per cent) Melanau. Their ages at presentation ranged from 19-61 years (mean age, 31.8 years). There were 12 central and one peripheral CEOT. Of these, 76.9 per cent of cases were located in the maxilla, the remaining in the mandible. The commonest clinical diagnosis was a dentigerous cyst (66.7 per cent). Enucleation was the main mode of treatment. Histologically, sheets and strands of polyhedral epithelial cells containing eosinophilic, homogeneous globules with Liesegang rings were observed. One case also showed extensive calcification and clear cell differentiation. Immunohistochemistry revealed a variable keratin staining of the CEOT epithelium, confirming its heterogeneity.
    MeSH terms: Adult; Female; Humans; Immunohistochemistry; Keratins/analysis; Malaysia; Male; Maxillary Neoplasms/pathology*; Maxillary Neoplasms/surgery; Maxillary Neoplasms/chemistry; Middle Aged; Biomarkers, Tumor/analysis; Odontogenic Cyst, Calcifying/pathology*; Odontogenic Cyst, Calcifying/surgery; Odontogenic Cyst, Calcifying/chemistry
  5. Idrus RB, Mohamad NB, Morat PB, Saim A, Abdul Kadir KB
    Steroids, 1996 Aug;61(8):448-52.
    PMID: 8870163
    11 beta-Hydroxysteroid dehydrogenase (11 beta-OHSD) is a microsomal enzyme that catalyzes the dehydrogenation of cortisol (F) to cortisone (E) in man and corticosterone (B) to 11-dehydrocorticosterone (A) in rats. 11 beta-OHSD has been identified in a wide variety of tissues. The differential distribution of 11 beta-OHSD suggests that this enzyme has locally defined functions that vary from region to region. The aim of this study was to investigate the effects of the glucocorticoids B and dexamethasone (DM), the mineralocorticoid deoxycorticosterone (DOC), and the inhibitors of 11 beta-OHSD glycyrrhizic acid (Gl) and glycyrrhetinic acid (GE) on 11 beta-OHSD bioactivity at the hypothalamus (HT) and anterior pituitary (AP). Male Wistar rats were treated with GI or were adrenalectomized (ADX) and treated with either B, DM, or DOC for 7 days. All treatments were in vivo except GE, which was used in vitro. At the end of treatment, homogenates of HT and AP were assayed for 11 beta-OHSD bioactivity, expressed as the percentage conversion of B to A in the presence of NADP, 11 beta-OHSD bioactivity is significantly higher (P < 0.0001) in the AP compared with the HT. Adrenalectomy significantly increased the enzyme activity in the AP (P < 0.05), an effect reversed by B or DM. ADX rats treated with DOC showed decreased enzyme activity in the AP (P < 0.001) but increased the activity in the HT (P < 0.0001). Gl increased activity in both HT and AP, whereas GE decreased activity significantly. We conclude that the modulation of 11 beta-OHSD is both steroid specific and tissue specific.
    MeSH terms: Adrenal Cortex Hormones/pharmacology*; Adrenalectomy; Animals; Corticosterone/pharmacology; Desoxycorticosterone/pharmacology; Dexamethasone/pharmacology; Glycyrrhetinic Acid/analogs & derivatives; Glycyrrhetinic Acid/pharmacology; Hydroxysteroid Dehydrogenases/drug effects; Hydroxysteroid Dehydrogenases/metabolism*; Hypothalamus/drug effects; Hypothalamus/enzymology*; Male; Pituitary Gland, Anterior/drug effects; Pituitary Gland, Anterior/enzymology*; Time Factors; Rats, Wistar; Glycyrrhizic Acid; 11-beta-Hydroxysteroid Dehydrogenases; Rats
  6. Raman S, Ramanujam T, Lim CT
    J Obstet Gynaecol Res, 1996 Aug;22(4):375-8.
    PMID: 8870422
    Extensive haemangioma with platelet consumption (Kasabach-Merritt syndrome) is rare. The lesion is usually a single cutaneous cavernous haemangioma similar to that found in our patient. Multiple superficial strawberry naevi were also seen all over the rest of the body. This condition was diagnosed antenatally in this patient with the use of colour Doppler. There is one recent report where the thrombocytopaenia was diagnosed by cordocentesis. Unfortunately the baby developed heart failure with intractable coagulopathy and died 2 days later.
    MeSH terms: Adult; Female; Humans; Leg*; Pregnancy; Thrombocytopenia/complications; Ultrasonography, Prenatal*; Ultrasonography, Doppler, Color
  7. Teoh T
    J Obstet Gynaecol Res, 1996 Aug;22(4):389-94.
    PMID: 8870425
    The aim is to assess the outcome of external cephalic version (ECV) for term breech in our clinical setting and the factors involved. Patients with no contraindications and who consented to ECV were recruited into this prospective study. Terbutalin infusion was used. There were 42 ECV attempts of which 21 (50%) were successful. Seventeen of the patients with successful ECV delivered vaginally and 4 had cesarean section for various indications. Only 5 of the 21 unsuccessful ECV delivered vaginally. Thirteen had elective cesarean section and 2 had emergency cesarean during trial of breech. One patient from the unsuccessful ECV group was lost to follow-up. There were 31 (74%) primipara. The birth weight of the babies was not a significant factor in the outcome of ECV. The type of breech and parity did influence the success rate. External cephalic version should be included in the routine management of our breech presentation.
    MeSH terms: Breech Presentation*; Cesarean Section; Female; Humans; Pregnancy; Pregnancy Outcome*; Prospective Studies; Version, Fetal/methods*; Delivery, Obstetric
  8. Idid SZ, Lee CY
    Clin Exp Pharmacol Physiol, 1996 Aug;23(8):679-81.
    PMID: 8886489
    1. Thirty male rabbits of local strain (weighing 1.5-2 kg) were divided into five groups. Four groups were treated with an oral dose of paraquat, which was followed by either Fuller's Earth or activated charcoal 0.5 or 2.0 h later. The remaining group acted as the control group and was treated only with an oral dose of paraquat. The dose of paraquat was 20.0 mg/kg given in a concentration of 20.0 mg/mL. 2. Both adsorbents were administered in 15 mL normal saline as a 30% slurry. Blood was sampled from the ear vein 0.5, 1, 2, 4, 8 and 24h after the administration of paraquat. 3. Paraquat concentration was determined spectophotometrically at 600 nm by comparing against a standard curve of paraquat obtained by the addition of standard paraquat into normal rabbit serum and extracting interfering substances with ether. 4. The results of the present study show that either adsorbent can bring down the serum paraquat level. There was no significant difference found in the effectiveness of either adsorbent. 5. It is concluded that the administration of an adsorbent as early as possible will help in the reduction of paraquat absorption from the gastrointestinal tract. 6. Activated charcoal is still effective in lowering serum paraquat concentration when given more than 1 h after ingestion of paraquat.
    MeSH terms: Adsorption; Analysis of Variance; Animals; Charcoal/therapeutic use*; Herbicides/blood; Herbicides/poisoning*; Male; Paraquat/blood; Paraquat/poisoning*; Rabbits; Spectrophotometry; Aluminum Compounds/therapeutic use*; Magnesium Compounds/therapeutic use*; Silicates/therapeutic use*
  9. Hatta SM
    Aust N Z J Psychiatry, 1996 Aug;30(4):505-10.
    PMID: 8887701
    This article attempts to review the criteria for the amok phenomenon since the late 15th century and how its meaning has evolved into its present day usage.
    MeSH terms: Cross-Cultural Comparison*; Ethnic Groups/psychology*; Humans; Insanity Defense*; Malaysia; Medicine, Traditional*; Psychiatric Status Rating Scales; Psychotic Disorders/classification; Psychotic Disorders/ethnology*; Psychotic Disorders/psychology; Social Perception*
  10. Koh KB, George J
    Scand. J. Urol. Nephrol., 1996 Aug;30(4):265-8.
    PMID: 8908645
    Angiomyolipomas are rare tumours of the kidney which have a tendency to bleed. We studied the clinical and radiological features of 11 patients from our institution to identify features which may be predictive of a massive haemorrhage. Tumours more than 6 cm in diameter were found to bleed and the demonstration of pseudoaneurysms on contrast CT scanning was associated with massive haemorrhage. We conclude that large angiomyolipomas should be treated to avoid haemorrhage and the detection of pseudoaneurysms should prompt urgent treatment.
    MeSH terms: Adult; Aged; Female; Hemorrhage/etiology*; Humans; Kidney Neoplasms/complications; Male; Middle Aged; Tomography, X-Ray Computed; Ultrasonography; Angiomyolipoma/complications
  11. Cheah PL, Looi LM
    Pathology, 1996 Aug;28(3):229-31.
    PMID: 8912350
    Eight histologically-confirmed cases of clear cell sarcoma of the kidney (CCSK) were studied for possible mutations in the p53 tumor suppressor gene by the immunohistochemical demonstration of mutant p53 proteins using a monoclonal (DO7: Dako) and a polyclonal (AB565: Chemicon) antibody to p53 protein. All cases exhibited p53 protein nuclear immunopositivity, although in varying numbers of tumor cells and with different staining intensities. p53 protein (DO7 or AB565) was expressed in < 25% of the tumor cells in four (50%) of the cases, including the one case with a known long term survival of 13 years from the time of diagnosis. The other tumors showed p53 protein immunopositivity in > 25% of the tumor cells when stained with either DO7 or AB565 or both. The intensity of staining, graded on visual impression into weak, moderate or strong, did not correlate well with the ratio of positive staining tumor cells. While this study is unable to clarify the relative prevalence and importance of p53 mutational events in the pathogenesis of this aggressive renal tumor of childhood, it is reasonably suggestive that alterations in the p53 tumor suppressor gene do occur in CCSK.
    MeSH terms: Child, Preschool; Female; Humans; Immunoenzyme Techniques; Infant; Kidney Neoplasms/genetics; Kidney Neoplasms/metabolism*; Kidney Neoplasms/pathology; Male; Mutation; Wilms Tumor/metabolism; Wilms Tumor/pathology; Survival Rate; Genes, p53; Tumor Suppressor Protein p53/metabolism*; Sarcoma, Clear Cell/genetics; Sarcoma, Clear Cell/metabolism*; Sarcoma, Clear Cell/pathology
  12. Tay YG, Tan KK
    Burns, 1996 Aug;22(5):409-12.
    PMID: 8962663
    Six hands from five patients were seen with full-thickness burns following a ritual practice between June 1993 and June 1994. Three hands were treated with excision and medium-thickness split-skin grafts, one patient was treated with a medium-thickness split skin graft taken from the instep of the foot. The first patient with bilateral burns of the palms refused surgery and returned 3 months later with contractures of the palms. The results of the treated hands are presented.
    MeSH terms: Adolescent; Adult; Burns/etiology*; Ceremonial Behavior*; Female; Hand Injuries/etiology*; Humans; Male
  13. Jin LZ, Ho YW, Abdullah N, Ali MA, Jalaludin S
    Lett Appl Microbiol, 1996 Aug;23(2):67-71.
    PMID: 8987444
    Twelve Lactobacillus strains isolated from chicken intestine, which demonstrated a strong and moderate capacity to adhere to the ileal epithelial cells in vitro, were used to investigate their inhibitory ability against five strains of salmonella, i.e. Salmonella enteritidis 935/79, Salm. pullorum, Salm. typhimurium, Salm. blockley and Salm. enteritidis 94/448, and three serotypes of Escherichia coli, viz. E. coli O1:K1, O2:K1 and O78:K80. The results showed that all the 12 Lactobacillus isolates were able to inhibit the growth of the five strains of salmonella, and the three strains of E. coli in varying degrees. Generally, they were more effective in inhibiting the growth of salmonella than E. coli. Inhibition of the pathogenic bacteria was probably due to the production of organic acids by the Lactobacillus isolates.
    MeSH terms: Animals; Antibiosis*; Cells, Cultured; Chickens; Epithelial Cells; Escherichia coli/growth & development; Ileum/microbiology; Lactobacillus/pathogenicity*; Salmonella/growth & development
  14. Husain R, Cheah SH, Duncan MT
    Singapore Med J, 1996 Aug;37(4):398-401.
    PMID: 8993142
    The investigation examined the possibility that observance of Ramadan by Moslems in Malaysia is associated with modification of circulatory parameters. Cardiovascular reactivity was investigated employing the cold hand immersion test as the stressor stimulus. Resultant data showed increased blood pressures and vascular resistance during Ramadan in the absence of cold stimulus while the magnitude of the maximal cardiac and vascular response to the applied stressor which served as indicators of reactivity was not affected by the Ramadan situation.
    MeSH terms: Adult; Blood Pressure/physiology; Cardiovascular Physiological Phenomena*; Cold Temperature/adverse effects*; Ethnic Groups*; Heart Rate/physiology; Humans; Malaysia; Male; Reference Values; Vascular Resistance/physiology*
  15. Wong KT, Koh KB, Lee SH, Chee CP
    Singapore Med J, 1996 Aug;37(4):441-2.
    PMID: 8993152
    Primary germinomas of the central nervous system carry a good prognosis because of their radiosensitivity. Recurrences are rare and extraneural metastases are even more unusual. One of the possible routes of extraneural spread is via ventriculo-peritoneal shunts which may be required to reduce intracranial pressure. One such case of germinoma metastasizing via a ventriculo-peritoneal shunt is reported. Patients with intracranial germinomas and ventriculo-peritoneal shunts should have close surveillance of their abdomens and may require systemic chemotherapy.
    MeSH terms: Adult; Brain Neoplasms/diagnosis; Brain Neoplasms/pathology*; Brain Neoplasms/radiotherapy; Humans; Hydrocephalus/therapy; Male; Peritoneal Neoplasms/etiology; Peritoneal Neoplasms/secondary*; Peritoneal Neoplasms/surgery; Tomography, X-Ray Computed; Ventriculoperitoneal Shunt/adverse effects*; Fatal Outcome; Germinoma/diagnosis; Germinoma/pathology*; Germinoma/radiotherapy
  16. Raman S, Teoh T, Nagaraj S
    Int J Gynaecol Obstet, 1996 Aug;54(2):143-7.
    PMID: 9236312
    OBJECTIVES: To study whether there are any differences in growth of the femoral and humeral length between the three major ethnic groups in Malaysia viz Malays, Chinese and Indians. The effect on fetal growth by gender of the baby and parity of the mother was also studied.

    METHODS: The setting was the University of Kuala Lumpur. Thirty-four Malay, 35 Chinese and 34 Indian normal pregnant middle-class women were studied longitudinally by monthly ultrasound scans for 18 to 38 weeks of gestation. The data were subjected to regression analysis; the quadratic curve was found to be the most adequate. Dummy variables were used to determine any effects by gender, parity as well as ethnicity on the length of limb growth. There was no difference in birth weights of the three ethnic groups studied, nor in gender or parity.

    RESULTS: There were found to be significant differences in limb lengths of the Indians (longer) when compared with the Malays and Chinese. Parity seems to affect only Indians in whom the multiparous fetuses have shorter limb lengths than the primaparous. There appears to be no effect by gender.

    CONCLUSION: There appear to be definite differences in growth of limb length between the different Malaysian ethnic groups and this should be taken into account when growth charts are used and when fetal weight formulas are calculated using limb lengths. The limitation of this study was that the numbers of subjects studied were small. Larger studies will be able to confirm or refute the findings.

    MeSH terms: Anthropometry*; Birth Weight; China/ethnology; Cross-Sectional Studies; Ethnic Groups*; Female; Femur/growth & development*; Embryonic and Fetal Development/physiology*; Humans; Humerus/growth & development*; India/ethnology; Infant, Newborn; Longitudinal Studies; Malaysia; Male; Parity; Pregnancy; Prospective Studies; Reference Values; Regression Analysis; Ultrasonography, Prenatal; Sex Distribution
  17. Yeang HY, Cheong KF, Sunderasan E, Hamzah S, Chew NP, Hamid S, et al.
    J Allergy Clin Immunol, 1996 Sep;98(3):628-39.
    PMID: 8828541 DOI: 10.1016/s0091-6749(96)70097-0
    Two major water-insoluble proteins are located on the surface of rubber particles in Hevea brasiliensis latex. A 14.6 kd protein (Hev b 1), found mainly on large rubber particles (> 350 mm in diameter), and a 24 kd protein (Hev b 3), found mainly on small rubber particles (average diameter, 70 nm), are recognized by IgE from patients with spina bifida and latex allergy. Although Hev b 1 (also called the rubber elongation factor [REF]) has previously been reported as a major latex allergen, this conclusion has been disputed on the basis of results from other studies. The allergenicity of Hev b 1 is verified in this study by testing the recombinant protein generated from its gene. Because allergenicity is confined to patients with spina bifida and not observed in adults sensitive to latex, it is not a major latex allergen. The identification of Hev b 3 as another allergen originating from rubber particles is confirmed by immunogold labeling and electron microscopy. Observations with the monoclonal antibody USM/RC2 developed against Hev b 3 show that the protein has a tendency to fragment into several polypeptides of lower molecular weight (from 24 kd to about 5 kd) when stored at -20 degrees C. There is also indication of protein aggregation from the appearance of proteins with molecular weights greater than 24 kd. Fragmentation of Hev b 3 is induced immediately on he addition of latex B-serum, which is normally compartmentalized in the lutoids in fresh latex. In the preparation of ammoniated latex (used for the manufacture of latex products), the lutoids are ruptured, and the released B-serum reacts with Hev b 3 on the rubber particles to give rise to an array of low molecular weight polypeptides that are allergenic to patients with spina bifida.
    MeSH terms: Adult; Allergens/immunology*; Allergens/metabolism; Allergens/chemistry; Humans; Hypersensitivity/etiology; Hypersensitivity/immunology*; Immunoglobulin E/immunology*; Latex/immunology*; Latex/metabolism; Latex/chemistry; Molecular Weight; Plant Proteins/adverse effects; Plant Proteins/immunology*; Plant Proteins/chemistry; Proteins/immunology*; Rubber/chemistry*; Spinal Dysraphism/immunology*; Antigens, Plant
  18. Ang HH, Chan KL, Mak JW
    Korean J Parasitol, 1996 Sep;34(3):211-3.
    PMID: 8843698
    Malaysian, African and Thai Plasmodium falciparum isolates were cultured in vitro by the Trager and Jensen method (1976; 1977) and were later cloned by the limiting dilution method (Rosario, 1981). Forty-eight clones were obtained and were characterized by electrophoretic variations of GDH (NADP-dependent glutamate dehydrogenase)(EC. 1.4.1.4). It was found that they were pure clones because they possessed either GDH-1 or GDH-2 unlike their parent isolates which exhibited both GDH-1 and GDH-2.
    MeSH terms: Animals; Electrophoresis; Genotype; Isoenzymes/classification; Isoenzymes/isolation & purification*; Plasmodium falciparum/enzymology*; Plasmodium falciparum/genetics; Glutamate Dehydrogenase (NADP+)/classification; Glutamate Dehydrogenase (NADP+)/isolation & purification*
  19. Bin Juni MH
    Soc Sci Med, 1996 Sep;43(5):759-68.
    PMID: 8870140
    Within the current exercise of reforming the health care system, underlying all issues, is the reassessment of the role of government. It is a government's responsibility and concern that the health sector be accessible and equitable to the population, and more important that the health sector be more efficient and affordable. Many governments in the world attempt to provide universal health care services to their population through public health care provisions. This paper reviews and analyses the experience of the Malaysian health system, focusing on the performance of the system in relation to access and equity. The performance of the Malaysian health system has been impressive. At minimum cost it has achieved virtually accessible and equitable health care to the entire population. This is evident by analysing almost all the commonly used indicators. These clearly show that when matched to comparable countries, health outcome is even better than predicted value.
    MeSH terms: Cost-Benefit Analysis; Cost Control; Delivery of Health Care/organization & administration*; Health Expenditures; Financing, Government; Health Manpower; Health Policy*; Health Services Accessibility; Health Status; Humans; Malaysia; National Health Programs/organization & administration*; Privatization; Quality of Health Care
  20. Ang HH, Lam CK, Wah MJ
    Chemotherapy, 1996 Sep-Oct;42(5):318-23.
    PMID: 8874969
    Six clones were derived from each Plasmodium falciparum isolate obtained from Malaysia, Africa and Thailand and were characterized against type II antifolate drugs, cycloguanil and pyrimethamine using the modified in vitro microtechnique. Results showed that these isolates were of a heterogeneous population, with 50% inhibitory concentrations of Gombak A clones at 0.0151-0.1450 and 0.0068-0.1158 microM, Gambian clones at 0.0056-0.1792 and 0.0004-0.0068 microM and TGR clones at 0.0103-0.0703 and 0.0776-0.3205 microM against cycloguanil and pyrimethamine, respectively. All clones displayed similar susceptibilities as their parent isolates except A/D3, A/D5, A/G4 and A/H7 clones which were sensitive to cycloguanil at 0.0735, 0.0151, 0.0540 and 0.0254 microM but Gm/B2 clone was resistant at 0.1792 microM, respectively. However, A/D3, TGR/B4, TGR/B7, TGR/C4, TGR/C7 and TGR/H2 clones were resistant to pyrimethamine at 0.1158, 0.1070, 0.1632, 0.1580, 0.2409 and 0.3205 microM, respectively. Further results indicated that they were pure clones compared to their parent isolates as their drug susceptibility studies were statistically different (p < 0.05).
    MeSH terms: Africa, Western; Animals; Antimalarials/pharmacology*; Proguanil; Folic Acid Antagonists/pharmacology*; Malaysia; Plasmodium falciparum/drug effects*; Pyrimethamine/pharmacology*; Species Specificity; Thailand; Triazines/pharmacology*
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