This cross-sectional study aims to determine the provision of foods according to NOVA classifications (an ultra-processed classification), to assess contribution of sodium and added sugar availability in each of NOVA food groups, and to evaluate nutritional status as well as to determine the relationship between sodium, added sugar availability of each NOVA foods groups and nutritional status among adults in Terengganu. Materials and methods:About 200 respondents aged between 18 and 59 years old from Kuala Nerus, Terengganu were recruited. Their dietary intake from two days of 24-hour dietary recall underwent NOVA classification and analyzed through Nutritionist Pro. All respondents had their blood pressure and fasting blood glucose taken. Spearman’s rank correlation was used to evaluate the relationship between sodium and added sugar each of NOVA food groups and the nutritional status. Results:The total energy intake of the respondents was 1818 kcal +375.05 per day. The energy contribution of ultra-processed group was 24%. The sodium and added sugar contribution of ultra-processed group were 26% and 63%, respectively. The mean blood pressure and median of blood glucose were normal at 114/79 mmHg and 5.3 mmol/L, respectively. No significant correlation was found between sodium, added sugar availability of each NOVA food groups and nutritional status at p
Congenital peritoneal band is an extremely rare condition, but may induce small bowel obstruction (SBO) at any age, predominantly in childhood and rarely in adults. We report a case of extensive bowel ischaemia following caesarean section, due to trapping of an intestinal loop between a congenital peritoneal band and the mesentery. A 42-year-old, Gravida 2 Para 1, who has no history of prior abdominal surgery or trauma, presented in spontaneous labour and underwent an uncomplicated emergency lower segment caesarean section, for fetal distress. Postoperatively, she had worsening abdominal distension and pain, followed by vomiting. Computed Tomography Scan of the abdomen showed gross fluid retention with marked small bowel dilatation and fluid filled bowel loops. An emergency exploratory laparotomy was performed which revealed a congenital band, extending between the right fimbrial end and the small bowel mesentery, looping over the small bowel, causing extensive small bowel ischemia. Post-operative course was uneventful. In conclusion, congenital peritoneal band causing small bowel obstruction, although rare, should be considered in the differential, especially for patients with virgin abdomen.
Objectives: The objectives of our study were to determine the mean age of onset of thelarche and menarche,
to determine the ages of each stage of puberty and to investigate if there are any ethnic differences in these
ages amongst female adolescents in Kuala Lumpur, Malaysia.
Methods: This was a cross-sectional study involving three secondary schools in Cheras, Kuala Lumpur. A total of
730 students were recruited via stratified random sampling. Self-administered survey forms on menstruation
and puberty were used.
Results: Out of 730 recruited respondents, 385 (52.74%) completed the survey and informed consents were
obtained from their parents/legal guardians. Our respondents’ ages ranged between 13 to 17 years old with
the median (IQR) age of 14.00(2.00) years. With regards to ethnicity, 329 (85.50%) were Malay, 46 (11.90%)
were Chinese, 9 (2.30%) were Indian and 1(0.30%) was a Bajau. The mean age for breast development
(thelarche) and menarche were 11.72 ±1.10 and 11.97±1.11 years respectively. The majority, 363 (94.30%),
out of 385 respondents had attained menarche. There appeared to be a later onset of puberty amongst
Malays comparatively.
Conclusion: The mean ages of pubertal onset and menarche amongst female adolescents in the Cheras area
are similar to those reported worldwide.