MyMedR

An interesting finding in a patient with chronic diarrhoea

Marwan AA, Ngiu CS, Periyasamy P

Ann Acad Med Singap, 2013 Feb;42(2):97-8.

PMID: 23515696

Matched MeSH terms: Diarrhea/etiology*

Quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan, Malaysia

Yusuf A, Ahmad Z, Keng SL

Asian Pac J Cancer Prev, 2013;14(1):435-40.

PMID: 23534769

BACKGROUND: Breast cancer is the leading cause of cancer-related death among women in Malaysia. A diagnosis is very stressful for women, affecting all aspects of their being and quality of life. As such, there is little information on quality of life of women with breast cancer across the different ethnic groups in Malaysia. The purpose of this study was to examine the quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan.

MATERIALS AND METHODS: A descriptive study involved 58 Malays and 15 Chinese women newly diagnosed with breast cancer prior to treatment. Quality of life was measured using the Malay version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast-specific module (QLQ-BR23). Socio-demographic and clinical data were also collected. All the data were analyzed using SPSS version 20.0.

RESULTS: Most of the women were married with at least a secondary education and were in late stages of breast cancer. The Malay women had lower incomes (p=0.046) and more children (p=0.001) when compared to the Chinese women. Generally, both the Malay and Chinese women had good functioning quality-of-life scores [mean score range: 60.3-84.8 (Malays); 65.0-91.1 (Chinese)] and global quality of life [mean score 60.3, SD 22.2 (Malays); mean score 65.0, SD 26.6 (Chinese)]. The Malay women experienced more symptoms such as nausea and vomiting (p=0.002), dyspnoea (p=0.004), constipation (p<0.001) and breast-specific symptoms (p=0.041) when compared to the Chinese.

CONCLUSIONS: Quality of life was satisfactory in both Malays and Chinese women newly diagnosed with breast cancer in Kelantan. However, Malay women had a lower quality of life due to high general as well as breast-specific symptoms. This study finding underlined the importance of measuring quality of life in the newly diagnosed breast cancer patient, as it will provide a broader picture on how a cancer diagnosis impacts multi-ethnic patients. Once health care professionals understand this, they might then be able to determine how to best support and improve the quality of life of these women during the difficult times of their disease and on-going cancer treatments.

Matched MeSH terms: Constipation/etiology; Diarrhea/etiology; Fatigue/etiology; Sleep Initiation and Maintenance Disorders/etiology; Nausea/etiology; Pain/etiology; Vomiting/etiology

Fulltext Globe avulsion secondary to maxillofacial trauma

Norazah AR, Akmal HZ, Hashima H, Vasantha T, Samsudin A

Med J Malaysia, 2011 Oct;66(4):359-60.

PMID: 22299558 MyJurnal

We report a case of globe avulsion secondary to maxillofacial trauma and propose potential mechanisms of injury. This case highlights the importance of wearing proper safety attire, especially during motorcycling.

Matched MeSH terms: Eye Injuries/etiology*

Fulltext Perinatal postmortem: factors influencing uptake and subsequent outcomes in an Asian population

Valayatham V, Hiu J

Med J Malaysia, 2012 Feb;67(1):87-90.

PMID: 22582555 MyJurnal

To assess uptake of perinatal postmortems (PM) among mothers experiencing perinatal deaths. Subjective assessment of factors influencing uptake was studied. Analysis of perinatal PM outcomes and its impact on cause analyses of intrauterine fetal demise was made.

Matched MeSH terms: Fetal Death/etiology

Fulltext Geographical variation of cardiovascular risk factors in Malaysia

Nuur Amalina AG, Jamaiyah H, Selvarajah S, NHMS Cohort Study Group

Med J Malaysia, 2012 Feb;67(1):31-8.

PMID: 22582546 MyJurnal

The purpose of this study was to describe differences in cardiovascular risk factor prevalences and clustering patterns among the states and federal territories of Malaysia. Risk factors considered were abdominal obesity, diabetes, hypertension, hypercholesterolemia and smoking. Using data from the third National Health and Morbidity Survey (NMHS III) in 2006, we estimated the states and federal territories risk factor prevalences and clustering patterns to map the cardiovascular burden distribution in Malaysia. There was a clear geographical variation in the distribution of the individual risk factors as well as in its clustering with remarkable impact seen in Peninsular Malaysia. Perlis, Kedah and Kelantan were the most affected states overall.
Study name: National Health and Morbidity Survey (NHMS-2006)

Matched MeSH terms: Cardiovascular Diseases/etiology*

Empyema thoracis complicated by pneumothorax necessitans manifesting as lobulated, localized subcutaneous emphysematous swellings

Kuan YC, How SH, Yeen WC, Ng TH, Fauzi AR

Ann Thorac Surg, 2011 Jun;91(6):1969-71.

PMID: 21619994 DOI: 10.1016/j.athoracsur.2010.11.075

We describe a patient with empyema thoracis that had eroded through the apical chest wall to the supraclavicular fossa and lung parenchyma, ultimately leading to a bronchopleural fistula manifesting as lobulated, localized subcutaneous emphysematous swellings over the chest wall and supraclavicular fossa. This is a rarely reported phenomenon and the reason why the lobulated subcutaneous emphysematous swellings remained localized is unknown.

Matched MeSH terms: Subcutaneous Emphysema/etiology*

Fulltext Improving the management of brain injuries in Malaysian hospitals

Abdullah JM

Med J Malaysia, 2011 Jun;66(2):83.

PMID: 22106681

Matched MeSH terms: Brain Injuries/etiology

Fulltext Genotype-phenotype diversity of beta-thalassemia in Malaysia: treatment options and emerging therapies

George E, Ann TJ

Med J Malaysia, 2010 Dec;65(4):256-60.

PMID: 21901940 MyJurnal

The haemoglobinopathies and thalassemias represent the most common inherited monogenic disorders in the world. Beta-thalassaemia major is an ongoing public health problem in Malaysia. Prior to 2004, the country had no national policy for screening and registry for thalassemia. In the absence of a national audit, the true figure of the extent of thalassemia in the Malaysian population was largely presumptive from micro-mapping studies from various research workers in the country. The estimated carrier rate for beta-thalassemia in Malaysia is 3.5-4%. There were 4768 transfusion dependent thalassemia major patients as of May 2010 (Data from National Thalassemia Registry).

Matched MeSH terms: Anemia/etiology

Fulltext Chronic rectal bleeding in Proteus syndrome

Siow SL, Sim NK

Med J Malaysia, 2010 Dec;65(4):313-4.

PMID: 21901955

Proteus Syndrome is a rare congenital hamartomatous disorder that typically manifests itself in overgrowth, vascular malformation and disregulation of fatty tissue. The tissues affected are commonly the limbs but can be of any tissue. Vascular anomalies are common and appear at random sites on the body. Diagnosis is often difficult leading to wrong treatment. We describe a case of a 17-year-old girl with Proteus syndrome presented with symptomatic anaemia secondary to chronic rectal bleeding. Computed Tomography Angiogram of Abdomen and Pelvis confirmed the presence of rectal vascular malformations.

Matched MeSH terms: Gastrointestinal Hemorrhage/etiology*

Fulltext A fatal case of chikungunya virus infection with liver involvement

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*

Fulltext Penetrating ocular injury by durian fruit

Aziz S, Asokumaran T, Intan G

Med J Malaysia, 2009 Sep;64(3):244-5.

PMID: 20527280 MyJurnal

Durian may inflict severe body injury when it drops from the tree. This case report describes a patient who presented with facial and penetrating eye injury when a ripe durian fruit dropped onto her face while harvesting the fruits under the tree. The authors emphasized the importance of facial and eye protective devices during durian fruit harvesting season.

Matched MeSH terms: Eye Injuries, Penetrating/etiology*

Pneumococcal sepsis presenting as purpura fulminans in a healthy infant

Intan IH, Rozita AR, Norlijah O

Ann Trop Paediatr, 2009 Sep;29(3):235-8.

PMID: 19689868 DOI: 10.1179/027249309X12467994694139

The majority of cases of purpura fulminans are associated with Neisseria meningitidis sepsis. However, other bacteria, including Streptococcus pneumoniae, can also be the cause. Underlying predisposing conditions are immunodeficiencies and splenic dysfunction, the latter being the most frequent in the paediatric age group. Purpura fulminans secondary to pneumococcal sepsis in a healthy infant is described.

Matched MeSH terms: Purpura Fulminans/etiology*

Fulltext Angiokeratoma corporis diffusum

Yap FB, Pubalan M

Med J Malaysia, 2008 Oct;63(4):329-30.

PMID: 19385495 MyJurnal

Angiokeratoma is a dark violaceous keratotic papule which can be solitary or multiple. Generalised systemic angiokeratoma constitute angiokeratoma corporis diffusum, a rare X-linked recessive inborn error of glycosphingolipid metabolism due to deficiency of alpha galactosidase A. Patients with this disease have premature death due to the vascular complications. A case of possible Fabry's disease is presented.

Matched MeSH terms: Fabry Disease/etiology

Anatomy of the lateral retinaculum of the knee

Merican AM, Amis AA

J Bone Joint Surg Br, 2008 Apr;90(4):527-34.

PMID: 18378934 DOI: 10.1302/0301-620X.90B4.20085

Anatomical descriptions of the lateral retinaculum have been published, but the attachments, name or even existence of its tissue bands and layers are ill-defined. We have examined 35 specimens of the knee. The deep fascia is the most superficial layer and the joint capsule is the deepest. The intermediate layer is the most substantial and consists of derivatives of the iliotibial band and the quadriceps aponeurosis. The longitudinal fibres of the iliotibial band merge with those of the quadriceps aponeurosis adjacent to the patella. These longitudinal fibres are reinforced by superficial arciform fibres and on the deep aspect by transverse fibres of the iliotibial band. The latter are dense and provide attachment of the iliotibial band to the patella and the tendon of vastus lateralis obliquus. Our study identifies two important new findings which are a constant connection of the deep fascia to the quadriceps tendon superior and lateral to the patella, and, a connection of the deeper transverse fibres to the tendon of vastus lateralis obliquus.

Matched MeSH terms: Joint Instability/etiology

Fulltext Pulmonary amoebiasis--a revisit

Nor Hayati O, Roshan F

Med J Malaysia, 2008 Jun;63(2):170.

PMID: 18942313

Matched MeSH terms: Pleurisy/etiology*

Fulltext Delayed spontaneous traumatic pneumocephalus

Chandran TH, Prepageran N, Philip R, Gopala K, Zubaidi AL, Jalaludin MA

Med J Malaysia, 2007 Dec;62(5):411-2.

PMID: 18705478 MyJurnal

Pneumocephalus or collection of air in the intracranial cavity can occur after trauma or surgery. However, delayed pneumocephalus occurring months after the initial injury is not common. We would like to report a case of spontaneous traumatic pneumoencephalocele presenting with transient recurrent hemiparesis 14 months after the initial trauma.

Matched MeSH terms: Pneumocephalus/etiology*

Fulltext Risk factors associated with chronic lung disease in Malaysian very low birthweight infants

Ameenudeen SA, Boo NY, Chan LG

Med J Malaysia, 2007 Mar;62(1):40-5.

PMID: 17682569 MyJurnal

To determine the significant risk factors associated with development of chronic lung disease (CLD) in Malaysian very low birthweight (VLBW, < 1501g) infants. A prospective observational study was carried out at the Sarawak General Hospital (SGH) in Kuching, over a period of 29 months from 1 April 2003 to 31 August 2005. Infants with birthweight between 600g to 1500g admitted to this hospital were recruited. The progress of these infants was followed till discharge. CLD was defined as the persistent need for oxygen therapy to maintain oxygen saturation above 88% at 36 weeks of postmenstrual age. Of the 224 infants recruited, 36 (14.8%) had CLD. Logistic regression analysis showed that lower birth weight (adjusted odds ratio (OR) = 0.996, 95% confidence intervals (CI) = 0.994, 0.998; p = 0.001), male infants (adjusted OR = 3.9, 95% CI = 1.6, 11.7; p = 0.02), chorioamnionitis (adjusted OR = 9.0, 95% CI = 1.6, 50.8; p = 0.01), severe respiratory distress syndrome of grades 3 or 4 (adjusted OR = 4.6, 95% CI =1.6, 13.2; P = 0.005) and patent ductus arteriosus (adjusted OR = 4.3, 95% CI = 1.5, 12.8; p = 0.007) were significant risk factors associated with development of CLD. A number of treatable conditions are associated with development of CLD in Malaysian VLBW infants.

Matched MeSH terms: Lung Diseases/etiology*

Fulltext Infectious diarrhoea

Lim VK

Med J Malaysia, 2007 Aug;62(3):187-8.

PMID: 18246903 MyJurnal

Infectious diarrhoea is the second most common cause of morbidity and mortality worldwide. The WHO estimates that about 2.5 million people die annually as a result of infectious diarrhoea, most of them children. In 2002 about 1.6 million children under the age of five in developing countries died from diarrhoeal disease. In the United States between 211- 375 million episodes of diarrhoeal disease occur annually resulting in 73 million physician consultations and 1.8 million hospitalisations with over 3,000 deaths.

Matched MeSH terms: Dysentery/etiology

Fulltext Educational Quiz. A painful gum

Loh KY, Kew ST

Aust Fam Physician, 2007 Nov;36(11):941.

PMID: 18050541

Matched MeSH terms: Pain/etiology*

Fulltext Molar pregnancy and glomerulonephritis

Teh HS, Halim AG, Soehardy Z, Fauzi AR, Kong CT

Med J Malaysia, 2006 Aug;61(3):361-2.

PMID: 17240591 MyJurnal

A 17-year-old, sexually active, single, nulliparous young woman presented to us with one week history suggestive of nephrotic syndrome. She was found to have a benign hydatidiform mole confirmed by histopathological examination after suction and curettage. Renal biopsy revealed focal segmental glomerulosclerosis. The renal pathology was most probably due to molar pregnancy due to the close temporal relationship. To our knowledge, this is the first case of focal segmental glomerulosclerosis associated with a gestation trophoblastic disease described in the literature.

Matched MeSH terms: Glomerulonephritis/etiology*

Displaying publications 241 - 260 of 4182 in total