MyMedR

Indian cat (Felis indica) as a host to subperiodic Malaysian strain of human Brugia malayi

Murthy PK, Chowdhury TK, Sen AB

J Commun Dis, 1983 Jun;15(2):100-5.

Fulltext Mortality Following Hip Fracture Surgery During COVID-19 Pandemic Compared to Pre-COVID-19 Period: A Case Matched Cohort Series

De C, Harbham PK, Postoyalko C, Bhavanasi B, Paringe V, Theivendran K

Malays Orthop J, 2021 Jul;15(2):107-114.

PMID: 34429830 DOI: 10.5704/MOJ.2107.016

Introduction: This study aims to report on clinical outcomes and 30-day mortality of patients with neck of femur fracture during COVID-19 pandemic and compare the outcomes in a cohort during the same period prior to the pandemic.

Material and Methods: The study included 66 patients with hip fracture over the age of 60 years, presented between 1st March and 15th May 2020 and matched with the patients with hip fractures (75 patients) managed during the corresponding period in 2019 as control. Data was collected on demographics, comorbidities, COVID-19 status, procedures and mortality and complications.

Results: Thirty-day mortality following hip surgery was 13.6% during COVID-19 pandemic with all the mortalities in patients with ASA Grade 3 and 4. Mortality was considerably high for intracapsular fracture (20%) but highest in cemented hemiarthroplasty (20%). One third of the hip fractures operated in COVID-19 designated theatre died within 30 days of surgery. Thirty-day mortality rate for COVID-19 positive hip fracture patients were 55.5%. There has been higher 30-day mortality for hip surgeries during COVID-19 pandemic with positive correlation between patient's COVID-19 test status and 30-day mortality following hip surgeries.

Conclusion: There is strong association between 30-day mortality and the designated theatre (Clean/COVID) where the patients were operated on with higher mortality for intracapsular neck of femur fractures with significant mortality associated with cemented hemiarthroplasty particularly among symptomatic or COVID-19 positive patients. Therefore, adoption of a multidisciplinary approach is recommended to optimally balance the risk-benefit ratio for planning of management of hip fractures while considering patient's peri-operative outcomes.

A dermatoglyphic study of the Malays and Chinese of Malaysia

Ganeson D, Chattopadhyay PK, Sunderland E, Woolley V

Ann Hum Biol, 1982 May-Jun;9(3):283-5.

PMID: 7103408

Fulltext Chondrosarcoma of the nasal septum

Indudharan R, Das PK, Azman AA, Suhaiza S

Singapore Med J, 1998 Aug;39(8):376-9.

PMID: 9844502

A case of chondrosarcoma of the nasal septum is presented with the result of treatment. The patient was admitted for a growth in the nose of four years' duration. Fine needle aspiration for cytological examination was suggestive of squamous cell carcinoma. She was treated with lateral rhinotomy and wide excision followed by septorhinoplasty. Histological examination showed that the lesion was chondrosarcoma. The patient remained free of disease 26 months after surgery.

Fulltext Disappearing bone disease: a case report

Kareem BA, Das PK, Saad R

Singapore Med J, 1994 Oct;35(5):527-8.

PMID: 7701379

Disappearing bone disease is a rare condition and usually affects young adults. Its aetiology is not known. A case of a 12-year-old female child, who had a fall and sustained a fracture mid shaft of femur and supracondylar region, is reported. On follow-up subsequent X-ray showed extensive osteolysis which was progressively affecting the other side of the pelvic girdle and femur. She was put on trial of calcitonin 50 IU by nasal spray for six months but there was no improvement. However, during the past three and half years the disease process had progressively extended to the other side of pelvic girdle and femur with fatal outcome. To the knowledge of the authors such progression in a short time has not been reported in any case so far.

Identification of some common infective filarial larvae in Malaysia

Yen PK, Zaman V, Mak JW

J Helminthol, 1982 Mar;56(1):69-80.

PMID: 7069185

Infective larvae of Wuchereria, Brugia, Breinlia, Dirofilaria and Setaria species from an experimental vector, Aedes togoi, are compared. The distinctive bubble-like caudal papillae of Wuchereria bancrofti are readily distinguishable from the protuberant ones of Brugia spp; the 'ear-like' papillae of Breinlia are distinct from the 'knob-like' ones of Dirofilaria or the 'thorn-like' terminal papilla of Setaria.

Fulltext Tunable absorber embedded with GST mediums and trilayer graphene strip microheaters

Pourmand M, Choudhury PK, Mohamed MA

Sci Rep, 2021 Feb 11;11(1):3603.

PMID: 33574491 DOI: 10.1038/s41598-021-83304-y

Investigation was made of the optical response of metal-dielectric stacks-based cavity structures embedded with graphene microheaters for the purpose of perfect absorption. The absorber configuration exploits the Ge2Sb2Te5 (GST) phase changing medium, and the effects of different parametric and operational conditions on the absorption spectra were explored. The refractive indices of GST layers can be manipulated by the external electrical pulses applied to microheaters. The amplitude and duration of electrical pulses define the crystallinity ratio of the used GST mediums. The results revealed achieving perfect absorption (> 99%) in the visible and infrared (IR) regimes of the electromagnetic spectrum upon incorporating two thin GST layers of different thicknesses (in the stack) in the amorphous state. The proposed configuration showed the capability of introducing independent transition state (amorphous and/or crystalline) for each GST layer-the visible regime could be extended to the IR regime, and the perfect absorption peak in the IR regime could be broadened and red-shifted. It is expected that the structure would find potential applications in active photonic devices, infrared imaging, detectors and tunable absorbers.

Fulltext Detection of circulating plasmodial antigens in human sera by sandwich ELISA with monoclonal antibodies

Lim PK, Mak JW, Yong HS

Southeast Asian J Trop Med Public Health, 1992 Dec;23(4):735-9.

PMID: 1298082

Two monoclonal antibodies (MAbs), one produced against Plasmodium falciparum (PF-IG8) and the other against P. cynomolgi (PC-IE12) schizont antigens were used in a sandwich ELISA for the detection of circulating plasmodial antigens in sera of patients infected with either P. falciparum, P. vivax or P. malariae. The mean +/- SD optical density (OD) values for the normal control group using PF-108 and PC-1E12 were 0.351 +/- 0.036 and 0.205 +/- 0.044, respectively. Mean OD values for the three infected groups were found to be significantly higher than those of the normal control group for both MAbs. However, ELISA values for individual serum specimens did not correlate with the level of parasitemia in the infected blood. Using a cut-off point of mean OD +/- 3 SD of the normal control group as indicating a positive reading, the specificity of this assay with both MAbs was 100%. The sensitivity of the assay using PF-1G8 was 95% while that obtained with PC-1E12 was 98%.

A study of joint mobility in a normal population

Seow CC, Chow PK, Khong KS

Ann Acad Med Singap, 1999 Mar;28(2):231-6.

PMID: 10497673

Joint hypermobility is a clinical entity that has been little studied in Southeast Asia in contrast to the many studies that have been conducted in the West. A pioneer study was conducted in Singapore involving 306 subjects from the three major races i.e. Chinese, Malays and Indians. Their ages ranged from 15 to 39 years. The objective was to ascertain the joint mobility profile in a study sample representative of the Singapore population and the prevalence of joint hypermobility amongst normal individuals. Joint mobility was assessed using criteria according to Carter and Wilkinson modified by Beighton et al. The distribution of the three major races in the study sample was based on the 1990 census of the Singapore population. The prevalence of joint hypermobility was found to be 17%. The results showed that joint mobility decreases with age and that females had consistently higher degree of joint mobility compared to males throughout the age group. Among the racial groups, Malays had the highest degree of joint mobility followed by Indians and Chinese.

Fulltext Purification and characterization of charantin from Momordica charantia Linn.

Oh, J. H., Lim, P. K., Hamzah, S., Tan, C. P., Chan, Sook Wah

Malaysian Journal of Medicine and Health Sciences, 2019;15(102):43-43.

MyJurnal

Introduction: Diabetes mellitus (DM) is one of the top diseases that lead public health concern in Malaysia. It was believed to rise in number up to 4.5 million on cases by year 2020 based on the current figure. Momordica charantia Linn (MC), a climber belonging to family Cucurbitaceae, is well known in treating diabetic-related conditions. In earlier studies related to the hypoglycemic properties of MC mainly utilized the crude extract, which contain a mixture of bioactives (charantins, insulin-like peptides and alkaloids). Till now, there is no conclusive result on the major bioactives that play role in the hypoglycemic effect of MC and research regarding the charantin purification was not well established. Hence, the objectives of this study were to purify the charantin from MC and to characterize the purified charantin before further subjected to in vivo hypoglycemic study. Methods: The crude was first extracted from MC using ethanol as solvent via Soxhlet extraction following by a series of purification steps via washing, centrifugation, and C-18 cartridges. Results: The HPLC analysis showed that the charantin of purified extract after passing out from the cartridge exuded at 12.50 min with a concentration of 500 ppm, which is relatively 20 times higher than the crude extract (25 ppm). The structural properties of purified charantin were studied using FTIR and it showed strong peaks of carboxylic acids (2884 nm), alcohols (1023 nm) and diethyl ether (1114 nm) as compared
with the standard. The compound was reconfirmed in LC-MS analysis. The result displayed mass spectrum in positive mode indicates the presence of similar compound in the purified extract and standard charantin, as presented by ion m/z = 300. Conclusion: The charantin was successfully purified from MC and can act as a potent plant-based hypoglycemic agent for diabetes.

Diacerein-mediated inhibition of IL-6/IL-6R signaling induces apoptotic effects on breast cancer

Bharti R, Dey G, Ojha PK, Rajput S, Jaganathan SK, Sen R, et al.

Oncogene, 2016 Jul 28;35(30):3965-75.

PMID: 26616855 DOI: 10.1038/onc.2015.466

Interleukin-6 (IL-6) signaling network has been implicated in oncogenic transformations making it attractive target for the discovery of novel cancer therapeutics. In this study, potent antiproliferative and apoptotic effect of diacerein were observed against breast cancer. In vitro apoptosis was induced by this drug in breast cancer cells as verified by increased sub-G1 population, LIVE/DEAD assay, cell cytotoxicity and presence of terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL)-positive cells, as well as downregulation of antiapoptotic proteins Bcl-2 and Bcl-xL and upregulation of apoptotic protein Bax. In addition, apoptosis induction was found to be caspase dependent. Further molecular investigations indicated that diacerein instigated apoptosis was associated with inhibition of IL-6/IL-6R autocrine signaling axis. Suppression of STAT3, MAPK and Akt pathways were also observed as a consequence of diacerein-mediated upstream inhibition of IL-6/IL-6R. Fluorescence study and western blot analysis revealed cytosolic accumulation of STAT3 in diacerein-treated cells. The docking study showed diacerein/IL-6R interaction that was further validated by competitive binding assay and isothermal titration calorimetry. Most interestingly, it was found that diacerein considerably suppressed tumor growth in MDA-MB-231 xenograft model. The in vivo antitumor effect was correlated with decreased proliferation (Ki-67), increased apoptosis (TUNEL) and inhibition of IL-6/IL-6R-mediated STAT3, MAPK and Akt pathway in tumor remnants. Taken together, diacerein offered a novel blueprint for cancer therapy by hampering IL-6/IL-6R/STAT3/MAPK/Akt network.

The influence of deep frying using various vegetable oils on acrylamide formation in sweet potato (Ipomoea batatas L. Lam) chips

Lim PK, Jinap S, Sanny M, Tan CP, Khatib A

J Food Sci, 2014 Jan;79(1):T115-21.

PMID: 24344977 DOI: 10.1111/1750-3841.12250

The objective of this study was to evaluate the precursors of acrylamide formation in sweet potato (SP) (Ipomoea batatas L. Lam) chips and to determine the effect of different types of vegetable oils (VOs), that is, palm olein, coconut oil, canola oil, and soya bean oil, on acrylamide formation. The reducing sugars and amino acids in the SP slices were analyzed, and the acrylamide concentrations of SP chips were measured. SP chips that were fried in a lower degree of unsaturation oils contained a lower acrylamide concentration (1443 μg/kg), whereas those fried with higher degree of unsaturated oils contained a higher acrylamide concentration (2019 μg/kg). SP roots were found to contain acrylamide precursors, that is, 4.17 mg/g glucose and 5.05 mg/g fructose, and 1.63 mg/g free asparagine. The type of VO and condition used for frying, significantly influenced acrylamide formation. This study clearly indicates that the contribution of lipids in the formation of acrylamide should not be neglected.

Diversity, extinction risk and conservation of Malaysian fishes

Chong VC, Lee PK, Lau CM

J Fish Biol, 2010 Jun;76(9):2009-66.

PMID: 20557654 DOI: 10.1111/j.1095-8649.2010.02685.x

A total of 1951 species of freshwater and marine fishes belonging to 704 genera and 186 families are recorded in Malaysia. Almost half (48%) are currently threatened to some degree, while nearly one third (27%) mostly from the marine and coral habitats require urgent scientific studies to evaluate their status. Freshwater habitats encompass the highest percentage of threatened fish species (87%) followed by estuarine habitats (66%). Of the 32 species of highly threatened (HT) species, 16 are freshwater and 16 are largely marine-euryhaline species. Fish extinctions in Malaysia are confined to two freshwater species, but both freshwater and marine species are being increasingly threatened by largely habitat loss or modification (76%), overfishing (27%) and by-catch (23%). The most important threat to freshwater fishes is habitat modification and overfishing, while 35 species are threatened due to their endemism. Brackish-water, euryhaline and marine fishes are threatened mainly by overfishing, by-catch and habitat modification. Sedimentation (pollution) additionally threatens coral-reef fishes. The study provides recommendations to governments, fish managers, scientists and stakeholders to address the increasing and unabated extinction risks faced by the Malaysian fish fauna.

Fulltext The epidemiology and burden of childhood rotavirus infection in a tertiary hospital in Sabah, Malaysia

Goh CT, Cheah PK, Soo TL, Lee WS

Med J Malaysia, 2009 Jun;64(2):146-9.

PMID: 20058575 MyJurnal

We aimed to determine the epidemiology and burden of rotavirus (RV) gastroenteritis (GE) in children requiring hospital care in an urban setting in Sabah, Malaysia. A prospective study of all patients younger than 12 years of age admitted with acute GE to Queen Elizabeth Hospital, Sabah, over a six-month period (October 2005 to March 2006) was conducted. During the study period, a total of 167 children with acute GE who had stool samples examined for RV were studied. RV accounted for 16% of all diarrhoeal cases, and 1.7% of all admissions to the children's wards during the study period. There was no difference in severity of GE between RV and non-RV groups. RV infection is a common cause of childhood GE requiring hospital care in Sabah.

Fulltext Von Hippel angioma

Chong PK, Loo AV, Alagaratnam JV

Med J Malaysia, 2007 Oct;62(4):343-4.

PMID: 18551944 MyJurnal

We report a three year follow up of a 35-year-old Indian gentleman who presented with sudden, painless blurring of left (L) eye vision with initial visual acuity (VA) of 6/60. Fundoscopy revealed (L) vitreous haemorrhage and subsequently confirmed a (L) inferotemporal capillary haemangioma. The adjacent area of capillary haemangioma was treated with barricade argon laser photocoagulation to prevent progression of exudative retinal detachment inferiorly. Subsequent follow up showed mild regression of capillary haemangioma with maintenance of (L) eye vision at 6/9.

Flavonoids from Blumea balsamifera

Ali DM, Wong KC, Lim PK

Fitoterapia, 2005 Jan;76(1):128-30.

PMID: 15664477

3,4',5-Trihydroxy-3',7-dimethoxyflavanone was isolated from the ligroin extract of the leaves of Blumea balsamifera, while the acetone extract yielded 3',4',5-trihydroxy-7-methoxyflavanone and a new biflavonoid identifed as 3-O-7''-biluteolin (1). The isolation of 1 is significant since a biflavonoid with a C-O-C linkage of the type [I-3-O-II-7] has not been previously reported from a plant.

Fulltext Use of the uroflow study in the diagnosis of bladder outlet obstruction in elderly men

Ding YY, Lieu PK, Choo PWJ

Med J Malaysia, 1998 Sep;53(3):209-16.

PMID: 10968155

The uroflow and pressure-flow data of 67 men aged 65 years or more were compared. At best, the uroflow study applying the Liverpool nomogram (25th percentile) and Bristol nomogram (OSD) diagnosed bladder outlet obstruction with sensitivity of 62.5% and 62.5% and specificity of 48.8% and 74.4% respectively. Using the 50th percentile of the Liverpool nomogram as the cut-off resulted in a negative predictive value of 100.0% allowing about 10% of men to have this diagnosis ruled out. We conclude that the uroflow study is inaccurate in diagnosing bladder outlet obstruction in elderly men. However, it can be used to rule out this condition in the small subset of men with maximum flow rates above the 50th percentile of the Liverpool nomogram.

Treatment of wastewater sludge by liquid state bioconversion process

Alam MZ, Fakhru'l-Razi A, Molla AH, Roychoudhury PK

J Environ Sci Health A Tox Hazard Subst Environ Eng, 2001;36(7):1237-43.

PMID: 11545349

This study was conducted to evaluate the effect of an eminent decay fungus, Phanerocheate chrysosporium of organic residues on wastewater sludge for its improvement through decomposition and separation of waste particles by Liquid State Bioconversion (LSB). The effect of fungal treatment was compared to uninoculated (Control) at three different harvests 7, 14 and 21 days after inoculation (DAI). The observed results showed that the weight loss and solid content of wastewater sludge were significantly influenced by Phanerocheate chrysosporium. Both parameters were highly influenced at 7 DAI. The COD and pH of wastewater sludge were also highly influenced by fungal treatment.

Fulltext An unusual presentation of renal parenchymal malacoplakia

Teh GC, Chong WL, Manorammah L, Mah PKK, Abdullah K

Med J Malaysia, 2000 Jun;55(2):263-4.

PMID: 19839157

An epizootic of measles in captive silvered leaf-monkeys (Presbytis cristatus) in Malaysia

Montrey RD, Huxsoll DL, Hildebrandt PK, Booth BW, Arimbalam S

Lab. Anim. Sci., 1980 Aug;30(4 Pt 1):694-7.

PMID: 7421117

An epizootic of measles occurred in a group of 31 silvered leaf-monkeys (Presbytis cristatus) that had been in captivity for 4-12 months. Twenty-four of the monkeys exhibited a maculopapular rash that persisted for 6-9 days. A serous to mucopurulent nasal discharge and conjunctivitis were seen in some animals. Eight monkeys died during the epizootic; however, their deaths could not be directly attributed to measles. Serum samples from the surviving monkeys collected 1-2 months prior to, and 5 weeks after, the epizootic were examined by the complement-fixation and hemagglutination-inhibition tests for antibodies to measles virus. The preepizootic complement-fixation titers were all less than 1:4 and hemagglutination-inhibition titers, less than 1:10. The postepizootic complement-fixation titers in 21 of 23 surviving monkeys ranged from 1:8 to 1:128, and hemagglutination-inhibition titers in 22 of 23 monkeys ranged from 1:40 to 1:80 or greater.

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