MyMedR

Fulltext Early experience in surgical treatment of adolescence idiopathic scoliosis: a report of four cases

Muhammad Wafiuddin Ahmad, Ed Simor Khan, Rajandra Kumar, Zamzuri Zakaria, Ahmad Faiza, Haidar Nusuruddin, et al.

Borneo Journal of Medical Sciences, 2020;14(1):39-47.

MyJurnal

Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmetic can be expected. In this case report, there is the management of four patients surgically using the posterior spinal instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. A thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using the same surgical technique. Neuromonitoring was used throughout the whole surgery until skin closure. All patients were hospitalized around one week. Post-operatively patients were followed up at two weeks, six weeks, three months, and every six months thereafter. It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.

Matched MeSH terms: Adolescent

A case of Takayasu Arteritis presenting with young stroke

Cheo SW, Mohd Zamin H, Low QJ, Tan YA, Chia YK

Med J Malaysia, 2020 11;75(6):745-747.

PMID: 33219190

Stroke is a debilitating disease as it carries significant morbidity especially when it affects the younger population. There are various etiologies of young stroke, namely arterial dissection, cardioembolism, thrombophilia, inherited genetic disorder and vasculitis. Young patient with stroke should undergo complete evaluation to identify the underlying etiology in order to prevent recurrence of stroke. Here, we would like to illustrate a case of Takayasu arteritis presenting as young stroke in a 17-years-old lady with no known medical illness.

Matched MeSH terms: Adolescent

Estimation of age in Asiatic girls

Cameron JAP

Journal of the Malaya Branch of the British Medical Association, 1938;2:19-23.

Matched MeSH terms: Adolescent

Fulltext A contribution to the study of fever

Galloway DJ

Journal of the Straits Medical Association, 1892;3:15-9.

Matched MeSH terms: Adolescent

Hypospadias

McClosky AJ

Journal of the Malaya Branch of the British Medical Association, 1904.

Matched MeSH terms: Adolescent

Now you see, now you don't - A radiopaque neck mass?

Shaiful Ehsan SM, Azwan Faiz AH, Mohd Radhwan A

Med J Malaysia, 2020 05;75(3):301-303.

PMID: 32467550

Chest X-ray is valuable in the primary care setting in helping clinicians to confirm the underlying findings of the respiratory and cardiovascular systems. This view also includes the lower cervical vertebrae region which is helpful in elaborating the findings surrounding the neck. However, a single view of the film may sometimes cause confusion regarding the exact origin of the abnormal signs of the X-ray images. Thus, clinical correlation and application of 'rule of two' in X-ray imaging is definitely useful to clarify the findings and avoiding any misdiagnosis, medical errors and non-justifiable further investigations. Here we report a case of an 18-year-old female student with abnormal radiopaque neck mass seen from her chest the X-ray image. She was clinically well without any significant clinical findings. Surprisingly, the findings totally resolved after repeat the Xray at two different occasions within the same week. This strange abnormal finding was later confirmed to be her hair tier. She was saved from unnecessary investigations for tuberculosis and thyroid disorder by repeating the X-ray (rule of two occasions). Now you see, now you don't of X-ray findings is indeed illogical and technical error needs to be rule out.

Matched MeSH terms: Adolescent

Parental Involvement - Perceptions of Parents and their Adolescent Children

Sekaran VC, Ashok L, Kamath VG, Kamath A, Hegde AP, Devaramane V

Indian J Pediatr, 2020 03;87(3):200-206.

PMID: 31925719 DOI: 10.1007/s12098-019-03114-z

OBJECTIVE: To explore the experiences of parents and their adolescent children, specifically the dimension of parental involvement in the lives of their adolescent children and how adolescents perceived it.

METHODS: Following informed consent, a total of nine families with 22 participants took part in the study including nine adolescents, aged between 14 and 16 y, and 13 parents. One-on-one in-depth interviews were conducted at their homes following informed consent. Following transcription, the data was coded and themes were identified using Atlas.ti software. A grounded theory approach was undertaken in analysing the data.

RESULTS: Two main themes were identified including perceptions of parental involvement in the lives of their adolescent children and family strategies to improve bonding. Adolescents' concerns centered on reduced interaction time with their family members. Concerns were also raised over the adolescents' increasing academic burden and parents particularly emphasized the increasing use of media and mobile technology by adolescents as deterrents to interaction. Though mothers functioned as primary caregivers, fathers also took on more active roles in the rearing of their children, stepping away from the traditionally viewed role of being a distant patriarchal provider. To improve interaction, parents devised creative strategies to increase time spent interacting with family members such as having dinner, performing household chores, playing games, or visiting places together.

CONCLUSIONS: The increasing academic burden and access to digital media were perceived as factors leading to reduced interaction between the parent-adolescent dyad. Creative parenting strategies to increase interaction were sought as a solution.

Matched MeSH terms: Adolescent; Adolescent Behavior; Psychology, Adolescent*

Fulltext Wandering spleen: a unique cause of acute abdomen

Hui Lian H, Hayati F, Ali AA, Azizan N, Che Ani MF, Suhaili MA, et al.

Folia Morphol (Warsz), 2018;77(2):400-402.

PMID: 29064546 DOI: 10.5603/FM.a2017.0097

We present the case of a 16-year-old boy presented with 2-week episode of wor-sening lower abdominal pain. Clinically, there was a tender palpable mass on the suprapubic region. Ultrasonography showed an absent spleen at its usual area, instead suprapubic mass suggestive of ectopic spleen was identified. An emer-gency laparotomy revealed a congested spleen in the pelvic cavity. Splenectomy was undertaken as it was non-viable. The patient was discharged uneventfully with triple vaccinations. We describe this unique entity with its literature review. (Folia Morphol 2018; 77, 2: 400-402).

Matched MeSH terms: Adolescent

A case report of cleidocranial dysplasia: A noninvasive approach

Ayub NAFM, Hamzah SH, Hussein AS, Rajali A, Ahmad MS

Spec Care Dentist, 2021 Jan;41(1):111-117.

PMID: 33080065 DOI: 10.1111/scd.12532

Cleidocranial dysplasia (CCD) is a rare bone disorder. The main dental features are the presence of multiple retained deciduous teeth and supernumerary teeth, as well as unerupted permanent teeth. To date, CCD is managed by a combination approach, which consists of the extraction of deciduous and supernumerary teeth, followed by orthodontic traction of unerupted permanent teeth. This case highlights the management of a girl with CCD, who refused the recommended protocol. A 15-year-old Malay female presented with a complaint of retained deciduous teeth. Intraoral examination revealed multiple retained deciduous teeth. Radiographs showed numerous impacted supernumerary and unerupted permanent teeth. The patient opted to improve her facial appearance with a less aggressive treatment option. A composite build-up on all anterior maxillary deciduous teeth was carried out until the patient was ready to undergo surgical intervention.

Matched MeSH terms: Adolescent

Fulltext Role of parents in motorcycle riding practices among teenagers. [Peranan ibu bapa dalam amalan remaja menunggang motosikal]

Norliza Ahmad, Hanafiah Mohd Salleh

Malaysian Journal of Public Health Medicine, 2002;2(2):47-51.

MyJurnal

This study was designed to examine the role of parents and family in motorcycle riding practices among teenagers and motorcycle accident in FELDA Trolak Utara, Perak. This was a cross sectional study using universal sampling that involved 309 teenage riders aging from 11 to 19 years old. Only 6.1% respondents that rode motorcycle had a valid driving licenses. Mean age of starting to ride was 11.46 ± 1.75 years old. Mean years of riding motorcycle was 3.66 ± 1.95 years. The major buyer of motorcycles for the teenagers were father (78.3%) and other family members (13.7%). About 42.7% of teenagers learnt riding by themselves and in 51.8%, family members taught teenagers to ride motorcycle. The main purpose for riding motorcycle were to go to shop (37.2%), to school (32.7%) and for recreation (25.2%). From the perception of teenagers, about 82.2% parents encouraged them to ride. Mean usual riding speed (n = 296) was 58.72 ± 23.97 km/h. The mean maximum riding speed (n = 290) was 89.81 ± 30.70 km/h. There were positive correlation between years of motorcycle riding and usual motorcycle riding speed (r = 0.292, p < 0.05) and maximum motorcycle riding speed (r = 0.371, p < 0.05). The usual motorcycle riding speed was predictor factor for motorcycle accident. Parents, families and communities should play their role to make sure that their teenage children do not ride at a very young age and ride without a valid license. Reducing years of motorcycle riding among teenagers may reduce usual riding speed and consecutively reducing teenagers’ involvement in motorcycle accidents.
Key words : role of parents, teenagers’ riding practice, motorcycle

Matched MeSH terms: Adolescent

Work preferences of adolescent boys and girls in Penang

DAVIES TA, MILLS R

Med J Malaya, 1959 Mar;13(3):222-36.

PMID: 13666190

Matched MeSH terms: Adolescent

Fulltext Perception and use of traditional medical treatment and cosmetics amongst Malay high school adolescents in Kuala Lumpur

Norana Johar, Haliza Mohd Riji, Pataki—Schweize, Kerry J.

Malaysian Journal of Public Health Medicine, 2001;1(1):22-29.

MyJurnal

Due to the increasing demand or modern medical treatment and modern cosmetics by society, traditional sources have been neglected by younger generations. This study assesses the baseline level of Malay high school adolescents' use and perceptions of traditional medical treatment and cosmetics. 100 Malay high school students in Kuala Lumpur were administered a sbt- art uestionnaire. It was found that the amil is a strong external influence in their choice of medical treatment, (2) a wide variety of services are used by choice when they become ill, (3) a majority (68.8%) ofthese adolescents have a ddinite "loose " beliefin traditional medical treatment and related cosmetics; and (4) they would welcome promotion and information about these for the purposes of promoting their health and preserving their cultural heritage. Further study and action to broaden adolescent knowledge of traditional medical treatment and cosmetics are essential to ensure the continuance of this type of health promotion for the next generation.

Matched MeSH terms: Adolescent

Fulltext Clozapine: is it too early?

Mohd Fadzli, M.I., Nazariah, H., Aili, H.H.

Malaysian Journal of Psychiatry, 2012;21(1):0-0.

MyJurnal

Clozapine is an effective anti-psychotic and has long been used as an intervention for treatment-resistant schizophrenia. This case report will highlight the use of Clozapine up to 100 mg ON as a second-line medication to achieve satisfactory response after 5 weeks in an adolescent who was recently diagnosed with schizophrenia.

Matched MeSH terms: Adolescent

The treatment of asthma by hypnotherapy

Chong TM

Med J Malaysia, 1964 Jun;18:232-4.

PMID: 14199440

Matched MeSH terms: Adolescent

The Cruveilhier-Baumgarten syndrome

Chelvam P, Ahmad Z, Weng Hwa N

Med J Malaysia, 1979 Mar;33(3):266-8.

PMID: 522733

Matched MeSH terms: Adolescent

The Gilles de la Tourette syndrome

Subramaniam M

Med J Malaya, 1966 Sep;21(1):95-6.

PMID: 4224886

Matched MeSH terms: Adolescent

Lumbosacral osteosarcoma with dural spread, skip lesions and intravascular extension: A case report

Noor Khairiah AK, Mohamad Nazrulhisham MN, John G

Med J Malaysia, 2018 04;73(2):116-118.

PMID: 29703878 MyJurnal

Primary osteosarcoma of the spine is indeed rare and only several sporadic cases have been reported. It tends to occur in a slightly older age group than those with appendicular skeleton tumours. We present here an unusual case of aggressive lumbosacral osteosarcoma in a young teenager complicated by extensive dural spread, skip lesions and intravascular extension. Although a histopathological examination is mandatory to establish the diagnosis, this case emphasises the need of imaging to ascertain the full extent of disease spread especially in deciding the type of treatment to be instituted and to evaluate the response to the treatment.

Matched MeSH terms: Adolescent

Fulltext Bilateral transposition of maxillary canines and first premolars : orthodontic management. a case report. [Abstract]

Tan CL, Wong XH

International Medical Journal Malaysia, 2017;16(21):39.

MyJurnal

Introduction: Transposition is a rare dental anomaly in positional interchange between two adjacent teeth. Studies indicated that tooth transpositions are more frequent unilateral than bilateral (12:1). It is a very rare phenomenon when the anomaly is bilateral and affects same teeth on both sides. The case of a 17 year old girl, with class I incisor relationship on class 1 skeletal base with bilateral transposition of maxillary canines-first premolars, severe crowding and posterior crossbite, is presented. This case report demonstrates the orthodontic management of bilateral transposition of maxillary canines-first premolars and by the end of treatment, the transpositions were maintained while achieving a good functional and aesthetic result.
KEYWORDS: transposition, maxillary canine, malocclusion

Matched MeSH terms: Adolescent

Fulltext Prevalence and predictors of water pipe (Shisha) use among Iranian high school children

Mohammadi, Mahtab, Rampal, Lekhraj, Hejar Abd. Rahman, Sherina Mohd Sidik, Normala Ibrahim, Ghaleiha, Ali

Malaysian Journal of Medicine and Health Sciences, 2017;13(1):45-53.

MyJurnal

Introduction: Water pipe use is becoming increasingly common among Iranian adolescents. This study examined the prevalence and predictors of water pipe use among public high schoolchildren aged 14-17 in Iran.
Methods: A cross-sectional study was conducted among 1st, 2nd and 3rd grade public high schoolchildren in Sanadaj City, capital of Kurdistan province of Iran during the academic year 2012-2013. Cluster sampling was used to select a sample from 8 public high schools. The data were collected using validated self-administrated questionnaire that included questions on water pipe use, socio-demographic characteristics, smoking-related knowledge, attitude toward smoking, normative believes regards perceived prevalence water pipe use among peer and adults, perception of harm, self-esteem and refusal skill. A multivariate logistic regression analysis was performed to assess predictors of water pipe use.
Results: A total of 1837 students participated in this study. Students’ ages ranged from 14 to 17 years (mean age±15.09; SD±0.82 years). The overall prevalence of ever water pipe use was 36.2% (43.1% in male and 29.2% in female, (p<0.001). Age, gender, living arrangement, pocket money, academic grade, parental history of smoking, attitude, and normative believes regards perceived prevalence water pipe use among peer and adults were predictors of water pipe use among study participants.
Conclusions: The overall prevalence of water pipe is high among high school children in Sanandaj. Age, gender, pocket money, academic grade, parents smoking, attitude toward smoking and normative believes were identified as the most important predictors increasing the risk of water pipe use in the studied students.
Keywords: Water pipe use, Prevalence, Predictors of Water Pipe, High school children

Matched MeSH terms: Adolescent

An Expansile Well-defined Radiolucency in Anterior Mandible: Case Presentation with Treatment Approach and Literature Update

Arora S, Urs AB, Choudhary Z

Gulf J Oncolog, 2017 Jan;1(23):77-81.

PMID: 28272008

A 15-year-old Indian male patient presented with a history of pain and swelling in left mandible. Imaging studies revealed a well-defined unilocular radiolucency in the body of the mandible. Patient also gave the past history of the surgery of the jaws, which was histopathologically diagnosed as dentigerous cyst. Following this patient underwent incisional biopsy and later excisional biopsy. The histopathologic diagnosis for incisional biopsy was unicystic ameloblastoma but final diagnosis was dentinogenic ghost cell tumor for the excised tissue. To the best of our knowledge, this appears o be the first case of dentigerous cyst transforming into dentinogenic ghost cell tumor. The clinical presentation of the case, differential diagnosis and treatment modalities are being discussed.

Matched MeSH terms: Adolescent

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