Displaying publications 1 - 20 of 173 in total

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  1. Fulltext Kimura disease: a differential diagnosis in a nephrotic child
    Aziz, A., Mohamad, I., Zawawi, N.
    Malaysian Family Physician, 2018;13(2):32-35.
    MyJurnal
    Kimura disease presents as benign lesion and is commonly present among the Asian population. It
    is a disease with a favourable prognosis and a peak age of onset in the third decade. It is a chronic
    inflammatory disorder of unknown etiology that involves the lymph nodes and subcutaneous
    tissues of the head and neck region. We report a case of a 15-year-old boy with multiple Kimura
    lymphadenopathies involving the left posterior auricular region as well as the anterior and posterior
    triangles of the neck.
  2. Fulltext Maxillary implant-supported fixed detachable prosthesis : a case report
    Abdul Aziz, A, Ahmad, S.F., Muslim, Y.R
    Ann Dent, 2006;13(1):34-38.
    MyJurnal
    This clinical case report details the clinical sequence of a 78-year-old male receiving prosthetic rehabilitation using an implant-supported screwretained fixed partial denture. Despite the limitations imposed, the aesthetic and functional demands of the patient were fulfilled by this prosthetic rehabilitation. The importance of detailed prosthetic planning and evaluation prior to implant surgery is essential, therefore ideally, it should be done by the same operator or a team of operators working together. Problems can arise when the construction of the prosthesis is performed by other people who are not involved in the planning stage.
  3. The burden of terrorism in Malaysia
    Abul Aziz A
    Prehosp Disaster Med, 2003 Apr-Jun;18(2):115-9.
    PMID: 15074492
    In the peace-loving, moderate and progressive country of Muslim-dominated Malaysia, violence generally is alien to the culture. Terrorism initially took shape during the post-independence, communist era by jungle recalcitrant actions. In recent years, this has been superceded by a more internationally related trend of violence. Only very few incidents were based locally, while the majority were linked to international groups or organizations abroad, including the Kumpulan Mujahidin Malaysia (KMM), Jemaah Islamiyah (JI), and the Abu Sayyaf Group (ASG). Kidnapping with ransom seemed to have been the most commone modus operandi, while killing and robbery accounted for very few of these incidents. The number of victims in each event so far has been small, and smaller for those physically harmed or killed. This pattern of terrorist attacks suggests that the current level of provision of emergency medical services is sufficient to handle such incidents. Recent advances in local emergency medicine also have witnessed the establishment of various teaching and training modules, a pivotal role played by university hospitals and supported by the Ministry of Health. However, the spate of ongoing events of mass destruction such as the conflict in Israel/Palestine, wars in Afghanistan and Iraq, the World Trade Center and Pentagon tragedies of 11 September 2001, and the Bali bombing in Indonesia, remain as great concerns to Malaysians. Both the government and the people of Malaysia abhor such unjustified uses of terror, and take every measure to curtail them. The National Security Council policies of Arahan No. 18 and Arahan No. 20 detail specific roles and responsibilities of various agencies in managing terrorism and disasters respectively, while the use of the stern Internal Security Act that allows indefinite detention without trial, evidently has been an efficient intelligence and security apparatus. With more recent developments of terrorist events regionally and globally, Malaysia continues to face an ongoing threat from such activities. Various measures have been and will be actively undertaken both by government and non-governmental agencies in facing these challenges.
  4. Fulltext The Integrated Care Pathway for Managing Post Stroke (ICAPPS) Patients in the Community: A Cost -Effectiveness Analysis
    Abdul AA, Muhammad Nur A, Sulong S, Aljunid S
    Value Health, 2014 Nov;17(7):A761.
    PMID: 27202786 DOI: 10.1016/j.jval.2014.08.259
  5. Fulltext Familial pattern of large vestibular aqueduct syndrome in a Chinese family
    Hazmi M, Ab Aziz A, Asma A
    EXCLI J, 2013;12:118-21.
    PMID: 27034633
    Large Vestibular Aqueduct Syndrome (LVAS) is the most common radiographic malformation in children with early onset of hearing loss. Usually its occurrence is non-familial, however intriguingly a portion of patients with LVAS is found to have evidence of genetic predisposition. We described cases of LVAS in two siblings of a Chinese family. The elder sister first presented with reduced hearing since childhood and her brother has a similar complaint upon further questioning. Their hearing test showed bilateral sensorineural hearing loss (SNHL) and computed tomography (CT) of temporal bone showed enlarged vestibular aqueduct in both patients. We described an approach to diagnosis of LVAS and highlight the importance of hearing assessment in genetic link hearing loss.
  6. Viewing distance with minimum heterophoria
    Chen AH, Aziz A
    Clin Exp Optom, 2002 12 17;82(5):182-186.
    PMID: 12482277
    BACKGROUND: The purposes of this study are to determine the viewing distance with minimum heterophoria and its relationship with refractive error and the resting position of accommodation. METHODS: The heterophoria and the accommodation responses of 36 optometry students (25 emmetropes and 11 myopes) were tested. Heterophoria was measured with the Free-Space Heterophoria Card at five different viewing distances (25 cm, 33 cm, 50 cm, 100 cm and 300 cm). The dioptric viewing distance with minimum heterophoria for each individual was estimated from the graph, where heterophoria in prism dioptres was plotted against viewing distance in centimetres. The Canon R-1 autore-fractor was used to determine the accommodation response at six different viewing distances (25 cm, 33 cm, 50 cm, 100 cm, 300 cm and 600 cm). The resting position of accommodation for each individual was estimated from the graph where the accommodative stimulus in dioptres was plotted against the accommodative response in dioptres. RESULTS: The dioptric viewing distance with minimum heterophoria ranges from 0.003 D to 0.65 D in emmetropes and ranges from 0.03 D to 2.36 D in myopes. There is no difference in the dioptric viewing distance with minimum heterophoria between myopes and emmetropes. Our results show a possible but not significant correlation between the dioptric viewing distance with minimum heterophoria and the resting position of accommodation. CONCLUSIONS: The viewing distance with minimum heterophoria is not affected by refractive error (stable early-onset myopia) and is poorly correlated with the resting position of accommodation.
  7. Fulltext Wear of rotary instruments: a pilot study
    Abdul Aziz, A., Abu Kasim, N.H., Ramasindarum, C., Mohamad Yusof, M.Y.P., Paiizi, M., Ahmad, R.
    Ann Dent, 2011;18(1):1-7.
    MyJurnal
    The aim of this study was to assess the wear of tungsten carbide burs and round rotary diamond instruments through measurements of rake angle and visual observations respectively under a field emission scanning electron microscope. Sixty short and long head pear-shaped tungsten carbide burs and 18 round rotary diamond instruments that had been used to complete < 5, > 5 and > 10 cavity preparations (n=10/group) were selected from the 3rd and 4th year dental students, Faculty of Dentistry, University of Malaya. There were two control groups consisting of long and short tungsten carbide burs of ten each. Two-way ANOVA was used to analyse the rake angle data. The data from the two control groups were collectively analysed following multiple paired t-test (p>.05) which showed no significant difference between the two types of tungsten carbide bur (short and long head). The mean rake angle of the control group was significantly higher (p < .05) compared to the < 5, > 5 and > 10 cavity preparation groups. The rake angle of the > 10 cavity preparation group was significantly lower than the other two test groups (p < .05). Round rotary diamond instruments in the < 5 cavity preparation group showed intact diamond particles with distinct cutting facets comparable to the control group. However, diamonds instruments in the > 5 and > 10 cavity preparation groups showed blunt diamond particles. In conclusion, wear of tungsten carbide burs and round rotary diamond instruments were evident after repeated use. Wear was more pronounced when instruments were used to prepare more than ten cavities.
  8. Fulltext Performance of organic rankine cycle using biomass as source of fuel
    Ismail, H., Aziz, A. A., Rasih, R. A., Jenal, N., Michael, Z., Azmi Roslan
    Journal of Advanced Research in Applied Sciences and Engineering Technology, 2016;4(1):29-46.
    MyJurnal
    A simulation study has been done on Organic Rankine Cycle (ORC) with nine different
    working fluids in four different types of system configurations. An Organic Rankine Cycle is similar to
    Rankine cycle with the exception of using organic fluids for its working fluids. It is widely claimed to
    be more effective than steam Rankine cycle in low heat grade applications. The objective of the study
    is to study the performance of the system in conjunction with biomass thermal system by selecting the
    best working fluid and system configurations. The simulation is done using MATLAB and REFPROP
    9.0 respectively. The selection of the best configuration is based on the thermal efficiency of the system.
    It is found that toluene is the best option in simple ORC system. In ORC system added with internal
    heat exchanger or recuperator, dodecane and propylcyclohexane are the better option compared to
    other fluids. All the organic fluids show improvements with addition of recuperator. For temperature
    range of 150oC-300oC, it is found that water is not effective compared to organics fluids. Superheating
    process shows a slight improvement in a system with recuperator, but no improvement in simple cycle.
    The highest thermal efficiency is found in Scenario D. The second best is Scenario C, followed by
    Scenario A and the most ineffective is Scenario B. Copyright © 2016 Penerbit Akademia Baru - All
    rights reserved.
  9. Fulltext Kimura Disease: A differential diagnosis in a nephrotic child
    Aziz A, Mohamad I, Zawawi N
    Malays Fam Physician, 2018;13(2):32-35.
    PMID: 30302182
    Kimura disease presents as benign lesion and is commonly present among the Asian population. It is a disease with a favourable prognosis and a peak age of onset in the third decade. It is a chronic inflammatory disorder of unknown etiology that involves the lymph nodes and subcutaneous tissues of the head and neck region. We report a case of a 15-year-old boy with multiple Kimura lymphadenopathies involving the left posterior auricular region as well as the anterior and posterior triangles of the neck.
  10. Primary middle ear tuberculosis mimicking cholesteatoma
    Aziz A, Md Daud MK
    Malays Fam Physician, 2020;15(1):44-46.
    PMID: 32284804
    Tuberculous granuloma in the middle ear is an unusual entity. Herein, we report a case with short presentation of otitis media with mastoid abscess but with a CT scan showing widespread bone destruction. The cause was determined to be middle ear tuberculosis. Awareness of this entity is important, as it may cause a delay in referral to an otorhinolaryngology specialist and, subsequently, a delay in initiating treatment. Therefore, it should be considered in the differential diagnosis, especially when the usual treatment fails to produce the desired result.
  11. The effects of nuclear level density model and alpha optical model potential to the excitation functions of novel therapeutic radionuclides
    Kamal N, Nizam S, Abdul Aziz A
    Appl Radiat Isot, 2024 Jan;203:111085.
    PMID: 37924626 DOI: 10.1016/j.apradiso.2023.111085
    In this study, the theoretical cross sections of 209Bi(α,2n)211At, 65Cu(α,n)68Ga, 100Ru(α,n)103Pd, and 121Sb(α,n)124I are calculated using TALYS 1.96, incorporating the effects of the alpha optical model potential and nuclear level density models. The validation process involves comparing the calculated cross sections with experimental data and utilizing statistical deviation factors. This comparison allows us to determine the optimal combination of nuclear model parameters for each reaction. The result shows that theoretical calculations which utilized semi microscopic level density models and alpha OMP managed to describe the excitation functions close to the experimental data. The comparison of nuclear model calculations with experimental data plays a crucial role in ensuring the reliability of the data, making it an essential aspect of modern evaluation procedures.
  12. Fulltext Heterophoria in young adults with emmetropia and myopia
    Chen AH, Aziz A
    Malays J Med Sci, 2003 Jan;10(1):90-4.
    PMID: 23365507
    The purpose of this study was to investigate the relationship between heterophoria and refractive error. Thirty-six subjects (11 myopes, 25 emmetropes) participated in this study. Heterophoria was measured with the Free-Space Phoria Card at five different viewing distances (25cm, 33cm, 50cm, 100cm and 300cm). Regardless of the types of heterophoria, the amount of heterophoria reduced towards orthophoric position with increasing viewing distance. Emmetropes and myopes did not show any significant difference in the degree of heterophoria at different viewing distances (F = 0.30, p>0.05) or in the type of heterophoria (χ(2) = 2, p>0.05).
  13. Effect of experimental silane-based primers with various contents of 2-hydroxyethyl methacrylate on the bond strength of orthodontic adhesives
    Mustafa AA, Matinlinna JP, Razak AA, Hussin AS
    J Investig Clin Dent, 2015 Aug;6(3):161-9.
    PMID: 24415731 DOI: 10.1111/jicd.12083
    AIM: To evaluate in vitro the effect of different concentrations of 2-hydroxyethyl methacrylate (HEMA) in experimental silane-based primers on shear bond strength of orthodontic adhesives.

    METHODS: Different volume percentages of HEMA were tested in four experimental silane-based primer solutions (additions of HEMA: 0, 5.0 vol%, 25.0 vol% and 50.0 vol%). An experimental silane blend (primer) of 1.0 vol% 3-isocyanatopropyltrimethoxysilane (ICMS) + 0.5% bis-1,2-(triethoxysilyl) ethane (BTSE) was prepared and used. The experimental primers together with the control group were applied onto acid-etched premolars for attachment of orthodontic brackets. After artificial aging by thermocycling the shear-bond strength was measured. The fractured surfaces of all specimens were examined under scanning electron microscopy (SEM) to evaluate the failure mode on the enamel surface.

    RESULTS: The experimental primers showed the highest shear-bond strength of 21.15 MPa (SD ± 2.70 MPa) and with 25 vol% showed a highly significant increase (P < 0.05) in bond strength. The SEM images showed full penetration of adhesive agents when using silane-based primers. In addition, the SEM images suggested that the predominant failure type was not necessarily the same as for the failure propagation.

    CONCLUSIONS: This preliminary study suggested that nonacidic silane-based primers with HEMA addition might be an alternative to for use as adhesion promoting primers.

  14. A packed bed membrane reactor for production of biodiesel using activated carbon supported catalyst
    Baroutian S, Aroua MK, Raman AA, Sulaiman NM
    Bioresour Technol, 2011 Jan;102(2):1095-102.
    PMID: 20888219 DOI: 10.1016/j.biortech.2010.08.076
    In this study, a novel continuous reactor has been developed to produce high quality methyl esters (biodiesel) from palm oil. A microporous TiO2/Al2O3 membrane was packed with potassium hydroxide catalyst supported on palm shell activated carbon. The central composite design (CCD) of response surface methodology (RSM) was employed to investigate the effects of reaction temperature, catalyst amount and cross flow circulation velocity on the production of biodiesel in the packed bed membrane reactor. The highest conversion of palm oil to biodiesel in the reactor was obtained at 70 °C employing 157.04 g catalyst per unit volume of the reactor and 0.21 cm/s cross flow circulation velocity. The physical and chemical properties of the produced biodiesel were determined and compared with the standard specifications. High quality palm oil biodiesel was produced by combination of heterogeneous alkali transesterification and separation processes in the packed bed membrane reactor.
  15. Non-seeded synthesis and characterization of superparamagnetic iron oxide nanoparticles incorporated into silica nanoparticles via ultrasound
    Sodipo BK, Abdul Aziz A
    Ultrason Sonochem, 2015 Mar;23:354-9.
    PMID: 25315418 DOI: 10.1016/j.ultsonch.2014.09.011
    A non-seeded method of incorporating superparamagnetic iron oxide nanoparticles (SPION) into silica nanoparticles is presented. Mixture of both SPION and silica nanoparticles was ultrasonically irradiated. The collapsed bubbles and shockwave generated from the ultrasonic irradiation produce tremendous force that caused inelastic collision and incorporation of SPION into the silica. Physicochemical analyses using transmission electron microscope (TEM), electronic spectroscopic imaging (ESI), X-ray diffraction (XRD) and Fourier transform infrared (FTIR) spectroscopy demonstrated the formation of SPION/silica composite nanoparticles. The prepared composite nanoparticles exhibited superparamagnetic behaviour and nearly 70% of the initial saturation magnetization (Ms) of the SPION was retained. The presence and reactivity of the silica were demonstrated via assembling decanethiol monolayer on the composite nanoparticles. The silanol group of the silica provided the binding site for the alkyl group in the decanethiol molecules. Therefore, the thiol moiety became the terminal and functional group on the magnetic composite nanoparticles.
  16. Antioxidants from tropical herbs
    Razab R, Abdul-Aziz A
    Nat Prod Commun, 2010 Mar;5(3):441-5.
    PMID: 20420325
    Plants that contain high amounts of polyphenolic compounds are potential candidates for natural antioxidant sources. Studies are on going in the search for new sources of antioxidants. Not much data are available on the antioxidant capacity of tropical herbs. With this in mind, 19 commonly consumed Malaysian herbs were analyzed for their polyphenolic content and antioxidant activities. A majority of these plants have never been studied before with regards to their polyphenolic content and antioxidant activities. The shoots of Anacardium occidentale, the shoots and fruits of Barringtonia racemosa, Pithecellobium jiringa and Parkia speciosa had high polyphenolic contents (> 150 microg gallic acid equivalents/mg dried plant) and antioxidant activities when measured using the ferric reducing antioxidant power (FRAP) (>1.2 mM) and Trolox equivalent antioxidant capacity (TEAC) assays (>2.4 mM). A strong correlation was observed between the two antioxidant assays (FRAP vs TEAC) implying that the plants could both scavenge free radicals and reduce oxidants. There was also a strong correlation between the antioxidant activities and polyphenolic content suggesting the observed antioxidant activities were contributed mainly by the polyphenolics in the plants.
  17. Fulltext Medication noncompliance--a thriving problem
    Aziz AM, Ibrahim MI
    Med J Malaysia, 1999 Jun;54(2):192-9.
    PMID: 10972029
    A study was conducted among out-patients attending the Melaka Tengah Health Clinic to determine their compliance status towards antihypertensive, antidiabetic and antiasthmatic drugs. A total of 585 patients were enrolled in this study. Assessment of compliance was carried out using pill-counting and house-to-house interviews 14 days from the date of medication dispensed at the counter. The noncompliance rate among the 464 successfully interviewed patients was 56%. The mean noncompliance percentage was 78.0 +/- 43.1% (range: -10.0-314.3%). Among the four variables of compliance studied, race was not seen as a determinant of compliance. The older age group and those taking two or more drugs were statistically significant to be a noncomplier. Females were highly likely not to comply with drug therapy. Patients who conform to their refill dates were not really drug compliers. Forgetting to take their drugs and inability to read instructions on drug labels were the main reasons given. Underdosing was more common than overdosing, with an estimated cost of RM20,261.00 of unused medications per year.
    Study site: Klinik Kesihatan Melaka Tengah, Melaka, Malaysia
  18. Fulltext Method optimization on the process of Iontophoresis with laser doppler fluximetry in the assessment of microvascular endothelial function
    Belqes Abdullah, A. T., Yvonne, T. G. B., Ahmad, S. H., Abdul Aziz, A. S. I., Aida, H. G. R.
    Malaysian Journal of Medicine and Health Sciences, 2011;7(1):35-40.
    MyJurnal
    Introduction: Iontophoresis of vasoactive substances such as acetylcholine (ACh) and sodium nitroprusside (SNP) combined with Laser Doppler fluximetry (LDF) is a non-invasive tool used to determine microvascular endothelial function. This study aims to test the effect of sodium chloride on
    non-specific vasodilatation when used as a vehicle in the process of iontophoresis. This study also aims to define the number of current pulses needed to get the maximum effect during iontophoresis with ACh and SNP using low current strength. Methods: The experiment was conducted in five healthy females. Baseline skin perfusion was taken before administration of seven current pulses. Current strength of 0.007 mA and current density of 0.01 mA/cm2 were used. Acetylcholine was used to assess endothelial dependent vasodilatation, while SNP was used to assess endothelial independent vasodilatation. The mean skin perfusion (AU) responses to the iontophoresis of ACh at the anodal and SNP at the cathode leads were recorded. Sodium chloride (0.9%) was used as a vehicle to obtain concentration of 1% for both ACh and SNP. Iontophoresis of pure vehicle (NaCl) was conducted on a separate day to observe the effect of vehicle only on the iontophoresis process at both anode and cathode. Results: Iontophoresis of NaCl showed no significant increase in perfusion compared to baseline at both anode and cathode. Significant increases in skin perfusion were observed with SNP and ACh; a plateau of ACh was reached from the 3rd pulse onwards; while the plateau of SNP was reached from the 4th pulse onwards. Conclusion: NaCl could be used as a vehicle for Ach and SNP during iontophoresis as it did not cause non-specific vasodilatation. Using five current pulses are adequate for iontophoresis of ACh and SNP to assess microvascular endothelial function.
  19. Fulltext MRSA Infection in Vascular Surgical Patients: The HKL Experience
    Wong, HS, YH, William Chang, Neeta, K.B., Lum, SG, Seet, KC, Tan, HL, et al.
    Medicine & Health, 2008;3(2):294-299.
    MyJurnal
    Methicillin-resistant Staphylococcus aureus (MRSA) infection is important among vas-cular surgical patients. Its effect can be devastating resulting in limb amputation and mortality. We performed a retrospective patients record analysis to determine the pat-tern of MRSA infection among vascular surgical patients in Hospital Kuala Lumpur from January 2005 to December 2007. We also attempted to identify the factors asso-ciated with poor clinical outcome after such infection. There were 999 patients who underwent vascular surgeries in HKL within  the analysis period. Of these 24 patients (2.4%) were detected to have MRSA surgical site infection. The infection was commoner among cigarette smokers, patients with diabetes melitus and those who had previous vascular surgery. Most infections occurred in the emergency surgery category and manifested as wound breakdown. Fifty-four percent of the infected pa-tients ended with graft removal, amputations or death. MRSA infection complicating vascular surgery resulted in poor clinical outcome. This serious threat requires intensi-fied preventive measures.
  20. Effective removal of p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl)-, (S)- from landfill leachate using locust bean gum
    Aziz A, Agamuthu P, Fauziah SH
    Waste Manag Res, 2018 Dec;36(12):1146-1156.
    PMID: 30067147 DOI: 10.1177/0734242X18789062
    The widespread distribution of persistent organic pollutants (POPs) in landfill leachate is problematic due to their acute toxicity, carcinogenicity and genotoxicity effects, which could be detrimental to public health and ecological systems. The objective of this study was to evaluate the effective removal of POPs - namely, p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl)-, (S)- - from landfill leachate using locust bean gum (LBG), and in comparison with commonly used alum. The response surface methodology coupled with a Box-Behnken design was employed to optimize the operating factors for optimal POPs removal. A quadratic polynomial model was fitted into the data with the R2 values of 0.97 and 0.96 for the removal of p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl), (S)-, respectively. The physicochemical characteristics of the flocs produced by LBG and alum were evaluated with Fourier Transform Infrared (FTIR) spectroscopy and Scanning Electron Microscopy (SEM). The infrared spectra of LBG-treated floc were identical with LBG powder, but there was some variation in the peaks of the functional groups, signifying the chemical interactions between flocculants and pollutant particles resulting from POPs removal. The results showed that p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl)-, (S)- obtained 96% and 100% removal using 500 mg/L of LBG at pH 4. pH have a significant effect on POPs removal in leachate. It is estimated that treating one million gallons of leachate using alum (at 1 g/L dosage) would cost US$39, and using LBG (at 500 mg/L dosage) would cost US$2. LBG is eco-friendly, biodegradable and non-toxic and, hence, strongly recommended as an alternative to inorganic coagulants for the treatment of POPs in landfill leachate.
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