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Medical Journal of Malaysia

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https://www.readbyqxmd.com/read/30233079/abstracts-of-8th-conjoint-ophthalmology-scientific-conference-in-conjunction-with-10th-ukm-ophthalmology-symposium
#1
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121693/interleukin-28-polymorphism-ethnic-variations-and-the-response-to-chronic-hepatitis-c-treatment-in-malaysia
#2
C H Hoe, M A M Suan, C H Hoe, T H Tang, K K Kiew, M R A Hassan, H K Chan
No abstract provided.
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121692/incomplete-kawasaki-disease-in-a-44-day-old-baby
#3
A Nor Azizah, S P Thong, L C Hung
Kawasaki disease (KD) is an acute systemic vasculitis usually affecting children <5 years old. We report a 44-dayold baby who had persistent fever despite being on antibiotics for presumed sepsis. Erythema of Bacillus Calmette-Guerin (BCG) scar and thrombocytosis were noted on day-2 of illness. Diagnosis of incomplete KD was made on the 10th day of illness. Her fever resolved with intravenous immunoglobulin, but echocardiogram revealed coronary artery aneurysm. High index of suspicion is required to diagnose KD in infants ≤3 months since it is rare and commonly presents with incomplete clinical features...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121691/index-of-suspicion-with-appropriate-timing-of-ct-scan-helps-prevent-missed-diagnosis-in-urologic-trauma
#4
B Sabrina, K L Tan, F K Johann, D Andre
Ureteric and bladder injuries are uncommon, difficult to diagnose and rarely occur in isolation. Diagnosis is often delayed or missed at presentation. Therefore, high clinical suspicion and appropriate timing of computed tomography (CT) are of paramount importance. We report two cases (ureteropelvic junction avulsion and ruptured dome of bladder) whereby the presentations were subtle and would have been missed if not for high clinical suspicion. This article discusses the problems associated with these urologic injuries, as well as how to develop a high index of suspicion based on the pattern of anatomical disruption, mechanism of injury, physiological abnormality and comorbidity...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121690/relapsed-lymphoma-mimicking-venous-ulcer-a-case-report
#5
W S A Kamal, A M Affandi, A Bhullar, W S Z Kamal
Lymphoma presenting with ulceration is not typical. We report a case of relapsed DLBCL in a 73-year-old man presenting with a chronic non-healing leg ulcer. He has underlying varicose veins with recurrent venous ulcers. This patient was diagnosed to have DLBCL six years earlier when he presented with recurrent epistaxis originating from a left nasal cavity nodule. Complete resolution was achieved after eight cycles of R-CHOP and intrathecal methotrexate. For this current problem, this patient was treated with rituximab combined with chemotherapy which resulted in healing of the ulcer...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121689/five-cases-of-iatrogenic-cerebrospinal-fluid-csf-rhinorrhoea-early-management-is-crucial
#6
M D Aidayanti, H Salina, B S Gendeh, D Z Farah, M Z Faezah
Endoscopic sinus surgery (ESS) is a standard treatment for rhinosinusitis, which failed optimum medical therapy. Iatrogenic cerebrospinal fluid (CSF) rhinorrhoea can occur during ESS warrants early repair of the leakage. The common sites for CSF leakage are cribriform plate, fovea ethmoidalis, and anterior ethmoid sinuses. We present five cases of iatrogenic CSF rhinorrhoea due to ESS and its management.
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121688/pilot-study-comparing-steroid-impregnated-and-non-steroid-impregnated-absorbable-nasal-dressing-following-endoscopic-sinus-surgery
#7
Y L Sow, I P Tang, J P Y Kho, N Prepageran
INTRODUCTION: Endoscopic sinus surgery (ESS) is the mainstay for treatment of chronic rhinosinusitis versus maximal medical therapy. We propose a more economical option, by using steroid-impregnated Gelfoam instead of Nasopore post ESS, as it is less expensive and has showed effectiveness in preventing post-operative bleeding. MATERIALS AND METHODS: A randomised, double-blinded, placebo-controlled trial was carried out in eight patients with chronic rhinosinusitis or nasal polyposis who were planned for bilateral endoscopic sinus surgery...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121687/knowledge-of-obesity-related-pregnancy-risks-among-expectant-mothers-and-its-associated-factors
#8
M Leelavathi, R S Danasamy
BACKGROUND: Obesity in pregnancy causes both maternal and foetal complications hence adequate knowledge of obesity related pregnancy risks would ensure better outcomes. This study aims to determine the knowledge of obesity related pregnancy risks among pregnant women. METHODS: A cross-sectional study was conducted among pregnant women from four antenatal clinics in Seremban, between February and May 2015. Knowledge on pregnancy risks was assessed using questionnaire...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121686/the-impact-of-music-guided-deep-breathing-exercise-on-blood-pressure-control-a-participant-blinded-randomised-controlled-study
#9
F P Kow, B Adlina, S Sivasangari, N Punithavathi, K K Ng, A H Ang, L M Ong
INTRODUCTION: As pharmacological treatment of hypertension has become a burden worldwide, the study looked into nonpharmacological ways of reducing blood pressure. The objective was to determine if music guided, slow and deep breathing will reduce the blood pressure among patients with hypertension in eight weeks. METHODS: A participant blinded, multi-centre, randomised controlled trial was conducted in which the participants in the intervention group (IG) practiced deep breathing exercise guided by sound cues and those in the control group (CG) listened to the music...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121685/self-reported-symptoms-of-depression-anxiety-and-stress-among-patients-with-rheumatoid-arthritis-in-a-malaysian-rheumatology-centre-prevalence-and-correlates
#10
A R Ruhaila, H C Chong
OBJECTIVE: To determine the prevalence, correlates and independent predictors of self-reported depression, anxiety and stress in Rheumatoid arthritis (RA) patients in Hospital Melaka. METHODS: This was a cross-sectional survey using convenient sampling of 192 RA patients who attended the Rheumatology Clinic outpatient appointment, Hospital Melaka from June 2013 to December 2013. Depression, Anxiety and Stress Scale (DASS21) questionnaire was used to evaluate symptoms of depression, anxiety and stress...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121684/clinical-characteristics-culprit-drugs-and-outcome-of-patients-with-acute-generalised-exanthematous-pustulosis-seen-in-hospital-sultanah-aminah-johor-bahru
#11
S E Choon, Y S Der, N L J Lai, S E E Yu, X L Yap, N M Nalini
BACKGROUND: Acute generalised exanthematous pustulosis (AGEP) is a rare, cutaneous reaction characterised by sudden onset of numerous, non-follicular, sterile pustules on oedematous erythematous skin, accompanied by fever and neutrophilia. AGEP is predominantly drug-induced. Skin lesions appear rapidly within 1-3 days of drug exposure and upon drug withdrawal, resolve rapidly within 15 days. OBJECTIVE: To determine the clinical characteristics, culprit drugs and outcome of patients with AGEP...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121683/the-prevalence-and-the-risk-of-falls-among-institutionalised-elderly-in-penang-malaysia
#12
S H Kioh, A Rashid
INTRODUCTION AND OBJECTIVES: Over the years, falls has been increasingly the most common public health issue worldwide that affects all age groups. However, the risk is nine times higher in older persons especially among those residing in nursing homes. The objective of this study is to determine the prevalence and the risk of falls and their associated factors among elderly living in nursing homes in Penang, Malaysia. METHODOLOGY: Data were obtained from a cross-sectional survey in ten different nursing homes in the state of Penang, Malaysia...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121682/the-uptake-of-mammogram-screening-in-malaysia-and-its-associated-factors-a-systematic-review
#13
M Aidalina, A S J Syed Mohamed
INTRODUCTION: This review aimed to summarise the trend of mammogram screening uptake published in local studies between years 2006 and 2015 among the Malaysian women aged 40 years and above, and identify the associated factors and barriers, as well as discuss limitations of the studies and research gaps. METHODS: A systematic review was conducted on breast cancer screening studies among Malaysian women, published between January 2006 and December 2015. Online databases were searched using keywords: "mammogram", "mammography", "uptake", "breast cancer screening" and "Malaysia"...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121681/social-support-self-efficacy-and-their-correlation-among-patients-with-type-2-diabetes-mellitus-a-primary-care-perspective
#14
A A Rashid, H Zuhra, C E Tan
INTRODUCTION: Social support and self-efficacy are factors that influence patients' health behaviour. However, the relationship between these two factors among patients with Type 2 Diabetes Mellitus (T2DM) has not been adequately explored. This study aims to report social support and selfefficacy of Malaysian T2DM patients, and their correlations. METHODS: This cross-sectional questionnaire study involved 329 patients with T2DM who received their follow up at a public primary care clinic...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121680/palliative-radiotherapy-for-advanced-cancer-are-we-giving-it-to-the-right-patient-at-the-right-time
#15
A S Syadwa, Z B Anita
AIM: Symptomatic relief following palliative radiotherapy for advanced cancers may take a few weeks up to a few months to achieve. Thus, accurate prognostication is important to avoid harm to these patients with limited lifespan. We conducted a retrospective cohort study to determine the median survival and 30-day mortality (30-DM) and factors associated with these parameters in our centre. METHODS: Data from 585 eligible patients who received palliative radiotherapy between January 2012 and December 2014 were analysed...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30121679/prothrombotic-markers-in-thalassemia-major-patients-a-paradigm-shift
#16
S Sultan, S M Irfan, S M Zaidi
BACKGROUND: It is being increasingly recognised that thalassemia major patients, like intermedia, have increased propensity for thromboembolism. Deficiency of natural anticoagulants is more recently defined finding contributing to the hypercoagulable state. The aim this study is to determine natural anticoagulants levels and their correlation with maternal characteristics, haematological and biochemical markers. METHODS: This is a prospective case-control study...
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/30054451/abstracts-of-malaysian-international-scientific-congress-of-the-obstetrical-gynaecological
#17
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/29962506/features-of-post-radioiodine-whole-body-scan-in-non-invasive-follicular-thyroid-neoplasm-with-papillary-like-nuclear-features-niftp
#18
T H Wong, T H Tan, S C Chin, B N Lee
Recently, encapsulated follicular variant of papillary thyroid carcinoma has been reclassified as non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) to emphasize the benign nature of this entity. In our institution, we have assessed 455 patients treated with radioiodine ablation for differentiated thyroid carcinoma and 20 of them were retrospectively found to fulfill the new NIFTP criteria. There was no evidence of metastasis on post radioiodine whole body scans for NIFTP cases and these patients were in remission subsequently...
June 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/29962505/is-the-incidence-of-cancer-in-malaysia-falling
#19
K G Lim
No abstract provided.
June 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/29962504/major-tracheobronchial-injuries-management-of-two-rare-cases
#20
T J Huei, H T C Lip, O Rahmat
Tracheobronchial injuries are uncommon and a high level of suspicion is needed for immediate diagnosis and prompt treatment. In this case series, two rare cases of tracheobronchial injuries is described showing variable clinical presentations with different levels of injury. Our first case was seen in a 20 years old male whom had a direct impact on the neck and presented with upper tracheal injury. On arrival, this patient was in respiratory distress and had bilateral pneumothorax. Bilateral chest tube was inserted with subsequent neck exploration...
June 2018: Medical Journal of Malaysia
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