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2020

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Articles 20491 - 20520 of 20658

Full-Text Articles in Medicine and Health Sciences

Effects Of A Single Mutation In Chikungunya Virus Non-Structural Protein On Virus Infection In Aedes Albopictus And Mammalian Cell Lines, Yin Ling Jolene Fu Jan 2020

Effects Of A Single Mutation In Chikungunya Virus Non-Structural Protein On Virus Infection In Aedes Albopictus And Mammalian Cell Lines, Yin Ling Jolene Fu

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Chikungunya virus (CHIKV) has caused large-scale epidemics of fever, rash and arthritis since 2004. This unprecedented re-emergence has been mainly associated with mutations in genes encoding structural envelope proteins, providing increased fitness in the secondary vector Aedes (Ae.) albopictus. In the 2008-2013 CHIKV outbreaks across Southeast Asia, an R82S mutation in non-structural protein 4 (nsP4) emerged early in Malaysia or Singapore and quickly became predominant. To determine whether this nsP4-R82S mutation provides a selective advantage in host cells which may have contributed to the epidemic, the fitness of infectious clone-derived CHIKV with nsP4- 82R and nsP4-82S were compared in Ae. …


Functional Significance Of Senescence And Autophagy In Cancer-Associated Fibroblasts From Oral Squamous Cell Carcinoma, May Leng Tan Jan 2020

Functional Significance Of Senescence And Autophagy In Cancer-Associated Fibroblasts From Oral Squamous Cell Carcinoma, May Leng Tan

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Oral squamous cell carcinoma (OSCC) is a malignancy that arises from the epithelial cells within the oral cavity. It accounts for approximately 355,000 new cases worldwide and is exceptionally prevalent in particular geographical areas such as Papua New Guinea, the Indian subcontinent and South-East Asian countries. Despite advances in surgical management and therapeutic approaches, the five-year survival rate of OSCC patients has not improved significantly over the past few decades. The mortality associated with OSCC is particularly high often due to late presentation, locoregional recurrence, distant metastases and the development of second primary tumours. A comprehensive understanding of the molecular …


Impacts Of Self-Perceived Malocclusion On The Oral Health-Related Quality Of Life Of Young Adults In Malaysia, Mohd Tajudin Zawani Jan 2020

Impacts Of Self-Perceived Malocclusion On The Oral Health-Related Quality Of Life Of Young Adults In Malaysia, Mohd Tajudin Zawani

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Objectives: To assess the prevalence, severity and extent of impacts of self-perceived malocclusion on the oral health-related quality of life (OHRQoL) related to dental aesthetics among young Malaysian adults, to compare between those with and without self-perceived malocclusion and to investigate the influence of demographics on the outcome. Methods: Multi-stage random sampling method was used to recruit 589 subjects from tertiary institutions in Malaysia. Study instruments comprised the Aesthetic Component of the Index of Orthodontic Treatment Need (AC-IOTN) and Malaysian version of the Psychosocial Impact of Dental Aesthetics (PIDA) to measure selfperceived malocclusion and its impacts. Analyses included multifactorial ANOVA …


Anticancer Activity Of Ficus Deltoidea And Tualang Honey On Oral Cancer Cells: An In Vivo Study, Alkoshab May Ameen Saeed Jan 2020

Anticancer Activity Of Ficus Deltoidea And Tualang Honey On Oral Cancer Cells: An In Vivo Study, Alkoshab May Ameen Saeed

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The use of natural products have been gaining interest, notably in the area of cancer therapy and in this study, natural products rich in antioxidants such as Tualang Honey (Malaysian wild local honey) and Ficus deltoidea (Malaysian local herbal plant), were selected to assess their chemo-preventive and chemotherapeutic activities on oral cancer. The aim of this study is to evaluate the chemo-preventive and chemotherapeutic activities of Ficus deltoidea (FD) and Tualang Honey (TH) in an animal model induced for oral cancer using 4-Nitroquinoline1-oxide (4NQO). A total of 70 male Sprague-Dawley (SD) rats were distributed into ten groups (n=7 per group); …


Expression Of Ki-67, Fscni And Tnfrsf 12a In Histologically Non-Involved Mucosal Surgical Margins As Predictive Markers For Local Relapse In Oral Squamous Cell Carcinoma, Zainul Abidin Nur Fauziani Jan 2020

Expression Of Ki-67, Fscni And Tnfrsf 12a In Histologically Non-Involved Mucosal Surgical Margins As Predictive Markers For Local Relapse In Oral Squamous Cell Carcinoma, Zainul Abidin Nur Fauziani

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Introduction: The presence tumour-related genetic alterations in histologically noninvolved mucosal surgical margins was linked to development of local relapse in OSCC. Aims: The present study aimed to determine the association between expression of Ki67, FSCN1 and TNFRSF12A in histologically non-involved mucosal surgical margins of OSCC patients and local relapse. Materials and methods: The study involved a total of 34 OSCC cases including 15 cases of patients who had relapse within the 5 years followup period and 19 cases of patients who did not had relapse. Two-stage sampling was carried out to select the margins’ site, followed by the representative sections …


Clinicopathological Study Of Oral Lichen Planus And Oral Linchenoid Reaction, Gubod Eb Robson Jan 2020

Clinicopathological Study Of Oral Lichen Planus And Oral Linchenoid Reaction, Gubod Eb Robson

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Introduction: Oral lichen planus is a chronic inflammatory disease that affects the mucosa of the oral cavity. Oral lichenoid reactions/ lesions share many clinical and histopathological features with oral lichen planus, and represent a response to extrinsic or causative factors (drugs, allergens). Aim: The purpose of this study was to evaluate the clinical and histopathological features of oral lichen planus and oral lichenoid reactions/ lesions. Objectives: The objectives of this study were to assess the clinical and histopathological features of patients diagnosed with oral lichen planus and oral lichenoid reaction/ lesions. This study also sought to investigate the association between …


Occupational Burnout Among Healthcare Professionals In Obstetrics And Gynecology Department Of A Public Hospital In Islamabad, Pakistan, Kashif Sabin Jan 2020

Occupational Burnout Among Healthcare Professionals In Obstetrics And Gynecology Department Of A Public Hospital In Islamabad, Pakistan, Kashif Sabin

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The general purpose of this study was to investigate the extent of burnout experienced by healthcare professionals working in obstetrics & gynaecology units in public hospital of Islamabad, Pakistan. Specifically, this research attempted to explore the contributing factors of burnout, by correlating the burnout scores of exhaustion and disengagement, with the sociodemographic variables. The main objectives of the study were: (i) to assess the levels of burnout as determined by the extent of exhaustion and disengagement among the study participants, and (ii) to compare the mean scores of exhaustion and disengagement among healthcare professionals based on different demographic characteristics: (a) …


Attitude Towards Patient Undergraduate Medical Students In The University Of Malaya, Jeevitha Rajasingam Jan 2020

Attitude Towards Patient Undergraduate Medical Students In The University Of Malaya, Jeevitha Rajasingam

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In the last two decades, patient safety awareness has become one of the emerging themes. To prevent from doing harm to patients, safe medical practices should be implemented and followed strictly. Therefore, a basic understanding of human factor principles need to be instilled into all health care workers. Medical universities play a vital role in fostering patient safety attitudes of their students towards the importance of patient safety during their practise. However, the medical curricula still face challenges regarding the correct timing and appropriate methods of instruction in their understanding of their principles. Experiments have shown that patient safety classes …


Impact Of Learning Support Intervention On Preclinical Students' Conception Of Self-Regulated Learning: A Quasi-Experimental Study Based On The Motivated Strategies For Learning Questionnaire, Kodiappan Radha Jan 2020

Impact Of Learning Support Intervention On Preclinical Students' Conception Of Self-Regulated Learning: A Quasi-Experimental Study Based On The Motivated Strategies For Learning Questionnaire, Kodiappan Radha

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Self-regulated learning (SRL), which includes the ability to regulate motivational, cognitive and metacognitive strategies based on the contextual and task demand, is recognized as a critical element for lifelong learning. However, past literature indicate a deficit in undergraduate medical students’ capabilities to self-regulate their learning and shortcoming of implicit methods to develop students’ SRL in medical schools. Thus, the objectives of this research were to analyse (i) the baseline level of the preclinical students’ SRL and (ii) the impact of the learning support intervention on the students’ conception of SRL. These objectives were approached from the perspectives of the students’ …


Educational Needs Of Newly Diagnosed Cancer Patients In Learning About Cancer: A Qualitative Study In The Malaysian Urban Setting, Munisamy Murallitharan Jan 2020

Educational Needs Of Newly Diagnosed Cancer Patients In Learning About Cancer: A Qualitative Study In The Malaysian Urban Setting, Munisamy Murallitharan

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Patients with chronic diseases such as cancer are able to have better outcomes if they understand about all aspects of the disease, develop the correct attitude to manage themselves and their disease better; and engage in preventive practices that can help them prevent worsening of disease or recurrence. Patient education is an intervention that has proven to be effective in different settings for this. However in the Malaysian cancer setting, the educational needs of patients are poorly understood. The aim of this study was to explore and understand the educational needs of newly diagnosed cancer patients in learning about cancer …


Mixed Features Specifier In Mood Disorder: The Prevalence And Associated Factors, M. Paramannantha Veloo Tesini Jan 2020

Mixed Features Specifier In Mood Disorder: The Prevalence And Associated Factors, M. Paramannantha Veloo Tesini

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Introduction: Mixed episode has been an unrelieved source of discussion in the field of psychiatry over the course of two decades as the DSM-IV criteria for both a depressive and manic episode had to be fulfilled to make this diagnosis. Nevertheless, in practice, this threshold was demonstrated to be too high. Therefore, the DSM-5 introduced a less stringent ‘specifier’ in which three symptoms of the opposite pole suffice thereby creating depression and mania with mixed features, respectively. Literatures points out that approximately 40% of patients have mixed episodes, but this figure may be much higher within the context of DSM-5. …


Psychometric Properties Of Bergen Social Media Addiction Scale (Bsmas) In Malay Version, Kee Hui Romi Tiong Jan 2020

Psychometric Properties Of Bergen Social Media Addiction Scale (Bsmas) In Malay Version, Kee Hui Romi Tiong

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Background The percentage of internet users in Malaysia has recorded continuous increment annually, in which it increased from 76.9% in 2016 to 87.4% of users in 2018. The prevalent use of all sorts of social media platform and the convenient access to the internet regardless of time and place has massively enhance the potential of social media addiction. After many years of research, the researchers have yet to reach the consensus in identifying criteria to diagnose problematic attachment to social media. The aim of the study was to validate the Malay version of Bergen Social Media Addiction Scale (BSMAS), by …


Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Iberahim Muhammad Ilham Jan 2020

Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Iberahim Muhammad Ilham

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Prevalence of Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Selangor, Malaysia Introduction Orang Asli, the indigenous people of peninsular Malaysia, are those peoples who were born among Orang Asli, lives according to their distinguished culture and beliefs, and spoke their native languages. Malaysia has evolved rapidly over the years in the socioeconomic development especially in the rural areas. More jungle areas are open up for land development scheme such as Federal Land Development Authority (FELDA), housing projects, commercial farms and many more. Indigenous people are forced to face this rapid urbanization. The questions arise whether they are able to …


A Three Dimensional Age Estimation Using Cone Beam Ct In Malaysian Population, Asif Muhammad Khan Jan 2020

A Three Dimensional Age Estimation Using Cone Beam Ct In Malaysian Population, Asif Muhammad Khan

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Forensic odontology plays a vital role in the age estimation and identification process during criminal investigations. Forensic science in the past have mainly employed two-dimensional (2D) radiographic assessment of developmental and physiological age related dental parameters for age estimation. However, 2D radiograph doesn’t represent the three-dimensional (3D) anatomical structures. Rapidly evolving CBCT imaging modality can be effectively employed in forensic sciences to overcome the limitations of 2D imaging. The current study aimed to develop a novel method of dental age estimation using 3D surface area analyses of root apices of the developing permanent maxillary canines and mandibular third molars among …


Single Nucleotide Polymorphism Of Prostaglandin-Endoperoxide Synthase (Ptgs2) And Defensin Beta 1 (Defb1) Genes In Malay Chronic Periodontitis Subjects, Jagender Singh Jasmin Kaur Jan 2020

Single Nucleotide Polymorphism Of Prostaglandin-Endoperoxide Synthase (Ptgs2) And Defensin Beta 1 (Defb1) Genes In Malay Chronic Periodontitis Subjects, Jagender Singh Jasmin Kaur

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The association of prostaglandin-endoperoxide synthase 2 (PTGS2) and defensin beta 1 (DEFB1) single nucleotide polymorphisms (SNP) with chronic periodontitis (CP) have been widely studied amongst different ethnic groups such as the Chinese and European population. Thus far, no study has been done on the Malay ethnic group. Hence, this study assessed the allele and genotype frequencies of PTGS2 and DEFB1 variants in subjects with CP and periodontally healthy individuals in Malaysian Malays. Samples of 78 Malay CP subjects and 62 periodontally healthy controls were obtained from Malaysian Periodontal Database and Biobanking system (MPDBS) for this study. DNA samples were genotyped …


Preschool Children's Toothbrushing Behaviour And Association With Their Oral Health, Muhammad Khan Iqra Jan 2020

Preschool Children's Toothbrushing Behaviour And Association With Their Oral Health, Muhammad Khan Iqra

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Toothbrushing is an important yet neglected behaviour that has affected oral health of preschool children (4-6 years). Factors like dietary habit, socioeconomic status and oral conditions also affect oral health of preschool children. Despite intervention efforts, recent investigations reported high prevalence of early childhood caries (ECC) and oral diseases among this age group across different populations. Therefore, it is imperative to understand the relationship between toothbrushing behaviour and oral health status of preschool children to prevent oral diseases, hence improve their oral health. The aim of the current study was to evaluate toothbrushing behaviour of preschool children, assess their oral …


Identification Of Potential Biomarkers Of Oral Squamous Cell Carcinoma Using Integrated Proteomics And Glycoproteomics And Glycoproteomics Analyses, Yin Ling Wong Jan 2020

Identification Of Potential Biomarkers Of Oral Squamous Cell Carcinoma Using Integrated Proteomics And Glycoproteomics And Glycoproteomics Analyses, Yin Ling Wong

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Oral cancer is one of the major health concerns worldwide. The 5-year survival rate of oral squamous cell carcinoma (OSCC) has remained at approximately 50% over the past decades. Most OSCCs are diagnosed at an advanced stage due to the delay in diagnosis, suggesting an imperative need in identifying reliable biomarkers to improve the diagnosis, prognosis, and treatment of OSCC. This study aimed to identify potential biomarkers that are involved in the development and progression of OSCC using integrated proteomics and glycoproteomics analyses. Proteomics analysis was performed on serum samples of 10 patients with oral potentially malignant disorder (OPMD), 40 …


Association Between Stigma, Psychological Distress, And Quality Of Life Among People Living With Hiv In Federal Territory Of Kuala Lumpur, Ibrahim Khairiah Jan 2020

Association Between Stigma, Psychological Distress, And Quality Of Life Among People Living With Hiv In Federal Territory Of Kuala Lumpur, Ibrahim Khairiah

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Quality of life is an important component in the evaluation of the well-being of PLHIV. However, HIV stigma and psychological distress (depression, anxiety and stress) continue to be a barrier to obtain a good quality of life among PLHIV globally. This study assesses the level of QOL, stigma and psychological distress among PLHIV in Kuala Lumpur by determining the association between QOL, stigma and psychological distress. A cross-sectional study was conducted, involving 305 PLHIV attendees of the infectious disease clinic in a teaching hospital, primary health clinic and three Community-Based Organisations (CBOs). The sampled respondents completed face to face interviews …


Evaluation Of The Diagnostic Accuracy And Utility Of A New Dengue Rapid Diagnostic Test In Malaysia, Zhuo Lin Chong Jan 2020

Evaluation Of The Diagnostic Accuracy And Utility Of A New Dengue Rapid Diagnostic Test In Malaysia, Zhuo Lin Chong

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Dengue is an emerging arboviral disease endemic to many tropical countries including Malaysia. Due to its unspecific symptoms, dengue diagnosis can only be confirmed through diagnostic tests. Existing laboratory-based dengue diagnostics like enzyme linked immunosorbent assay (ELISA) is accurate in detecting dengue non-structural protein-1 (NS1), and anti-dengue immunoglobulin M (IgM) and G (IgG); but is also more complicated and time-consuming. Commercially available dengue rapid immunochromatographic test (RIT) is efficient but less sensitive. A new dengue rapid diagnostic rest (RDT) using biosensors may be both efficient and accurate in diagnosing acute dengue. This study evaluated this new dengue NS1-based RDT and …


Prevalence And Determinants Of Tabacco Use Among Adolescents In Khartoum - Sudan, Mohammed Alshaikh Mohammed Othman Jan 2020

Prevalence And Determinants Of Tabacco Use Among Adolescents In Khartoum - Sudan, Mohammed Alshaikh Mohammed Othman

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Globally, 25 million adolescents aged 13-15 years, smoke cigarettes while 13 million use smokeless tobacco. In 2014, 22.8% of adolescents had ever smoked cigarette in Sudan while current cigarette smokers were 4.5%; moreover, studies about shisha smoking and smokeless tobacco were limited in Sudan. The aim of this study is to estimate the prevalence of tobacco use among adolescents and to describe determinant factors associated with tobacco use. Descriptive school based cross-sectional study was conducted, and multistage random sampling was used to recruit participants from secondary schools in Khartoum State, Sudan. Self-administered questionnaire of Arabic version of Global Youth Tobacco …


The Association Between Connectedness Towards Religion, Family, And School, And The Symptoms Of Depression, Anxiety, And Stress Among Malaysian Adolescents, Samian Siti Sabariah Jan 2020

The Association Between Connectedness Towards Religion, Family, And School, And The Symptoms Of Depression, Anxiety, And Stress Among Malaysian Adolescents, Samian Siti Sabariah

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The unmet alignment between reality and expectation in addition to immaturity in the development of the prefrontal area means adolescents have tendencies to embark on poor decisions, making them vulnerable to acquiring mental health problems. Abiding by their religion and strong connections with family and school has been proven in European/Western nations to promote adolescent mental well-being, provide ventilation to release stress and protect the youngsters from acquiring anxiety and depression. Given the vast differences between European/Western social norms and Eastern culture, this study was conducted to examine the association between adolescent connectedness towards religion, family and school on the …


Patient Concerns Inventory Head And Neck As An Individualised Approach To Assess Post-Treatment Outcomes Among Oral Cancer Patients In Malaysia, Aminnudin Ainon Natrah Jan 2020

Patient Concerns Inventory Head And Neck As An Individualised Approach To Assess Post-Treatment Outcomes Among Oral Cancer Patients In Malaysia, Aminnudin Ainon Natrah

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Background: Oral cancer and its treatment undisputedly impacts patients‘ quality of life, posing a challenge to clinicians in managing them optimally. Identifying patients‘ concerns is central to holistic patient care; as such time constraints faced by clinicians during consultation sessions may pose a barrier in identifying such concerns effectively. The use of PCI-H&N during post-treatment oral cancer consultation sessions has previously shown to be beneficial, simultaneously promoting effective patient- clinician communication during consultations. Objectives: This study aimed to determine the feasibility of the PCI-H&N in assessing post- treatment oral cancer patients concerns and its relationship with patients‘ HRQoL, psychological distress …


Tubular Adenoma Of Breast, Diksha Dadlani Jan 2020

Tubular Adenoma Of Breast, Diksha Dadlani

Digital Journal of Clinical Medicine

No abstract provided.


Kikuchi-Fujimoto Disease, Rohan Karkra Jan 2020

Kikuchi-Fujimoto Disease, Rohan Karkra

Digital Journal of Clinical Medicine

No abstract provided.


Macular And Optic Disc Drusenoid Deposits With Hemifield Defects In A Patient With Iga Nephropathy: New Findings, Dr. Prabhakar S K Jan 2020

Macular And Optic Disc Drusenoid Deposits With Hemifield Defects In A Patient With Iga Nephropathy: New Findings, Dr. Prabhakar S K

Digital Journal of Clinical Medicine

No abstract provided.


A Case Of Megaloblastic Anemia With Suspected Gilbert Syndrome, Nair A, Prasad R, Dr. Ravikumar S, Dr. Prasanna Kumar Jan 2020

A Case Of Megaloblastic Anemia With Suspected Gilbert Syndrome, Nair A, Prasad R, Dr. Ravikumar S, Dr. Prasanna Kumar

Digital Journal of Clinical Medicine

No abstract provided.


A Case Of Recurrent Pregnancy Loss Due To Bicornuate Uterus, Chandran S Jan 2020

A Case Of Recurrent Pregnancy Loss Due To Bicornuate Uterus, Chandran S

Digital Journal of Clinical Medicine

No abstract provided.


A Case Of Right Lower Lobe Lung Abscess With Stage Iii Empyema, Dey Sauparna, Dr. Ravi M D Jan 2020

A Case Of Right Lower Lobe Lung Abscess With Stage Iii Empyema, Dey Sauparna, Dr. Ravi M D

Digital Journal of Clinical Medicine

No abstract provided.


Uterine Prolapse, Nimisha Sinha, Sakshi Anurika, Dr. Anu Prerana Jan 2020

Uterine Prolapse, Nimisha Sinha, Sakshi Anurika, Dr. Anu Prerana

Digital Journal of Clinical Medicine

No abstract provided.


Ataxia Telangiectasia- A Case Report, Pooja Pallavi, Dr. Rajani H.S Jan 2020

Ataxia Telangiectasia- A Case Report, Pooja Pallavi, Dr. Rajani H.S

Digital Journal of Clinical Medicine

No abstract provided.