1.Second Opinion On Insanity Plea In A Murder And Attempted Suicide Case: A Case Report
Najwa Hanim Md Rosli ; Badi’ah Yahya ; Abdul Kadir Abu Bakar
ASEAN Journal of Psychiatry 2011;12(1):1-5
Objectives: This paper aims to discuss the issue related to the application of temporary insanity plea through a case report of a man who was earlier certified as mentally sound following a murder and suicide attempt. Methods: We report a man who committed murder and attempted suicide 7 years ago, had a psychiatric certification of not having mental illness and recently requested for a second psychiatric assessment. The factors taken into consideration in arriving at the final diagnosis are discussed. Results: The man was found to have brief psychotic disorder precipitated by psychological blow and sleep deprivation with underlying undiagnosed borderline mental retardation.Conclusion: In assessing patient with temporary insanity plea, various areas in the history need to be explored deeply with thorough investigations to be done in order to arrive at a fair conclusion for the patient’s and victim’s sake.
2.Inhalant Dependence: Is There A Role Of Achieving Abstinent Through Supported Employment? A Case Report
Radhiahtul Akmal Razali ; Ahmad Faizal Shamsuddin ; Suzaily Wahab ; Abdul Kadir Abu Bakar
ASEAN Journal of Psychiatry 2015;16(2):1-4
Objective: This case report highlights the success of community services and supported employment program that may be of help to a woman with chronic inhalant use to achieve a complete abstinence.
Methods: We report the case of a 45 year old lady who chronically abused glue, presented after 10 years with substance induced psychosis and comorbid mood disorder.
Results: Abstinent from inhalant dependence was achieved after series of home treatment services and supported employment program.
Conclusion: Provision of acute community service and incorporating this patient in supported employment program contribute to her successful journey in achieving abstinence from inhalant dependence.
3.Metabolic syndrome and cardiovascular risk among patients with schizophrenia receiving antipsychotics in Malaysia.
Mas Ayu SAID ; Ahmad Hatim SULAIMAN ; Mohd Hussain HABIL ; Srijit DAS ; Abdul Kadir Abu BAKAR ; Rosliwati Md YUSOFF ; Tsui Huei LOO ; Shamshunnisah Abu BAKAR
Singapore medical journal 2012;53(12):801-807
INTRODUCTIONThis study aimed to determine the prevalence of metabolic syndrome and risk of coronary heart disease (CHD) in patients with schizophrenia receiving antipsychotics in Malaysia.
METHODSThis cross-sectional study, conducted at multiple centres, involved 270 patients who fulfilled the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR diagnostic criteria for schizophrenia, were on antipsychotic medications for at least one year, and were screened for metabolic syndrome. Patients receiving mood stabilisers were excluded. Metabolic syndrome was defined according to the National Cholesterol Education Program ATP III criteria modified for Asian waist circumference. Risk for cardiovascular disease was assessed by using Framingham function (all ten-year CHD events).
RESULTSThe prevalence of metabolic syndrome was 46.7% (126/270). Among all the antipsychotics used, atypical antipsychotics (monotherapy) were most commonly used in both the metabolic and non-metabolic syndrome groups (50.8% vs. 58.3%). The ten-year risk for CHD was significantly higher in patients with metabolic syndrome. The proportion of patients with high/very high risk for CHD (Framingham ≥ 10%) was greater in patients with metabolic syndrome than in those with non-metabolic syndrome (31.5% vs. 11.0%, odds ratio 3.9, 95% confidence interval 2.0-7.6; p < 0.001). The mean body mass index was higher in patients with metabolic syndrome than in those without (29.4 ± 5.1 kg/m2 vs. 25.0 ± 5.6 kg/m2; p < 0.001).
CONCLUSIONPatients with schizophrenia receiving antipsychotics in Malaysia have a very high incidence of metabolic syndrome and increased cardiovascular risk. Urgent interventions are needed to combat these problems in patients.
Adolescent ; Adult ; Aged ; Antipsychotic Agents ; adverse effects ; therapeutic use ; Body Mass Index ; Cardiovascular Diseases ; epidemiology ; etiology ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; Malaysia ; epidemiology ; Male ; Metabolic Syndrome ; epidemiology ; etiology ; Middle Aged ; Odds Ratio ; Prevalence ; Retrospective Studies ; Risk Factors ; Schizophrenia ; complications ; drug therapy ; epidemiology ; Young Adult
4.A Case Report of Failure to Thrive Caused by Parental Intellectual Disability: The Invisible Population
Atirah Az-Zahrah ABU BAKAR ; Azidah Abdul KADIR ; Nursuhaila IDRIS
Korean Journal of Family Medicine 2021;42(5):403-406
This case illustrates the medical complication of a child that arose as a consequence of parents with intellectual disabilities in a primary care setting. A 9-month-old girl presented with multiple admissions because of recurrent pneumonia and was later diagnosed with failure to thrive based on child neglect resulting from the parents’ disabilities. This exemplifies a failure to thrive case with a complex and undiagnosed psychosocial background that required interdepartmental involvement to mitigate the health problem.
5.A Case Report of Failure to Thrive Caused by Parental Intellectual Disability: The Invisible Population
Atirah Az-Zahrah ABU BAKAR ; Azidah Abdul KADIR ; Nursuhaila IDRIS
Korean Journal of Family Medicine 2021;42(5):403-406
This case illustrates the medical complication of a child that arose as a consequence of parents with intellectual disabilities in a primary care setting. A 9-month-old girl presented with multiple admissions because of recurrent pneumonia and was later diagnosed with failure to thrive based on child neglect resulting from the parents’ disabilities. This exemplifies a failure to thrive case with a complex and undiagnosed psychosocial background that required interdepartmental involvement to mitigate the health problem.
6.A Preliminary Study On The Specificity And Sensitivity Values And Inter-Rater Reliability Of Mini International Neuropsychiatry Interview (MINI) In Malaysia
Firdaus Mukhtar ; Abdul Kadir Abu Bakar ; Mazni Mat Junus ; Azizul Awaludin ; Salina Abdul Aziz ; Marhaini Midin ; ; Muhammad Fadzillah Abdul Razak ; Nurashikin Ibrahim ; Ang Kim Teng ; Jasvindar Kaur ; Hairul Anuar Hashim ; Maniam Tambu ; Noor Ani Ahmad
ASEAN Journal of Psychiatry 2012;13(2):1-8
Objective: The MINI International Neuropsychiatric Interview (MINI) is a short, structured diagnostic interview compatible with the Diagnostic and Statistical
Manual of Mental Disorders-IV (DSM-IV). It was designed for clinical practice, research in psychiatric, primary care settings and epidemiological surveys. This
preliminary study aims to evaluate the reliability and validity of the Malaysian Version of MINI for Major Depressive Disorder and Generalized Anxiety Disorder
symptoms criteria only. Methods: Six hours of MINI training was given as part of a National Health Morbidity Survey training program for layman interviewers
(n=229) and three videos were prepared by an expert psychiatrist for inter-rater reliability purposes. Meanwhile, for validity purposes, the MINI was administered
to patients with Major Depressive Disorder (n=30), Generalized Anxiety Disorder (n=20) and to a normal population (n=60), to conform against the Diagnostic and
Statistical Manual of Mental Disorder (DSM-IV) that was administered by psychiatrists. Results: Overall the inter-rater reliability was satisfactory (0.67 to
0.85) and the concordance between the MINI’s and expert diagnoses was good, with kappa values of greater than 0.88. Conclusions: The Malay version of the MINI is
adjusted to the clinical setting and for the assessment of positive cases in a community setting. Modifications were highlighted to correct any identified
problems and to improve the reliability of the MINI for future research and clinical use.
7.Neuroimaging findings are sensitive and specific in diagnosis of tuberculous meningitis
Mei-Ling Sharon Tai ; Hazman Mohd Nor ; Kartini Rahmat ; Shanthi Viswanathan ; Khairul Azmi Abdul Kadir ; Norlisah Ramli ; Fatimah Kamila Abu Bakar ; Norzaini Rose Mohd Zain ; Suhailah Abdullah ; Jun Fai Yap ; Ahmed Shaheed ; Boon Seng Ng ; Mohd Hanip Rafia ; Chong Tin Tan
Neurology Asia 2017;22(1):15-23
Objective: The primary objective of this study was to describe the neuroimaging changes of tuberculous
meningitis (TBM), and to determine the role of neuroimaging in the diagnosis of TBM. Methods:
Between January 2009 and July 2015, we prospectively recruited TBM patients in two hospitals in
Malaysia. Neuroimaging was performed and findings were recorded. The control consists of other types
of meningo-encephalitis seen over the same period. Results: Fifty four TBM patients were recruited.
Leptomeningeal enhancement was seen in 39 (72.2%) patients, commonly at prepontine cistern and
interpeduncular fossa. Hydrocephalus was observed in 38 (70.4%) patients, 25 (46.3%) patients had
moderate and severe hydrocephalus. Thirty four patients (63.0%) had cerebral infarction. Tuberculoma
were seen in 29 (53.7%) patients; 27 (50.0%) patients had classical tuberculoma, 2 (3.7%) patients
had “other” type of tuberculoma, 18 (33.3%) patients had ≥5 tuberculoma, and 11 (20.4%) patients
had < 5 tuberculoma. Fifteen (37.2%) patients had vasculitis, 6 (11.1%) patients had vasospasm. Close
to nine tenth (88.9%) of the patients had ≥1 classical neuroimaging features, 77.8% had ≥ 2 classical
imaging features of TBM (basal enhancement, hydrocephalus, basal ganglia / thalamic infarct, classical
tuberculoma, and vasculitis/vasospasm). Only 4% with other types of meningitis/encephalitis had ≥1
feature, and 1% had two or more classical TBM neuroimaging features. The sensitivity of the imaging
features of the imaging features for diagnosis of TBM was 88.9% and the specificity was 95.6%.
Conclusion: The classic imaging features of basal enhancement, hydrocephalus, basal ganglia/thalamic
infarct, classic tuberculoma, and vasculitis are sensitive and specific to diagnosis of TBM.
Tuberculosis, Meningeal