1.Prevalence of Metabolic Syndrome (MetS) and Determinants Among Obese Teachers in Makassar, Indonesia
The International Medical Journal Malaysia 2019;18(2):29-37
Metabolic Syndrome (MetS) is related to the increased risk of non-communicable diseases (NCDs). Teacher
profession is an adult group with various risks of NCDs. This study aims to assess the determinants of the MetS
in teachers with central obesity. Material and Methods: The study was conducted in Makassar, South Sulawesi,
Indonesia with cross- sectional study design on 12 secondary schools. The number of samples in this study was
129 teachers. The prevalence of the MetS was determined using criteria from the Joint Interim Statement,
while physical activity and sitting time were measured using the International Physical Activity Questionnaire
(IPAQ). Results: Respondents in our study were mostly women (78.3%) with an average age of 49.8 years. The
prevalence of the MetS in our study population was 39.5%. The prevalence of the Mets was higher in Buginese
ethnic (70.6%), respondents with more income (56.9%), bachelor degree (80.4%), married (98%), family
history of diabetes mellitus, obesity, hypertension and heart diseases (52.9%), and moderate physical
activity (37.3%). There was a significant relationship between sitting time 4 hours; p=0.004), parameters
of Mets (p<0.001), LDL (p=0.026), and LDL/HDL ratio (p<0.001) with the Mets. Conclusions: The prevalence of
the Mets is high among obese teachers in our study population. Sitting time was an important determinant for
MetS among obese teachers.
2.Role of the Immunohistochemical Marker (Ki67) in Diagnosis and Classification of Hydatidiform Mole
The International Medical Journal Malaysia 2019;18(3):136-142
Introduction: Since the hallmark of gestational trophoblastic disease is trophoblastic proliferation, Ki67
is regarded as the best marker in studying hydatidiform mole.This study was conducted to evaluate the role
of this proliferative marker in distinguishing among hydropic abortion, partial and complete hydatidiform
mole. Materials and methods: This is a cross sectional study involving the application of Ki67 on a total
of 90 histological samples of curetting materials from molar (partial and complete mole) and non molar
hydropic abortion belong to Iraqi females, so three study groups were created. Immunohistochemical
expression in villous cytotrophoblasts, syncytiotrophoblasts and stromal cells were recorded separately by
three independent observers and the results were correlated statically. Results: The mean number of
stained nuclei of villous cytotrophoblasts and stromal cells was the highest in complete mole and the lowest
in non molar hydropic abortion. There is a significant statistical relationship regarding Ki67 labeling index in
villous cytotrophoblasts between partial moles and hydropic abortion, complete mole and partial moles,
hydropic abortion and complete mole. Regarding Ki67 labelling index in villous stromal cells, a significant
statistical relationship achieved when the correlation done between partial mole and hydropic abortions,
hydropic abortion and complete mole, while a non significant statistical relationship was achieved if the
correlation done between partial and complete mole. All villous syncytiotrophoblasts showed negative
results. Conclusion: Ki-67 labeling index in villous cytotrophblastic cells are useful in separating between
partial moles and hydropic abortion, partial mole and complete mole, hydropic abortion and complete
mole. While Ki-67 labeling index in villous stromal cells is only useful in separating between partial moles
and hydropic abortion, hydropic abortion and complete mole.
3.Cardiovascular Lifestyle Risks And Cardiovascular Screening Activities Among Healthy Government Servants In Kuala Terengganu, Malaysia
Nurulhuda Mat Hasan ; Norwati Daud
Malaysian Journal of Public Health Medicine 2016;16(2):1-7
Lifestyles such as unhealthy dietary habits, physical inactivity and smoking are considered fundamental risk factors for cardiovascular disease. Preventive activities have been shown to reduce mortality and morbidity from cardiovascular disease. This study aimed to determine the prevalence of cardiovascular lifestyle risks and cardiovascular preventive activities among healthy government servants in Kuala Terengganu, Malaysia. A cross-sectional study was done from June to September 2013 among 121 government servants working at the Federal Complex, Kuala Terengganu. A questionnaire which consists of socio-demographic data, International Physical Activity Questionnaire (IPAQ), the dietary component of WHO STEPS and cardiovascular screening activities were used as tools. Clustering of cardiovascular lifestyle risks was defined as the presence of two or more of smoking, physical inactivity and unhealthy diet. Optimal cardiovascular screening is defined as having done the required screening for hypertension, diabetes, dyslipideamia and obesity. The study response rate was 90.9% (110 of 121). Prevalence of smoking, physical inactivity and unhealthy diet were 20%, 50% and 87% respectively. The prevalence of clustering of cardiovascular lifestyle risks was 57%. The prevalence of optimal cardiovascular screening for age was 49%. The prevalence of cardiovascular lifestyle risks among government servants in Kuala Terengganu is still high. About half of them did not have the optimal screening for cardiovascular disease. Measures need to be done to promote healthy lifestyle behaviors in the community. Effort should be made at the primary care level and public health to screen those with multiple cardiovascular lifestyle risks in order to optimize cardiovascular disease prevention.
4.Masturbation and orgasm as migraine headache treatment: Report of a case
Ali Ulvi Uca ; Hasan Hüseyin Kozak
Neurology Asia 2015;20(2):185-186
This is a report of an unusual case, where the patient used clitoral and/or vaginal masturbation and orgasm
for treatment of migraine attack. While the non drug treatment was effective, she subsequently developed
depression. The orgasm from masturbation, resulting in the rush of endorphins, probably relieved the
migraine. However, as demonstrated in our patient, the patient also had sexual aversion, tiredness,
feeling of shame and guilt, followed by depression from the alternative non-drug treatment.
Migraine Disorders
5.Cluster-tic syndrome and bilateral internuclear ophthalmoplegia as the manifestation of multiple sclerosis
Ali Ulvi Uca ; Hasan Hüseyin Kozak
Neurology Asia 2015;20(3):305-307
This report describes a 35-year-old female suffering from a cluster-tic syndrome and bilateral internuclear
ophthalmoplegia as the initial manifestation of multiple sclerosis. Magnetic resonance imaging of the
brain revealed multiple pontine hyperintense lesions. To our knowledge, there is no previous report
of multiple sclerosis presenting as cluster-tic syndrome and bilateral internuclear ophthalmoplegia in
the literature. The cluster headache attacks and peri-ocular neuralgiform pain resolved after treatment
with intravenous methyl-prednisolone and oral carbamazepine.
Multiple Sclerosis
;
Headache Disorders
6.Molecular evidence of hemoplasmas in Malaysian cattle and ticks
Mohd Hasan, L.I. ; Kho, K.L. ; Koh, F.X.
Tropical Biomedicine 2017;34(3):668-674
Hemotrophic mycoplasma (hemoplasmas) is a cell wall-less bacterium causing
infectious anemia in animals. As data on hemoplasmas infecting cattle in Malaysia is scarce,
specific polymerase chain reaction assays were used for detection of hemoplasmas from
blood samples of cattle and ticks in this study. Hemoplasma DNA was detected in 69 (69.0%)
of 100 cattle blood samples obtained from different breeds. A total of 50.0% of the cattle in
this study were infected with only Mycoplasma wenyonii, while 2.0% were infected with
only Candidatus Mycoplasma haemobos and 17% were infected with both species. Based on
sequence analysis of the partial or nearly full length sequences of hemoplasma 16S rRNA
gene, the presence of M. wenyonii and Candidatus M. haemobos was confirmed. Hemoplasmapositive
cattle of less than three years appeared to have higher infection rate compared to
other age groups. M. wenyonii was identified for the first time in approximately 30% of cattle
ticks (Rhipicephalus microplus and Haemaphysalis sp.) in this study. This study presents the
first molecular evidence of hemoplasmas in Malaysian cattle and ticks.
7.Prevalence And Associated Factors Of Eating Disorders Among Students In Taiba University, Saudi Arabia: A Cross-Sectional Study
Abdullah Hasan Alhazmi ; Abdulaziz Al Johani
Malaysian Journal of Public Health Medicine 2019;19(1):172-176
This cross-sectional study aimed to determine the prevalence and associated factors of eating disorders among health specialties students in Taiba University. Stratified and systematic random sampling technique were employed to select 342 students. The validated Eating Attitude Test (EAT-26) was used to measure eating disorders. The majority aged ≤22 years (64.6%), 25.4% were overweight and 9.9% were obese. High risk eating disorders was reported by 28.7% of respondents. The majority had GPA of ≤2.49. High risk eating disorders was significantly higher among females (OR=2.6, 95%CI 1.6-4.2), among those aged ≤22 years (OR=2.2, 95%CI 2.2-3.8), among those who had a GPA more than 2.49 (OR=2.2, 95%CI 1.2-4.3) and among those who are obese compared to underweight (OR= 3.1,95% CI 1.6-9.0). In conclusion, high risk eating disorders was relatively high and it was associated with gender, BMI, age and GPA.
8.Fungal Osteomyelitis Of Ulnar Bone: A Rare Type And Presentation
Malaysian Orthopaedic Journal 2018;12(Supplement A):101-
9.Influence Of Smoking Ban In Eateries On Smoking Attitudes Among Adult Smokers In Klang Valley Malaysia
Jinat Ahmed ; Mathialagan AG ; Nazmul Hasan
Malaysian Journal of Public Health Medicine 2020;20(1):1-8
The objective of this study was to determine the effect of smoking ban in eateries on smoking behaviors and intention to quit smoking among adult smokers in Klang Valley. A validated questionnaire was utilized for this study whereby three variables of the study (socio-demographic characteristics, smokers attitude, and intention to quit smoking) were measured. The structured questionnaire contained closed ended questions where present of dichotomous(yes/no), multiple choice questions and 7-point likert scale questions. 600 questionnaires were distributed to target respondents in eateries of Klang Valley. The inclusion criteria were local citizen of Malaysia, those who gave consent to take part in the study, literate in English, smokers aged 18 years old and above. The data were analyzed utilizing SPSS software version 21.0. There were 504 completed and usable responses received, which represented an 84% response rate. Majority of smokers in Klang Valley were male which constituted around 78.2% of the respondents. Manufactured cigarette, 75.2% was the most preferred type of nicotine among smokers. Smokers attitude and social support with a smoking ban in restaurants and eateries was significantly associated with intention to quit smoking. 73.8% of smokers agree that the smoking ban in eateries and restaurants have reduced their daily smoking frequency and 58.3% of smokers agreed that the nationwide smoking ban at eateries and public places aspire them to quit smoking.Smoking ban is beneficial to help reduce prevalence of smoking among smokers that in turn helps to reduce secondary smoking and burden of non-communicable diseases in the long run. Though only a little over half of the respondents claimed that the ban inspires them to quit smoking, this is a positive start as the ban was just introduced. When effectively implemented, they are seen as an important element of policy to support behavior change in favor of a healthy lifestyle. The Ministry of Health should push forward with the ban on public smoking as soon as possible. The ban should be in tandem with efforts to help smokers quit. Implementing this scheme nationwide would be a remunerative move to help strive for a better health and cleaner environment for this country.
10.Some ecological attributes of malarial vector Anopheles superpictus Grassi in endemic foci in southeastern Iran
Nejati Jalil ; Vatandoost Hasan ; Oshghi Ali Mohammad ; Salehi Masud ; Mozafari Ehssan ; Moosa-Kazemi Hasan Seyed
Asian Pacific Journal of Tropical Biomedicine 2013;(12):1003-1008
Objective:To determine the bionomics and susceptibility status of the malarial vector Anopheles superpictus (An. superpictus) to different insecticides in the Sistan-Baluchestan province which has the highest malarial prevalence in Iran.
Methods:Different sampling methods, in addition to scoring abdominal conditions, were used to define the seasonal activity and endo/exophilic behavior of this species. In addition, the standard WHO susceptibility tests were applied on adult field strains.
Results: Most adult mosquitoes were collected from outdoor shelters. The peak of seasonal activity of An. superpictus occurred at the end of autumn. Most larvae were collected from natural and permanent breeding places with full sunlight and no vegetation. Blood feeding activities occurred around midnight. Compared with the abdominal conditions of adult mosquitoes collected indoors, the abdominal conditions of adult mosquitoes collected outdoors were gravid and semigravid. This species was suspected to be resistant to DDT, but was susceptible to other insecticides.
Conclusions:An. superpictus was present in almost all outdoor shelters, and the ratios of gravid, semigravid/unfed, and freshly fed confirmed that this species had a higher tendency to rest outdoors than indoors. This behavior can protect An. superpictus from indoor residual spraying in this malarious area. To the best of our knowledge, this is the first report on the susceptibility status of An. superpictus in Southeastern Iran. We do not suggest the use of DDT for indoor residual spraying in southeast Iran.