2.Sexual Dysfunction amongst Women with Benign Gynaecological Disease
Norliza MD ; Norzilawati MN ; Hatta S ; Shuhaila
Journal of Surgical Academia 2012;2(2):1-1
There was no difference in female sexual dysfunction amongst women with and without benign gynaecological disease.
3.Is Electroconvulsive Therapy Safe for Patient with Very Low BMI? A Case Report
Loo JL ; Farah Deena AS, Hatta S
Medicine and Health 2016;11(1):83-86
A case of rapid stabilization using electroconvulsive therapy (ECT) for a major
depressive disordered (MDD) patient with life-threatening low body mass index
(BMI) is reported. This case report focuses on a 55-year-old Malay housewife with
underlying hyperthyroidism in a euthyroid state who presented with MDD with
mood congruent psychotic features, which were precipitated by the death of her
husband. Her BMI was only 11 kg/m2
due to severe anorexia, and she was highly
suicidal. Peripheral total parenteral nutrition was started and ECT was commenced
for rapid stabilization on top of tablet escitalopram 15 mg nocte. Full remission was achieved after nine ECTs and steady healthy weight gain was achieved throughout
admission. The patient was discharged at BMI of 13 kg/m2
with good appetite. ECT
was safe for very low BMI MDD patient.
Electroconvulsive Therapy
;
Depressive Disorder, Major
4.Sexual Pain Disorder with Anxiety and Depressive Psychopathology as Complication: A Case-Report
Ameerah Adeelah MA ; Kanit TD ; Hatta S
Medicine and Health 2016;11(1):87-91
Vaginismus is a sexual dysfunction which results from vaginal musculature spasm
and makes the penetration almost impossible. It is commonly associated with
significant emotional distress. On several occasions, fear of pain during sexual
intercourse may perpetuate the sexual dysfunction. We report a case of primary
vaginismus that was associated with psychiatric squeale of anxiety and depression
psychopathology. It suggests that psychological problems related to a mentalhealth
problem in vaginismus should be dealt adequately for a holistic approach.
A combination of behavioural, psychological and pharmacological treatment is
important to ensure a good prognosis outcome.
Vaginismus
;
Sexual Dysfunctions, Psychological
5.Patients and Relatives' Perspectives about Electroconvulsive Therapy (ECT) In Khartoum, Sudan
OMER MH ; AHMED KM ; MOHAMMED IH ; HATTA S ; NAJMI S
Medicine and Health 2019;14(2):242-252
Lack of knowledge and inappropriate attitude towards electroconvulsive therapy
(ECT) treatment may affect the outcome of psychiatric’s morbidity and mortality.
However, less systematic studies have been done on this area. This study aimed
to assess the patients’ and relatives’ perspectives, i.e. knowledge, attitude
and compliance on ECT in Khartoum State, Sudan. This was an observational
hospital-based study conducted among 103 psychiatric patients and their relatives
respectively who visited the Taha Basher and Eltigani Elmahi psychiatric hospitals
during 2016. Both the patients and their relative inquired about different criteria
of knowledge and attitude towards ECT. The percentage of score was calculated
based on their positive answers by selecting the most appropriate answer or
by calculating the mean of many positive answers. All the data were collected
through a pre-designed questionnaire, and further analyzed statistically. Male was
represented 61 (59.2%) and the commonest age group of patients was 16-30 years.
The overall score of knowledge towards ECT among patients and their relative was
54.9% and 59.4%, respectively. Acceptance on the use of ECT were agreed by
43.7% of patients and more than 70% of patients and their relatives believed giving
ECT for emergency psychiatric cases. Psychiatrist was the most frequent source of
information reported by both patients (73.8%) and relatives (67%). Male relatives
showed significantly higher attitude of recommending ECT treatment (p=0.004)
for other patients. Patients and their relatives were reported to have moderate and
better knowledge and attitude towards the use of ECT, respectively.
6.Clinical Correlates of Erectile Dysfunction among Male Patients on Methadone Maintenance Therapy (MMT) in Kuala Lumpur
NJ Nik Ruzyanei ; M Noormazita ; B Azlin ; I Normala ; Z Hazli ; S Abdul Aziz ; S Hatta
Malaysian Journal of Medicine and Health Sciences 2012;8(1):27-35
Introduction: Sexual dysfunction is common but not often assessed in the routine clinical care among
males on opiate substitute treatment. Objective: To determine the association between clinical variables
and erectile dysfunction (ED) among men on methadone maintenance therapy (MMT). Methods: A
cross-sectional study involving 108 participants who attended the Drug Clinic, Hospital Kuala Lumpur.
The instruments used include the Structured Clinical Interview for DSM-IV Axis-I Disorder (SCID-I),
Beck Depression Inventory (BDI) and International Index of Erectile Function-15 (IIEF-15). Results:
Concurrent heroin abuse was significantly associated with presence of ED (p=0.024). Treatment factors
including methadone dose and duration of methadone treatment were not significantly associated with
ED. Conclusion: Education on sexual dysfunction as a potential adverse effect and its association
with illicit heroin use should be considered in the doctor-patient consultation to encourage treatment
adherence and abstinence from heroin.
7.Immunohistochemical Study of p53 Expression in Premalignant and Malignant Cervical Neoplasms
Tan GC ; Sharifah NA ; Salwati S ; Shiran MS ; Hatta AZ ; Ng HO
Medicine and Health 2007;2(2):125-132
One of the most important cervical cancer risk factors is human papillomavirus (HPV)
infection. The p53 gene is one of the most important targets of the HPV E6 gene. E6
protein has the ability to stimulate p53 degradation, inhibits several functions of wild-type
p53 and it competes with its function including suppression of malignant growth. The aim
of this study is to determine the differences in p53 expressions in pre-malignant and
malignant cervical neoplasms. This is a retrospective study on 100 cases of cervical neoplasms. There were 21 cases of CIN 1, 8 cases of CIN 2, 25 cases of CIN 3, 36 cases
of squamous cell carcinoma, 7 cases of adenocarcinoma and 3 cases of adenosquamous
carcinoma. All cases were evaluated by immunohistochemistry using p53 monoclonal
antibody. Thirty six of the 54 pre-malignant cases (66.7%) were positive for p53 protein, in
contrast to the malignant cases in which, 40 of the 46 cases (87.0%) were positive. The
majority of CIN showed absent to focal staining (29/54, 53.7%). In contrast, 84.8% (39/46)
of the invasive carcinoma showed regional to diffuse staining. The expression of p53 is
greater in the malignant cervical neoplasms than the pre-malignant cervical lesions,
suggesting that p53 overexpression is not an early phenomenon in the pathogenesis of
cervical cancer. It is also shown to be slightly higher in percentage in CIN 2 and 3 when
compared with CIN 1. However, a number of cases were p53 negative, suggesting that
other factors may be involved and further HPV studies are indicated.
8.The Prevalence and Risk Factors of Major Depressive Disorders in Gynaecological
BC Tee ; CK Phang ; A Rasidi ; M Rushdan ; I Aliyasand ; S Hatta
Malaysian Journal of Medicine and Health Sciences 2013;9(2):53-61
Major Depressive Disorder (MDD) in gynaecological cancer patients is a disabling illness with
signifi cant mental and physical suffering. Determining the risk factors of MDD in cancer patients enables
us to pay more attention to those who are vulnerable and to device effective strategies for prevention,
early detection, and treatment. The objective of the study is to determine the prevalence of MDD and
its associated risk factors in gynaecological cancer patients at Hospital Sultanah Bahiyah, Alor Star.
This is a hospital-based cross-sectional descriptive study of 120 gynaecological cancer patients in
Gynae-Oncology Unit in Hospital Sultanah Bahiyah, Alor Star. Mini International Neuropsychiatry
Interview (MINI) was used for diagnosis of MDD. Socio-demographic data and clinical variables
were collected. MVFSFI (Malay version Female Sexual Function Index) was used to determine sexual
dysfunction, and WHOQOL-BREF (World Health Organization – Quality of Life-26) was performed
to assess quality of life. The prevalence of MDD in gynaecological cancer patients in the study was
18%. The variables found to be signifi cantly associated with MDD were lack of perceived social
support, greater physical pain perception, presence of past psychiatric history, and poorer quality
of life. Meanwhile, sexual dysfunction was not associated with MDD. Logistic regression analysis
revealed that only the psychological health domain of QOL was signifi cantly associated with MDD,
and contributed to 60% of the variation in MDD. The prevalence of MDD in gynaecological cancer
patients is higher than those in the general population. In view that MDD can compromise cancer
prognosis and patient’s well-being, psychosocial intervention is recommended as a part of multidisciplinary
and comprehensive management of gynaecological cancer.
9.Sexual Dysfunction among Post Menopausal Women
Wan Masliza WD ; Shuhaila A ; Hatta S ; Mohd Rohaizat H ; Norzilawati MN
Journal of Surgical Academia 2012;2(2):1-1
The prevalence of sexual dysfunction among post menopausal women was high. The most affected domains were satisfaction, desire and arousal. The associated factors were older age, lower education level, and type of menopause.
10.Assessment of Marital Dissatisfaction and Its Association with Sexual Dysfunction and Psychiatric Morbidities among Primary Health Attenders in Malaysia
Ahmad Faizal S MB Bch BAO ; Hatta Sidi MBBS, MMED(PSYCH) ; Suzaily Wahab MD, MMED(PSYCH) ; Najwa Baharuddin Msc
The International Medical Journal Malaysia 2017;16(2):19-26
Marital satisfaction is vital to the wellbeing and functioning of the individual and family.
Marital dissatisfaction can lead to detrimental effects on mental, physical and family health. The study
aimed to determine the proportion of marital dissatisfaction in outpatient setting and its association with
sexual functioning and psychiatric morbidity in Kuala Lumpur, Malaysia. Materials & Methods: A crosssectional
study was conducted in selected primary care using purposive sampling. Data collection was
done using socio-demographic questionnaire and several validated Malay version of self-administered
questionnaires. Marital satisfaction was measured by the Malay version of Golombok–Rust Inventory of
Marital State (Mal-GRIMS). Results: The prevalence of marriage dissatisfaction in sample population was
about 37.3% with almost equal prevalence in both, 36.5% (male) and 37.8% (female). Using a regression
analysis, the significant factors that affect marital dissatisfaction were respondent’s age group between 31-
40 years old (Adjusted Odds Ratio, AOR. =11.4, 95% Confidence Interval, CI. =1.2-110.9), spouse’s salary of
RM1000-RM2000 (lower income category) (AOR=7.3, 95% CI= 1.9-28.1), anxiety case (AOR= 4.8, 95% CI=1.1-
21.5), depression case (AOR= 4.8, 95% CI=1.0-22.8), female sexual dysfunction in term of arousal function
(AOR= 0.01, 95% CI=0.0-0.7), satisfaction dysfunction (AOR= 9.4, 95% CI= 1.5-58) and pain function
(AOR=43.7, 95% CI=1.28 - 1489.2). Conclusion: Marital dissatisfaction can be influenced by financial factor,
sexual dysfunction and presence of psychiatric morbidity. Hence, in management of marital discord,
thorough screening of these factors should be prioritized in clinical setting.