1.Imaging of Osteo-odontokeratoprosthesis(OOKP) Using Multidetector Computed Tomography: A UKMMC Experience
The Medical Journal of Malaysia 2013;68(1):73-75
Osteo-odontokeratoprosthesis (OOKP) surgery is a
technique used to replace damaged cornea in blind patients
for whom cadaveric transplantation is not feasible. OOKP
surgery is a complex procedure requiring lifetime follow–up.
The preservation of the osteo–odontolamina is the vital
feature in maintaining the stability of the OOKP. Early
detection of lamina resorption enables early prophylactic
measures to be taken and prevent resorption-related
complications. This case illustrates the radiological findings of the first OOKP surgery in Malaysia and the role of multidetector computed tomography (MDCT) in
postoperative management of OOKP surgery.
2.Association of Energy Intake and Macronutrient Composition with Overweight and Obesity in Malay Women from Klang Valley
Lee CL ; Norimah AK ; Ismail MN
Malaysian Journal of Nutrition 2010;16(2):251-260
This cross-sectional study investigates the association between energy intake and macronutrient composition of the diet with overweight and obesity among
Malaysian women. One hundred and fifteen adult Malay women aged 20 to 59 years (mean age 37.2±7.6 years) were interviewed. Dietary intake was assessed using the food history method. Body weight status was assessed using weight, height, waist circumference and fat percentage measurements. When energy intake was assessed for accuracy, only 41% of the subjects (n=47) were normal
energy reporters. Among the normal energy reporters, 55% were of normal weight whereas 32% and 13% were overweight and obese. Mean energy intake for normal weight, overweight and obese subjects was 1685±199 kcal/day,
1810±166 kcal/day and 2119±222 kcal/day, respectively. Energy intake increased with body mass index (BMI) category. Among the overweight and obese, energy
intake was respectively higher by 125 kcal/day and 434 kcal/day as compared to their normal weight counterparts (p<0.001). There was also a significant,
moderate and positive correlation between energy intake and BMI (r=0.635), waist circumference (r=0.545), and body fat percentage (r=0.534). When macronutrient composition of diet was analysed (% energy and g/1000 kcal),
there was no significant difference in carbohydrate, protein or fat intake between the obese, overweight and normal weight subjects. There was also no significant
correlation between macronutrient composition of the diet and body weight status. Based on these findings, we conclude that the subjects’ body weight
status is likely to be influenced by energy intake rather than the macronutrient composition of the diet.
3.Concurrent Utero-Vaginal Prolapse with Cervical Angiomyofibroblastoma: A Rare Disease with Distinct Entity
Lee CL ; Ng BK ; Nurismah MI ; Chew KT ; Aruku N ; Lim PS
Journal of Surgical Academia 2015;5(2):58-61
We report the case of a rare, benign mesenchymal tumour arising from the cervix. A 53-year-old post-menopausal
woman presented with mass per vagina. Examination revealed stage 2 utero-vaginal prolapse and multiple elongated
polyps seen at the cervix. She underwent local excision. Histopathological examination findings and the
immunohistochemical studies were consistent with Angiomyofibroblastoma.
Uterine Prolapse
4.Anti N-Methyl-D-Aspartate Receptor Encephalitis with Ovarian Teratoma: A Dilemma in Diagnosis
Lee CL ; Zainuddin AA ; Abdul Karim AK ; Yulianty A ; Law ZK ; Md.Isa N ; Nor Azlin MI
Journal of Surgical Academia 2016;6(1):66-69
We report a rare case of altered mental status in a young patient with immature ovarian teratoma. A 22-year-old
woman presented with seizures, hallucination, amnesia and orofacial dyskinesia. Examination and investigation
revealed an ovarian massand asalphing-oophorectomy was performed. The histopathological examination result
showed an immature teratoma grade 2 with thepresence of immature primitive glial tissue. Her CSF N-Methyl-DAspartic
acid receptor (Anti-NMDAR) antibodytest was positive. N-Methyl-D-Aspartic acid receptor antibody
associated limbic encephalitis is an autoimmune antibody-mediated neuropsychiatric disorder. Resection of the
tumour and immunotherapy resulted in full recovery.
Anti-N-Methyl-D-Aspartate Receptor Encephalitis
5.Laboratory bioefficacy of nine commercial formulations of temephos against larvae of Aedes aegypti (L.), Aedes albopictus Skuse and Culex quinquefasciatus Say.
Chen CD ; Lee HL ; Chan CK ; Ang CL ; Azahari AH ; Lau KW ; Sofian Azirun M
Tropical Biomedicine 2009;26(3):360-365
The bioefficacy of nine commercial formulations of temephos against Aedes aegypti, Aedes albopictus and Culex quinquefasciatus larvae were evaluated in the laboratory. WHO larval bioassay with operational dosage of temephos at 1 mg/L was performed. The larval mortality was recorded every 5 minutes until complete mortality was achieved. All formulations of temephos exhibited various toxicity level against Ae. aegypti, Ae. albopictus and Cx. quinquefasciatus. Generally, larvae of Cx. quinquefasciatus was susceptible to all formulations of temephos, followed by Ae. aegypti and Ae. albopictus.