1.Acute haemorrhagic oedema of infancy with bullae and koebnerisation
Mohd Sazlly Lim S ; Shamsudin N
Malaysian Family Physician 2014;9(2):55-57
A 5-month-old Malay boy presented with purpuric papules and plaques on the face and extremities accompanied by fever, coryzal symptoms and bilateral lower limb oedema. There were also bullous linear purpuric lesions on the right upper limb. Blood and culture tests were normal.
Histopathological tests showed leucocytoclastic vasculitis, confirming the diagnosis of acute
haemorrhagic oedema of infancy. The patient achieved complete recovery after 2 weeks with no recurrence.
Blister
;
Purpura
;
Infant
;
Erythema elevatum diutinum
2.Atypical Thyrotoxic Psychosis with Seizure: A Case Report
The International Medical Journal Malaysia 2012;11(1):55-58
Thyrotoxicosis results in alteration in functioning of nervous system in some patients. However, these mental
disturbances may be severe in rare cases in the form of manic-depressive, schizoid or paranoid reaction. The
pathophysiological basis of these nervous system findings is not well understood.
3.Implementing standard setting into the Conjoint MAFP/FRACGP Part 1 examination – Process and issues
Chan SC ; Mohd Amin S ; Lee TW
Malaysian Family Physician 2016;11(2 & 3):2-8
The College of General Practitioners of Malaysia and the Royal Australian College of General Practitioners held the first Conjoint Member of the College of General Practitioners (MCGP)/Fellow of Royal Australian College of General Practitioners (FRACGP) examination in 1982, later renamed the Conjoint MAFP/FRACGP examinations. The examination assesses competency for safe independent general practice and as family medicine specialists in Malaysia. Therefore, a defensible standard set pass mark is imperative to separate the competent from the incompetent.
4.Drivers’ Knowledge And Attitudes Towards Child Restraint System (Crs) Usage
Noor Faradila P ; Baba MD ; Mohd Syazwan S ; Azhar H ; Mohd Rasid O
Malaysian Journal of Public Health Medicine 2018;18(Special Volume (2)):66-72
Child restraint system (CRS) can protect children in the event of crash and reduce the severity of injuries. As such, it is crucial to understand the prevalence of CRS usage and knowledge attributes on CRS usage among drivers. This study aims to assessdrivers’ knowledge on CRS usage.A semi-structured questionnaire was developed and pilot tested to verify its validity and reliability. The questionnaireaddressesdrivers’ knowledge about CRS currently available in the Malaysian market, the types of restraints used and views on fitting restraints to passenger vehicles. Seventy four percentfrom 500 respondents cited that they are usingor theyhave used CRS,64% knowabout CRS and its function, and 43% areawareof ISOFIX. In short, majority of the respondents are aware of CRS use and functions. Awareness and education program should berigorously introduced to public towards the implementation of the CRS law.
Child restraint system
;
children passenger safety
;
road traffic accident
;
child injury
5.Damage control resuscitation: A case of thoraco abdominal impalement
Nur Abdul Karim ; Mohd Amin Mohd Mokhtar ; Izzat Ismail ; Abdul Halim S ; Nor Elayni Borhan
The Medical Journal of Malaysia 2016;71(2):77-78
Damage Control Resuscitation and Surgery is the concept of
controlled hypotension, haemostatic resuscitation and
abbreviated surgical procedures following severe trauma;
the practice of which has resulted in improved mortality and
morbidity. We describe a rare case of thoraco-abdominal
impalement successfully managed based on the concept of
Damage Control Resuscitation.
Hypotension
6.A case of chronic myeloid leukaemia in blast transformation with leukemic ascites
Mohd Ridzuan Mohd Said ; Ernie Yap ; Wan Fariza Wan Jamaluddin ; Fadilah S Abdul Wahid ; Salwati Shuib
The Medical Journal of Malaysia 2016;71(2):85-87
Chronic Myeloid Leukaemia (CML) is a disease
characterised by a distinctive marker that is the Philadelphia
Chromosome and an ability to transform into blast phase,
which confers a poor prognosis. The median survival was
reported to be between three to six months in correlation to
blast phase. Extramedullary involvement with CML to sites
such as pleural, meningeal and bones have been reported.
We report a case of 41-year-old man who was diagnosed
with CML in blast phase and presented with ascites.
Ultrasound of abdomen showed coarse echotexture of liver
suggestive leukaemic infiltration to the liver. The liver profile
was severely deranged and associated with coagulopathy.
Flow cytometry analysis of the peritoneal fluid revealed
presence of myeloblasts consistent with CML in blast crisis
with leukaemic ascites. Bone marrow biopsy also confirmed
disease transformation. He received standard induction
chemotherapy for acute myeloid leukaemia with dose
modifications based on liver enzymes performance. Our
case highlights an unusual presentation of CML in blast
crisis with leukaemic ascites and the challenges in
managing cytotoxic treatments due to the liver infiltration.
Leukemia, Myeloid, Acute
7.The Influence Of Income Level And Remuneration Scheme On Job Satisfaction Among Professional Driving Instructors In Malaysia
Zulhaidi MJ ; Baba MD ; Mohd Hanif S ; Ahmad Azad AR
Malaysian Journal of Public Health Medicine 2018;18(Special Volume (2)):128-134
This study aims to determine the job satisfaction (JS) level among professional driving instructors (PDIs) in the driver training and licensing system in Malaysia. Specifically, it looks at the influence of income level and remuneration scheme on PDI’s satisfaction. The average income of PDI is relatively low with three remuneration schemes: fixed income; fixed income plus commission; and commission only. The study adopted the cross-sectional survey using the 20-item Minnesota Job Satisfaction Questionnaire (MSQ) (short-form) with end-specified 10-point scale. Analysis of the data revealed that PDIs with higher income are more satisfied with their job, t (179) = -3.248, p = 0.001. Similarly, three level One-way ANOVA of JS scores with three remuneration schemes revealed a significant difference of JS across these schemes, F (2,178) = 3.51, p ≤ 0.032. Researchers’ further exploration found a significant interaction between these two variables (income level vs. remuneration scheme), F (5,175) = 4.88, p = 0.001. In general, PDIs with higher income are more satisfied with their job only if they received it as a fixed income (regardless of having commission or not). This insightful finding can be a basis for relevant stakeholders in understanding the influence of income and remuneration scheme towards JS among PDIs in Malaysia.
Job satisfaction
;
professional driving instructor
;
driver training
;
driver licensing
;
Malaysia
8.Dampness And Mold Exposure In Buildings As A Risk Factor For Health Effects
Pei Zam H ; Emilia ZA ; Karmegam K ; Mohd Sapuan S
Malaysian Journal of Public Health Medicine 2017;2017(Special Volume (1)):28-40
This study aims to review existing studies on the relations between indoor dampness and mould in different public occupied buildings with the risk of adverse health effects among both children and adults. This study specifically focused on the dampness-related problems from countries with tropical climate. A systematic literature search of ScienceDirect, PubMed, Google Scholar and Wiley Online Library from 2000 through December 2015 was conducted. Furthermore, the reference lists of recent reviews and of relevant articles were identified in our search. Crosssectional, case-control, and cohort studies in children or adults were selected according to a priori criteria. The search yielded a total of 18 studies on damp buildings, dampness and mould in buildings and indoor mould. Dampness and mould exposure in buildings is a risk factors for respiratory symptoms, wheeze, cough, bronchitis, rhinitis, eczema and upper respiratory tract infection as well as general symptoms such as headache and tiredness. Evident strongly suggested increased asthma development and exacerbation of current or ever diagnosis of asthma in children. Based on the results of the review, indoor dampness and mould problems in buildings are associated with substantial and increases in prevalence of a variety of respiratory and asthma-related health outcomes.
Indoor dampness
;
mold contamination
;
health
;
review
9.Intertrochanteric fracture fixation with Dynamic Hip Screw: Is tip-apex distance measurement useful for predicting fixation failure?
Goh KL ; Zamzuri Z ; Mohd Ariff S ; Mohamed Azril MA
The International Medical Journal Malaysia 2016;15(1):31-34
Introduction: Application of dynamic hip screw (DHS) implant for the treatment of unstable
intertrochanteric fractures continues to raise concern related to risk of lag screw cut-out with or without
subsequent damage to the acetabulum. Measurement of tip-apex distances (TAD) has been recommended to
guide the optimal placement of lag screw and to predict subsequent risk of screw cut-out. In this study, the
value of TAD was evaluated to verify its usefulness. Methods: This is a retrospective study of 33 consecutive
patients with intertrochanteric fracture treated with DHS. Demographic data of the patients were traced
from their case notes. Post-operative radiographs were reviewed by focusing on measurement of TAD on
anteroposterior and lateral radiographs. Radiographs at one year follow-up were reviewed to depict any
fixation-related failure or complication. Results: Fifty two percent of patients did not achieved the
recommended TAD of ≤ 25mm. The mean post-operative TAD was 25.9mm and elderly patients were likely
to achieve TAD of ≤ 25mm. The overall complication rate of 6% was attributed to screw cut-out in two
cases. The unstable left-sided fracture was identified to be a potential risk for screw cut-out or migration.
Conclusion: TAD is a valuable measurement to guide optimal placement of lag screw during DHS fixation of
intertrochanteric fracture.
10.Dampness And Mold Exposure In Buildings As A Risk Factor For Health Effects
Pei Zam H ; Emilia ZA ; Karmegam K ; Mohd Sapuan S
Malaysian Journal of Public Health Medicine 2017;Special Volume(1):28-40
This study aims to review existing studies on the relations between indoor dampness and mould in different public occupied buildings with the risk of adverse health effects among both children and adults. This study specifically focused on the dampness-related problems from countries with tropical climate. A systematic literature search of ScienceDirect, PubMed, Google Scholar and Wiley Online Library from 2000 through December 2015 was conducted. Furthermore, the reference lists of recent reviews and of relevant articles were identified in our search. Cross-sectional, case-control, and cohort studies in children or adults were selected according to a priori criteria. The search yielded a total of 18 studies on damp buildings, dampness and mould in buildings and indoor mould. Dampness and mould exposure in buildings is a risk factors for respiratory symptoms, wheeze, cough, bronchitis, rhinitis, eczema and upper respiratory tract infection as well as general symptoms such as headache and tiredness. Evident strongly suggested increased asthma development and exacerbation of current or ever diagnosis of asthma in children. Based on the results of the review, indoor dampness and mould problems in buildings are associated with substantial and increases in prevalence of a variety of respiratory and asthma-related health outcomes.