1.Cyber Bullying - A New Social Menace
Ng Chong Guan ; Sharmilla Kanagasundram ; Yee Hway Ann ; Tan Loong Hui ; Teoh Kar Mun
ASEAN Journal of Psychiatry 2016;17(1):1-12
jective: Cyber bullying is a combination of the word cyber and bullying where
cyber basically means the Internet or on-line. In this case, cyber bullying will
focus on getting in action with bullying by using the Internet or modern
technologies such as on-line chats, online media and short messaging texts
through social media. The current review aims to compile and summarize the
results of relevant publications related to “cyber bullying." The review also
includes discussing on relevant variables related to cyber bullying. Methods:
Information from relevant publications addresses the demographics, prevalence,
differences between cyber bullying and traditional bullying, bullying motivation,
avenues to overcome it, preventions, coping mechanisms in relation to “cyber
bullying” were retrieved and summarized. Results: The prevalence of cyber
bullying ranges from 30% - 55% and the contributing risk factors include
positive association with perpetration, non-supportive school environment, and
Internet risky behaviors. Both males and females have been equal weigh on
being perpetrators and victims. The older groups with more technology
exposures are more prone to be exposed to cyber bullying. With respect to
individual components of bullying, repetition is less evident in cyber bullying
and power imbalance is not measured by physicality but in terms of popularity
and technical knowledge of the perpetrator. Conclusion: Due to the limited
efforts centralized on the intervention, future researchers should focus on testing
the efficacy of possible interventional programs and the effects of different roles
in the intervention in ord
2.Dissociative identity disorder: an attempt to understand the disorder in Malaysian context
Stephen T Jambunathan ; Jesjeet Singh Gill ; Sharmilla Kanagasundram ; Koh Ong Hui
ASEAN Journal of Psychiatry 2008;9(2):118-125
Dissociation, including multiple personality disorder, has long been a controversial topic. Patients with suggestive symptoms are often misdiagnosed as malingering or even having schizophrenia. The former as a result of the overlooking of a clinician on the fact that suggestibility itself plays a key role in the emergence and perpetuation of this illness and the latter due to the lack of knowledge of the whole dissociative disorder spectrum, often resembling
that of a psychotic disorder. Another contributing factor to the small number of patients with
this diagnosis is due to the reluctance of a psychiatrist to do so because of his/her lack of experience and also fear of humiliation of being accused of seeking fame from diagnosing this
somewhat glamorous phenomenon. In Malaysia, various culture bound syndromes often present with similar symptoms too. This article will attempt to understand this dissociation on the local context using case studies as a reference point.
3.Dissociative identity disorder: an attempt to understand the disorder in Malaysian context
Stephen T Jambunathan ; Jesjeet Singh Gill ; Sharmilla Kanagasundram ; Koh Ong Hui
ASEAN Journal of Psychiatry 2007;8(1):118-125
Dissociation, including multiple personality disorder, has long been a controversial topic. Patients
with suggestive symptoms are often misdiagnosed as malingering or even having
schizophrenia. The former as a result of the overlooking of a clinician on the fact that suggestibility
itself plays a key role in the emergence and perpetuation of this illness and the latter
due to the lack of knowledge of the whole dissociative disorder spectrum, often resembling
that of a psychotic disorder. Another contributing factor to the small number of patients with
this diagnosis is due to the reluctance of a psychiatrist to do so because of his/her lack of experience
and also fear of humiliation of being accused of seeking fame from diagnosing this
somewhat glamorous phenomenon. In Malaysia, various culture bound syndromes often present
with similar symptoms too. This article will attempt to understand this dissociation on the
local context using case studies as a reference point.
4.Late Complications of Allogenic Stem Cells Transplantation in Leukaemia
Sharmilla KANAGASUNDRAM ; Farhanaz AMINI
Tissue Engineering and Regenerative Medicine 2019;16(1):1-9
BACKGROUND: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) can cure leukaemia. However, long term complications of post transplantation interfere with the patients’ full recovery. The objective of this review was to identify the various long term complications and to assess their individual prevalences. METHODS: Electronic databases including PubMed, Google Scholar and Cochrane were searched for years 2004-2017. The keywords used were leukaemia, allogenic stem cell transplantation, prevalence, side effects, long term, delayed, adverse effects, complications and outcome. RESULTS: A total of ten articles were included for analysis. There were 5 prospective studies, 3 retrospective studies and 2 cross sectional studies. A total of 40,069 patients, (20,189 males and 17,191 females) participated in these 10 studies. The gender of 2689 patients were not disclosed. Most common late complications and prevalence were chronic graft versus host disease (43% at 5 years post HSCT), secondary tumor (21% at 20 years post HSCT), hypothyroidism (11% at 15 years), bronchiolitis obliterans (9.7% at 122 days), cardiovascular disease (7.5% at 15 years) and avascular necrosis (5.4% at 10 years). The prevalence of azoospermia was 71.1% and depression, 18%. For the latter two conditions no time limit was available. Follow up duration ranged from 2 years till 30 years post HSCT. CONCLUSION: While allogenic stem cell transplantation is an effective cure for leukaemia, the procedure is associated with complications that can have their onset many years after the procedure.
Azoospermia
;
Bronchiolitis Obliterans
;
Cardiovascular Diseases
;
Cross-Sectional Studies
;
Depression
;
Follow-Up Studies
;
Graft vs Host Disease
;
Hematopoietic Stem Cell Transplantation
;
Humans
;
Hypothyroidism
;
Male
;
Necrosis
;
Prevalence
;
Prospective Studies
;
Retrospective Studies
;
Stem Cell Transplantation
;
Stem Cells