1.Diagnostic Dilemma of Reactive Arthritis Aided by Multimodality Imaging using MRI, CECT and 18F-FDG PET/CT Scans
Suppiah Suppiah ; Mohd Hazeman Zakaria ; Bahariah Khalid ; Suraini Mohamad Saini ; Norlijah Othman
Malaysian Journal of Medicine and Health Sciences 2017;13(1):73-77
Reactive arthritis can be an elusive diagnosis especially in the elderly. A 77-year-old lady, presented with recent
history of hip pain. She had been treated for urinary tract infection caused by Chlamydia sp. and had associated
weight loss. She was also investigated for possible tuberculosis and occult malignancy. CT scan abdomen/pelvis and
MRI revealed peri-articular muscle inflammation. Biopsy of her hip joint failed to find the causative factor. Wholebody
18F-FDG PET/CT scan revealed increased FDG uptake at bilateral hip and shoulder joints. She recovered
after an intensive course of antibiotics. Thus, she was diagnosed with reactive arthritis. Reactive arthritis is usually a
diagnosis of exclusion made by a high index of suspicion and positive serology test. Molecular imaging can be an
alternative investigation for joint pains in the elderly, which enables excellent anatomical and functional information
to exclude more sinister conditions such as malignancy.
2.The effectiveness of seated combined extension-compression and transverse load traction in increasing cervical lordosis- challenging the underlying framework
Tamara Gien Pooke ; Rozi Mahmud ; Poh Sin Yap ; Suraini binti Mohamad Saini ; Sharifah Roohi Syed Waseem Ahmad ; Harwant Singh
International e-Journal of Science, Medicine and Education 2016;10(3):24-33
Introduction:
The goal of this study was to assess
the effectiveness of seated combined extension-
compression and transverse load (ECTL) traction as a
new method for increasing a reduced lordosis of less than
30 degrees in a Malaysian population between the ages
of 18 and 60 years. Possible changes in disc height were
measured in accordance with the underlying theoretical
framework, that suggests the anterior cervical structures
would elongate due to creep over the fulcrum of the
traction device.
Method:
This was a single centre, randomised, blinded
controlled clinical trial with parallel groups, used to test
the superiority of the seated combined ECTL traction
together with physiotherapy exercises when compared
with the same physiotherapy exercises used as a control.
Fifty randomly allocated subjects who completed the
forty treatments over the fourteen weeks were analysed
using non-parametric tests for changes in outcomes.
Results:
There were no significant changes in outcomes
for disc height changes seen in this study. The findings of
a greater overall increase in posterior disc height changes
compared with anterior disc height changes were in
contrast with the proposed underlying theoretical
framework for this type of ECTL traction. The greater
height changes occurring in the control group were also
unexpected.
Conclusion:
The findings in this study of the contrasting
changes in disc height of greater posterior than anterior
height changes, question the underlying theoretical
framework as postulated for this type of traction.
3.Sonographic Assessment of Renal Size and Its Correlation With Anthropometric Measures Among Indigenous Population in Peninsular Malaysia
Abdul Sattar Arif Khammas ; Hasyma Abu Hassan ; Ramlah Mohamad Ibrahim ; Nurul Nadiah Mohamad Nasir ; Norafida Bahari ; Subapriya Suppiah ; Suraini Mohamad Saini ; Idris Ibrahim ; Mohd Hazeman Zakaria ; Rozi Mahmud
Malaysian Journal of Medicine and Health Sciences 2020;16(No.4):138-145
4.Prevalence of Ultrasound-diagnosed Non Alcoholic Fatty Liver Disease Among Rural Indigenous Population in Malaysian and Its Association With Biochemical and Anthropometric Measures
Abdul Sattar AK ; Subapriya Suppiah ; Ramlah Mohamad Ibrahim ; Nurul Nadiah Mohamed Nasir ; Norafida Bahari ; Hasyma Abu Hassan ; Suraini Mohammad Saini ; Idris Ibrahim ; Mohd Hazeman Zakaria ; Rozi Mahmud
Malaysian Journal of Medicine and Health Sciences 2021;17(No.3):88-97
Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease worldwide, especially in the Western world and Asia-Pacific regions. This study was designed to determine the prevalence of NAFLD detected by sonographic assessment among the rural indigenous population in Peninsula Malaysia and its association with anthropometric and biochemical factors. Methods: A cross-sectional survey was carried out from January 2014-February 2016. Subjects were recruited among indigenous peninsula Malaysia population in rural villages, aged ≥18 years old. The survey was questionnaire-based followed by anthropometric and blood parameters measurements. All subjects underwent abdominal ultrasound assessment to screen for the presence of NAFLD. Semi-quantitative visual grading was performed to assess for mild, moderate or severe NAFLD. Results: A total of 270 subjects underwent the screening program (mean age 43.3 ±14.0 years). Approximately 53 subjects (19.6 %) were identified with NAFLD. Of those with NAFLD, approximately 83% had moderate grade of fatty liver and the remainder were diagnosed with mild grade. NAFLD was closely associated with age, body mass index (BMI), central obesity, hypertension, total cholesterol (TC), triglyceride/high density lipoprotein-cholesterol (TG/HDL-C) ratio. On multivariate logistic regression, a high BMI (≥23.0 kg/m2), central obesity, and raised TG/HDL-C ratio were independent risk factors for developing NAFLD. Conclusion: This pioneer study defines the prevalence of NAFLD among rural indigenous population in Peninsula Malaysia. Lifestyle-related diseases, such as NAFLD can affect both rural and urban communities with equal severity. High BMI, central obesity, and elevated TG/HDL-C ratio were independent risk factors for developing NAFLD.