1.Morbidly adherent placenta: One-year case series in a tertiary hospital
Roziana Ramli ; Kamarul Azhar Kamaruddin ; Lau Jia Him ; Aina Mardhiah Abdul Aziz ; Nadia Ramli ; Siti Nordiana Ayub ; Mohd Zulkifli Kassim
The Medical Journal of Malaysia 2019;74(2):128-132
Objective: To analyse the clinical characteristics of patients
with morbidly adherent placenta (MAP). Findings of this
study will be used to identify patients at risk of MAP and to
outline the best management strategy to deal with this
devastating condition.
Methods: Delivery records in Hospital Sultanah Nur Zahirah,
Terengganu from 1st. January 2016 until 31st. December
2016 were reviewed and analysed.
Results: Out of the 15,837 deliveries, eight cases of MAP
were identified. Six out of eight patients had previous
caesarean scar with concomitant placenta praevia, the other
two patients had previous caesarean scar with history of
placenta praevia in previous pregnancies. Seven out of eight
cases were suspected to have MAP based on risk factors.
Correct diagnosis was made by ultrasound in five patients,
all with histologically confirmed moderate/severe degree of
abnormal placentation. The other two cases of ‘unlikely
MAP’, demonstrated segmental MAP intra-operatively with
histologically confirmed milder degree of abnormal
placentation. Total intraoperative blood loss ranged from 0.8
to 20 litres. Prophylactic internal iliac artery balloon
occlusion was associated with significantly less blood loss.
Conclusion: Antenatal diagnosis is essential in outlining the
best management strategy in patients with MAP. Ultrasound
may not be accurate in ruling out lower degree of MAP. Apart
from having a scarred uterus with concomitant placenta
praevia, history of having placenta praevia in previous
pregnancy is also a risk factor for MAP. Prophylactic internal
iliac artery balloon occlusion is associated with significantly
less blood loss and should be considered in cases
suspected with MAP.
2.Stress and its relationship with body mass index among biomedical science students in Kuala Lumpur, Malaysia
Nur Zakiah Mohd Saat ; Ismarulyusda Ishak ; Syarif Husin Lubis ; See Huong Wen ; Siti Nor Lily Suriyanee Mohd ; Norul Sahira Zakaria ; Tan Xin Ee ; Marlini Othman ; Tang Hui Shein ; Zahirah Zulkifli ; Tan Liy Si ; Law Ngiik Ling ; Surayya Razali ; Umi Romaizatul Amiera Zainudin ; Yeoh Thong Wei ; Luqman Osman ; Kholilul Syafiq Baharuddin
ASEAN Journal of Psychiatry 2010;11(2):190-197
Objective: The objective of this study
was to assess the relationship between stress score and body mass index (BMI) of students of Science in Kuala Lumpur. Methods: A cross-sectional study
was carried out among 126
students. Data about stress score
were collected using a questionnaire,
the Student-Life Stress Inventory
(SLSI) Data about BMI were calculated from
height and weight of the respondents.
Results: A total of 117 (92.85%)
out of 126 students had responded.
The mean difference of stress score
among first, second and third year
students were 87.6 ± 17.0, 83.4 ± 16.9
and 86.7 ± 15.4 respectively. The mean
difference of stress scores between the
Bumiputra and non-Bumiputra students
were 87.9 ± 16.5 and 83.2 ± 15.9 .The
mean of body mass Index(BMI) between
first, second and third year students
were 21.0 ± 3.5, 20.3 ± 2.7 and 21.8 ± 4.3
respectively. Conclusions: This study showed
that the stress level is higher in first year,
female and bumiputra student. There was no
significant relationship between stress score
and BMI.