1.Premature Ejaculation in Urban Malaysian Population: The Associations between Erectile Dysfunction(ED), Anxiety and Depression
Shamini Arasalingam ; Hatta Sidi ; Marhani Midin
The International Medical Journal Malaysia 2016;15(1):89-96
Both premature ejaculation(PE) and erectile dysfunction(ED) are prevalent sexual health
disorders that have been inadequately investigated in Malaysia, a multiethnic and conservative nation.The
objective of the study was to study the relationship between PE and ED, and other common mental health
issues, i.e. anxiety and depression in Malaysian urban population. Methods: The diagnosis for PE was
established by clinical diagnosis using DSM-5 and ISSM definition criteria for PE, whereas a diagnosis of ED
was established by the International Index of Erectile Function (IIEF) questionnaire. Anxiety and depression
levels were detected from the Hospital Anxiety and Depression Scale (HADS). Results: Based on DSM-V and
ISSM clinical diagnosis for PE, the prevalence of PE was found to be 25%. Erectile dysfunction (p = 0.035, OR
= 3.315, 95% CI 1.088, 10.103) and severe anxiety (p = 0.020, OR = 7.656, 95% CI 1.383, 42.396) significantly
predicted presence of PE. Conclusion: There was a strong association between PE and ED and between PE
and anxiety. Routine examination for PE in male patients should address the issue and the management of
both ED and anxiety among PE patients, especially in an urban Malaysian clinical and medical care setting.
2.Amisulpride And Fluvoxamine Combination Resulted In Sinus Bradycardia: A Case Report
Mohamed Suhaib Bin Peer ; Shamini Arasalingam ; Shamini Rama ; Puvaneswari Jeyapalan
ASEAN Journal of Psychiatry 2018;19(1):16-
Objective: Bradycardia due to the combination of amisulpride and fluvoxamine is not commonly known in the literature. Methods: We report a case of asymptomatic sinus bradycardia that occurred when amisulpride and fluvoxamine were given concurrently and resolved after cessation of both these two medications. The Naranjo scale for Adverse Drug Reaction was used to determine the likelihood of medications’ in causing bradycardia. Other possible causes were also assessed and ruled out through medical consultations. Results: This case strongly suggests that the bradycardia occurred due to the combined effect of these medications’ independent risk in causing this potentially harmful cardiac event. Conclusion: Therefore, it is important to monitor for bradycardia whenever both these medications are prescribed even at therapeutic dosages.
3.Delayed Neuropsychiatry Sequelae (DNS) Of Carbon Monoxide (CO) Poisoning – A Case Report
Shamini A/P Arasalingam ; Ahmad Faizal Shamsuddin ; Hatta Sidi ; Hjh Rabai'ah bt Mohd Salleh
ASEAN Journal of Psychiatry 2015;16(1):131-134
Objective: Several cases of suicide attempt by charcoal burning producing CO
have been reported in Malaysia. This case report highlights a case of delayed
delayed neuropsychiatry sequelae (DNS) in CO poisoning. Method: We report a
young Chinese homemaker who presented with DNS who was detained in a
Malaysian forensic psychiatric ward. Results: After approximately two weeks of
admission, in a familicide attempt, she had started to exhibit subtle changes in
her behaviour, including social withdrawal, impaired memory, and there was
lack of emotional distress. Conclusion: We report an interesting DNS as one of
the two forms of chronic sequelae of CO poisoning, whereas the other type of
neuropsychiatric sequelae is the persistently progressive type.