1.Effectiveness of Multimedia Approaches in Embryology Teaching: A Scoping Review
Siti Nurma Hanim Hadie ; Razif Dasiman ; Noorkardiffa Syawalina Omar ; Razif Abas
Malaysian Journal of Medicine and Health Sciences 2024;20(No.1):281-292
Embryology is a critical subdiscipline in medical education, focusing on human body organ development and providing a foundation for understanding developmental anatomy. However, traditional teaching methods using static
2D graphics in textbooks may hinder students’ comprehension of the complex 3D embryonic growth processes.
To address this, multimedia approaches, such as animations, videos, and interactive tools, have been explored for
effective embryology education. This scoping review identifies five key elements of successful multimedia teaching
in embryology: multimodal integrated instructional content, cognitive load-reduction strategies, cognitive engagement and physical interactivity, learner-controlled multimedia instruction, and development of tacit knowledge.
These strategies promote active learning, enhance students’ understanding, and foster critical thinking skills. Future
research should focus on evaluating the impact of multimedia approaches on students’ engagement, attitudes, and
competency development. Embracing multimedia in embryology education can improve medical students’ clinical
understanding and support effective medical practice.
2.Diabetic Cardiac Autonomic Neuropathy: A Review of NLRP3 Inflammasome Complicity
Shamala Devi Subramaniam ; Nor Aini Lubis Mhd Zain ; Choy Ker Woon ; Noorkardiffa Syawalina Omar ; Razif Abas
Malaysian Journal of Medicine and Health Sciences 2024;20(No.1):365-368
Debilitating and often misdiagnosed cardiac autonomic neuropathy affects people with diabetes. Damage to the
biggest sympathetic trunk ganglion of autonomic nerve fibers that innervate the heart and blood vessels, the superior
cervical ganglion (SCG), is the cause of aberrant heart rate and vascular dynamics in people with diabetic cardiac
autonomic neuropathy (DCAN). Mediating host immunological responses to microbial infection and cellular
damage, inflammasomes are a class of cytosolic protein complexes that include NLRP3. This review compiled the
findings of experimental investigations on DCAN and discussed their connection to the NLRP3 inflammasome’s
involvement. SCG P2X7 receptor expression can be boosted by inflammation brought on by hyperglycemia,
leading to nerve injury. Unfortunately, there is a lack of research on DCAN-related inflammation in animal models,
especially in inflammasome. Currently, only IncRNAUC.360+ shRNA and Schisandrin B, prove to alleviate the
pathogenesis. Therefore, more research into the causes and potential remedies for DCAN is necessary.
3.A Case Report of 46 XY Partial Gonadal Dysgenesis with Dual Gonadal Tumours
Nik Sumayyah Nik Mhd Nor ; Noorkardiffa Syawalina Omar ; Noorkardiffa Syawalina Omar ; Poh Ching Lee ; Sweet Yi Esther Loh ; Nur Azurah Abdul Ghani ; Ani Amelia Zainuddin
Journal of Surgical Academia 2023;13(1):14-17
A Case Report of 46 XY Partial Gonadal Dysgenesis with Dual Gonadal Tumours
46XY gonadal dysgenesis is known as a disorder of sex development (DSD) that occurs due to abnormality in gonadal development. There is a conflict between one’s genotype, phenotype, and gonadal development, which influences the wide range of presentation and clinical appearance of 46XY females. This was a case of a 46XY female who presented with primary amenorrhea with delayed puberty at the age of 18 years old. She had ambiguous genitalia. Her breast and pubic hair were at Tanner Stage 2. Transabdominal ultrasound found a small uterus with a vagina; however, the gonads were not seen. A magnetic resonance imaging (MRI) showed a 20mm right gonad located extra-pelvis near the right iliac vessels while the 9mm streak left gonad was at the usual location next to the sigmoid colon. All her tumour markers were normal except lactate dehydrogenase (LDH) was elevated. She was given estrogen therapy for pubertal induction and underwent laparoscopy prophylactic bilateral gonadectomy. The intraoperative findings were similar to the MRI findings, and the histopathology examination (HPE) results showed left gonadoblastoma and right dysgerminoma FIGO stage 1A. She continued taking estrogen therapy until she had withdrawal bleeding, and oral progesterone was added. 46XY-DSD has high risk of developing germ cell tumour and requires prophylactic gonadectomy as soon as the diagnosis is established. However, delay in presentation and surgery may affect the outcomes and prognosis.


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