1.Global Diagnostic Criteria for Gestational Diabetes Mellitus: A Scoping Review Protocol to Inform Policy in Malaysia
Siti Sarah Hamzah ; Shazana Rifham Abdullah ; Nur Zati Iwani Ahmad Kamil ; Liyana Ahmad Zamri ; Nur Azlin Zainal Abidin ; Sharifah Nortasya Sayed ; Muhamad Kamarudin
Journal of the ASEAN Federation of Endocrine Societies 2026;41(S1):47-48
Introduction:
Gestational diabetes mellitus (GDM) is a common pregnancy complication associated with adverse maternal and
neonatal outcomes, including hypertensive disorders,
caesarean delivery, macrosomia, and increased lifetime
risk of type 2 diabetes. Despite its clinical importance,
considerable international variation exists in GDM
screening and diagnostic criteria. Multiple frameworks are currently used, including those from the World Health
Organization (WHO), International Association of Diabetes
and Pregnancy Study Groups, Carpenter and Coustan, and
the National Diabetes Data Group. Differences in glucose
thresholds, testing protocols (one-step versus two-step),
and universal versus risk-based screening contribute
to heterogeneity in reported prevalence and healthcare
burden. In multi-ethnic, middle-income settings such as
Malaysia, identifying an evidence-informed and contextappropriate diagnostic approach is critical.
Methodology:
This scoping review follows the Joanna Briggs Institute
methodology and will be reported in accordance with the
PRISMA Extension for Scoping Reviews (PRISMA-ScR).
PubMed, Scopus, and ScienceDirect will be searched for
English-language studies, reviews, guidelines, and consensus statements reporting GDM diagnostic criteria. Two
reviewers will independently screen and select studies.
Results:
Data will be charted on country, study type, diagnostic
criteria, gestational age at screening, and reported
challenges. Findings will be synthesized descriptively and
presented in tables and figures. No formal risk-of-bias
assessment will be conducted.
Conclusion
This review will provide a comprehensive overview of
global diagnostic practices, highlight variations and gaps,
and support evidence-based selection of a suitable GDM
screening and diagnostic strategy for Malaysia.
Diabetes, Gestational
;
Malaysia
;
Policy
;
Review Literature as Topic
2.Electrophoretic Techniques for the Detection of Human Microsatellite D19S884
Fazliana Mansor ; Liyana Zamri ; Siti Sarah Hamzah
Malaysian Journal of Medical Sciences 2015;22(2):18-24
Background: The detection and analysis of microsatellites is very important for the mapping of genetic diseases because they are commonly used as genetic markers. Microsatellite marker D19S884 has been associated with polycystic ovary syndrome (PCOS), the most common reproductive endocrine disease of women in their childbearing years. It is responsible for an estimated 70% of cases of anovulatory infertility. In this work, we detected microsatellites in DNA extracted from the blood of PCOS patients.
Methods: DNA microsatellites were amplified by polymerase chain reaction (PCR) using a pair of specific primers tagged with fluorescence to yield products of 160–200 base pairs in length. Alleles were separated on 4% low-melting agarose gels; stained with a safe gel staining, GelRed™, which is an alternative to ethidium bromide; and visualised by ultraviolet illumination.
Results: Bands were observed, but their base-pairs differences were difficult to distinguish. To identify each allele clearly, the PCR products were also analysed using capillary gel electrophoresis for fragment analysis where it was possible to discriminate even in case of difference between two pairs of bases between the alleles.
Conclusion: In this article, we present a protocol that combines the use of gel electrophoresis and fragment analysis in the identification of genetic biomarkers for PCOS.


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