A three-year-old female with a history of recurrent tonsillitis was investigated for failure to thrive and global developmental delay. Clinically, she had a triangular face with low-set ears and intermittent tachycardia. She had growth failure with her weight under the third centile while her height was within normal limits. Other systemic examinations were unremarkable. The presence of an elevated free T4 (FT4) with an inappropriately high thyroid stimulating hormone (TSH) in this patient raised the clinical suspicion of Thyroid Hormone Resistance Syndrome. DNA sequencing confirmed the diagnosis, which showed R243W gene mutation in Thyroid Hormone Receptor-Beta1 (THRB1).
Receptors, Thyroid Hormone ; Thyroid Hormone Resistance Syndrome ; Goiter

Aims: Hypoxia is believed to be one of the key components contributing to the clinical resistance of cancer therapies. Alternative strategies are under investigation to overcome this resistance and the oncolytic virus stands amongst the others. Newcastle disease virus (NDV) has been demonstrated to possess oncolytic activity against cancer cells. The present study investigated the effects of oncolytic NDV strain AF2240 and V4-UPM on osteosarcoma cells (Saos-2) under normoxic and hypoxic conditions. Methodology and results: Results showed that the NDV strain AF2240 and V4-UPM could infect and kill normoxic and hypoxic Saos-2 cells equally well by inducing hypoxia-independent apoptosis, and S-phase cell cycle arrest under the microscopy examination, cell viability assay, Annexin V apoptosis assay and cell cycle analysis experiments. However, the Velogenic NDV strain AF2240 excelled over the lentogenic NDV V4-UPM with increased oncolytic effects in Saos-2 cells. Conclusion, significance and impact of study In a nutshell, normoxia or hypoxia microenvironment has little effect on NDV-induced oncolysis of Saos-2 cancer cells which poses as a potential agent for the treatment of resistant cancer.

Enteral myiasis or intestinal myiasis is acquired by ingesting food or water contaminated with dipteran fly eggs or larvae. Here, we describe a patient with intestinal myiasis presenting with acute dysentery caused by the larva of Hermetia illucens. The larva was identified morphologically, and its species confirmed through molecular analysis using polymerase chain reaction and sequencing based on mitochondrial cytochrome c oxidase subunit I gene (COI).

Background: The predominant infectious bronchitis virus (IBV) strains detected in chickens in Malaysia are the Malaysian variant (MV) and QX-like, which are associated with respiratory distress, nephropathy, and high mortality. On the other hand, the antigenic relatedness and efficacy of IBV vaccines against these 2 field IBV strains are not well characterized. Objectives: This study aimed to determine the antigen relatedness and efficacy of different IB vaccine strains against a challenge with MV and QX-like strains. Methods: The antigen relatedness and the ability of different IB vaccine strains in conferring protection against MV and QX-like were assessed based on the clinical signs, macroscopic lesions, and ciliary activity. Results: The MV strain IBS037A/2014 showed minor antigenic subtype differences with the vaccine virus Mass H120 and 4/91 strains but showed major antigenic subtype differences with the K2 strain. The Malaysian QX-like strain IBS130/2015 showed major antigenic subtype differences with the MV strain IBS037A/2014 and the vaccine strains except for K2. Chickens vaccinated once with Mass (H120) or with non-Mass (4/91 and K2) developed antibody responses with the highest antibody titer detected in the groups vaccinated with H120 and 4/91. The mean ciliary activities of the vaccinated chickens were between 56 to 59% and 48 to 52% in chickens challenged with IBS037A/2014 and IBS130/2015, respectively. The vaccinated and challenged birds showed mild to severe lesions in the lungs and kidneys. Conclusions Despite the minor antigenic subtype differences, a single inoculation with Mass or non-Mass vaccines could not protect against the MV IBS037A/2014 and QX-like IBS130/2015.

Research in forensic anthropology is recent in Malaysia due to limited access to documented skeletal collections. However, advanced imaging techniques provide virtual bone samples for use in morphometric studies to establish population-specific standards by virtual anthropology. This study examined sexual dimorphism in the subpubic angle using a three-dimensional computed tomography model of the pelvis, in a contemporary Malaysian population. The sample comprised multidetector computed tomography (MDCT) scans of 50 male and 50 female adults. Segmentation of the MDCT scans was performed using 3D Slicer, and four landmarks were acquired using Stratovan Checkpoint for the subpubic angle measurement. The technical error of measurement (TEM), relative TEM, and coefficient of reliability (R) exhibited high reliability in measurements. Results showed that the subpubic angle in males was 68.6°±7.6° and in females 87.4°±6.5°. The subpubic angle in females was significantly larger than in males (P<0.001). Inverse correlation was found between the subpubic angle and age, in both males (r=–0.449, P<0.01) and females (r=–0.385, P<0.01). The overall accuracy of sex estimation using the subpubic angle was 94% (P<0.001). The subpubic angle, with a demarcating point of 78.6°, showed a sensitivity and specificity of 94% in the classification of female individuals. In conclusion, sex estimation using the subpu bic angle is highly accurate, with a high degree of expected sensitivity and specificity in the Malaysian population.

The gonadotropin-releasing hormone (GnRH) stimulation test is a valuable tool in diagnosing and differentiating causes of early pubertal occurrences. Utility of the test can be limited in some instances, however, including the early phases of pubertal hypothalamic-pituitary-gonadal axis activation, in girls showing commonly overlapping pictures, and in obese children due to excess circulating estrogen that suppresses luteinizing hormone (LH). A lack of consistent baseline and stimulated gonadotropin cutoffs observed in different studies also contributes to limitations in testing. Nevertheless, early detection of true pathological causes for pubertal disorders is needed to allow prompt treatment and better prognosis. While basal LH can be beneficial as a good screening tool for detecting pubertal disorder, it does not preclude the need for GnRH testing. The aim of this review was to highlight the role of GnRH stimulation tests and varying testing cutoffs in diagnosis of precocious puberty and its classification.

Background: As an early recognition of neonatal sepsis is important for triggering the initiation of treatment, this study was thus designed to assess the diagnostic performance and discrimination value of procalcitonin (PCT) in neonatal sepsis cases. Methods: This cross-sectional study, which was carried out at the Paediatric Intensive Care Unit of Hospital Universiti Sains Malaysia (HUSM) in Kelantan, Malaysia, had involved 60 neonates admitted for suspected sepsis. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV) and the area under receiver operating characteristics curve (AUC) for PCT were determined at initial presentation (0 h) as well as 12 h and 24 h after presentation in comparison to blood culture as the gold standard. Results: The study consisted of 27 (45.0%) male and 33 (55.0%) female neonates with a mean (SD) age of 76.8 (48.25) h. At cut-off PCT value of > 2 ng/mL, the sensitivity, specificity, PPV and NPV were 66.7%, 66.7%, 33.3% and 88.9% at 0 h. The respective parameters were 83.3%. 56.3%, 32.3% and 93.1% at 12 h and 83.3%, 52.1%, 30.3% and 92.6% at 24 h. AUC was 71.6%, 76.6% and 71.7% at 0 h, 12 h and 24 h. Conclusions: Diagnostic performance and discrimination values of PCT for diagnosis of neonatal sepsis varied with time of obtaining the blood samples. The PCT result at 12 h demonstrates the most optimal diagnostic performance and discrimination values.

Aims:The effectiveness of microalgae in the post-treatment of palm oil mill effluent (POME) was being investigated for colourremoval and COD reduction. Methodology and results:Raw POME, obtained from a local palm oil mill and treated with anaerobic and aerobic processes for 50 days and 16 days of hydraulic retention time (HRT) respectively, was then used in the phycoremediation study. Three different species of microalgae (Ankistrodesmus falcatus, Scenedesmus sp. and Chlorellasp.) were inoculated in a culture media which contained 20%, 40% and 60% dilution of POME. The pH of thetreated POME sample was not adjusted and fixed at the original pH of about pH 8-9. The growth of the microalgae was determined every 2 days based on their chlorophyll concentration. Chlorellasp. showed the best adaptation and grew well in all dilutions of the treated POME sample and subsequently chosen for remediation of the POME sample without any dilution.Conclusion, significance and impact of study:Chemical oxygen demand (COD) and colour removal of POME were determined every 2 days. Chlorellasp. performed well with COD reduction and colour removal of 67.87% and 53.26%, respectively.

Aims:Increasing of organic solvent waste contributed as one of the most critical environmental problems. Huge amount of solvents hasbeen applied in the industrial process, but it is not followed by a good waste treatment. Up to our knowledge only a few studieshas been conducted in applying the biological treatment on the solvent waste mixtures specifically by Gram’s positive organic solvent tolerant bacteria (OSTB). The study aims to identify the ability of OSTB survival in solvent waste mixture of the semiconductor industry in comparison to synthetic organic solvent by OSTB inoculation.Methodology and results:Strain of OSTB named as Bacillus subtilis, BSIAs was applied in the study. The growth of this OSTB in different concentration of synthetic solvent isopropyl alcohol (IPA) and in actual solvent waste mixture consists of IPA was monitored and measured. There are three different concentrations (v/v) of synthetic solvent IPA was used as a media that are 20%, 10% and 5% for testing the growth of B.subtilisBSIAs. The 5% concentration of IPA was suitable for B.subtilisBSIAs growth. After 14 hof growth, distillation process was used to separate the remaining solvent from the mixture. It was found that, the volume after biological treatment was reduced by 1 mL from the initial volume of solvent before the biological treatment. This OSTB also utilized solvent in 1% concentration of real solvent waste mixture within 120 h.Conclusion, significance and impact of study:As a conclusion, the findings reveal that the strain of Gram-positive B.subtilis,BSIAs has the ability to utilize synthetic organic solvent (IPA)and the solvent waste mixture from the semiconductor industry as their carbon sources. The selected OSTB can be considered as bio-agents in the industrial waste management pertaining to solvent waste problems thru green technology approaches.

Aims:This research aims to investigate the potential of biohythane (biohydrogen and biomethane) production from palm oil mill effluent (POME) in a two-stage anaerobic digestion (AD) system.Methodology and results:A two-stage AD system was configured with a thermophilic dark fermenter (TDF) for biohydrogen (H2) production and a thermophilic anaerobic contact digester (TACD) for biomethane (CH4) production. To adjust pH 5.5 for dark fermentation, the settled sludge was recirculated from TACD to TDF. The hydraulic retention time (HRT) applied in TDF and TACD was 3.75 and 6.25 day, respectively.Conclusion, significance and impact of study:The sludge recirculation from TACD was able to adjust the pH in TDF to the optimum value of 5.5. The total COD and TSSdegradation were 63.12 and 77.94 %, respectively. The H2production in TDF was 1.54 L H2/L POME and the CH4production in TACD was 19.87 L CH4/L POME. The H2and CH4yielded 0.085 L/g CODremovedand 0.339 L/g CODremoved, respectively, with total energy recovery equivalent to 661.02 MJ/m3POME. Only 2.28 % of this energy was contributed by H2and the remaining was dominated by CH4.