International Medical Journal Malaysia最新文献_第6页

Gastrojejunocolic fistula: A case report 胃空肠结肠瘘1例

International Medical Journal Malaysia Pub Date : 2020-11-20 DOI: 10.31436/IMJM.V8I2.757

Khairussaleh Bj, Kyaw Th

引用次数: 0

Glycaemic Control, Lipid Profile, Blood Pressure and Body Weight Status Among Diabetics in Rural Malaysia 马来西亚农村糖尿病患者的血糖控制、血脂、血压和体重状况

International Medical Journal Malaysia Pub Date : 2020-11-20 DOI: 10.31436/IMJM.V8I2.753

H. As, Y. Zaitun, M. Kandiah, S. Chan

{"title":"Glycaemic Control, Lipid Profile, Blood Pressure and Body Weight Status Among Diabetics in Rural Malaysia","authors":"H. As, Y. Zaitun, M. Kandiah, S. Chan","doi":"10.31436/IMJM.V8I2.753","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.753","url":null,"abstract":"ABSTRACT Introduction: Diabetes is associated with a high risk of cardiovascular disease. The management of blood glucose, dyslipidaemia and other modifiable risk factor, is a key element in the multifactorial approach to prevent complications of type 2 diabetes. Materials and Methods: A cross sectional study was conducted to determine the level of glycaemic control, lipid profile, blood pressure and body weight status among type 2 diabetics in rural Malaysia. A total of 237 diabetic subjects participated in this study. Physical examination was carried out, including measurements of height, weight, waist and hip circumferences, and systolic and diastolic blood pressure. Fasting venous blood samples were collected to determine the glucose level and lipid profile. Results: About 70% of the subjects had a high body mass index (BMI), equal to or above 25 kg/ m2. More than 60% of the subjects had systolic blood pressure = 140 mmHg and/or diastolic = 90 mmHg. Mean fasting blood glucose was 9.84±4.54 mmol/L. Mean total cholesterol was 5.18±1.35 mmol/L. High density lipoprotein cholesterol (HDLC) and triglyceride (TG) and glucose levels were higher in male than in female, but not statistically significant (p>0.05). However, low density lipoprotein cholesterol (LDLC) was higher in females than males (p<0.05). Mean HDLC was below 1.0 mmol/L in all subjects. Conclusion: Glycaemic control, lipid profile, blood pressure and body weight status were not satisfactory and may increase the risk of microvascular and macrovascular complications among these subjects. Appropriate intervention programs should be implemented for better diabetes control among rural subjects. KEYWORDS: Diabetic control, Diabetes, Rural, Malaysia","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43502038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

An Unusual Presentation of a Thyroid Malignancy: A Case Report 甲状腺恶性肿瘤的异常表现：一例报告

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.743

I. M., B. A, Ananda Dorai A

引用次数: 0

An Undiagnosed Non Functioning Retroperitoneum Paraganglioma, Complicating A Gynaecological Surgery; A Case Report 一例未确诊的腹膜后副神经节瘤合并妇科手术；案例报告

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.744

A. Noraziana, B. Hakim, R. Alik, A. Mokhtar

引用次数: 0

High Frequency Oscillating Ventilation (HFOV) in Severe Acute Respiratory Distress Syndrome (ARDS): A Case Report. 高频振荡通气治疗严重急性呼吸窘迫综合征(ARDS) 1例报告。

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.742

Azrina, M. Basri, M. A. Hadi, M. Fahmi, O. Ariff, MY Asmarawati

引用次数: 0

Non-Verbal Pain Assessment: A Literature Review 非言语疼痛评估:文献综述

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.746

Aa Che Badariah, H. S. Kamalrujan

{"title":"Non-Verbal Pain Assessment: A Literature Review","authors":"Aa Che Badariah, H. S. Kamalrujan","doi":"10.31436/IMJM.V9I1.746","DOIUrl":"https://doi.org/10.31436/IMJM.V9I1.746","url":null,"abstract":"Pain is infl uenced by multiple factors including personal experience, psychological, sociocultural and situational factors. Failure to recognise pain will lead to poor patient management and deleterious effect on the patients’ wellbeing. Assessing pain in paediatric and cognitively compromised patients remains a challenge. Pain assessment in these groups of patients depends on the observers’ assessment and studies have shown the discrepancy between the observers’ assessment and patients’ verbal report. A specifi c and accurate tool is required to assist in the pain assessment. Although there are assessment tools available using behaviour scoring system and physiological indicators, none of the tool demonstrates its superiority than the others. Biochemical indicators such as stress hormones are frequently measured and used in con-junction with verbal reports; however they are non specifi c to pain and are increased in infl ammation, haemodynamic and emotional changes. The association between immunological indicators e.g. IL-1 , IL-6, IL8 and clinical pain has been shown, however; the defi nite correlation of the changes in the indicators and the level of pain is still unclear and may require further investigation.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":"9 1","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42106401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Anti-CCP Antibodies: an Emerging Marker for the Early Diagnosis of Rheumatoid Arthritis 抗ccp抗体:类风湿关节炎早期诊断的新兴标志物

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.745

K. Sarah, A. Nadeem

引用次数: 1

Assessment on Functionality and Viability of β cells Following Repetitive Dosage Administration of Ethanolic Extracts of Andrographis paniculata on Streptozotocin-induced Diabetic Rats. 重复给药穿心莲乙醇提取物对链脲佐菌素诱导的糖尿病大鼠β细胞功能和活力的评估。

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.737

A. Kasmuri, Maria Ahmad, A. Sadikun, M. Asmawi

{"title":"Assessment on Functionality and Viability of β cells Following Repetitive Dosage Administration of Ethanolic Extracts of Andrographis paniculata on Streptozotocin-induced Diabetic Rats.","authors":"A. Kasmuri, Maria Ahmad, A. Sadikun, M. Asmawi","doi":"10.31436/IMJM.V9I1.737","DOIUrl":"https://doi.org/10.31436/IMJM.V9I1.737","url":null,"abstract":"Introduction: The study was done at the aim to assess the functionality and viability of the β cells of the streptozotocin-induced diabetic rats model following repetitive dosage of administration of ethanolic extracts of Andrographis paniculata. Materials and Methods: The diabetic rats were treated with the extracts for fourteen days and at the dose given was 500 mg/kg twice daily. The assessments were made on fasting blood glucose, insulin, and immunohistochemical aspect of β cells before and after treatment. \u0000Results: The results showed that there was a signifi cant reduction on fasting blood glucose levels in metformin, 95% and 50% ethanolic plant extracts-treated groups but on insulin level only 95% and 50% ethanolic extracts-treated \u0000groups gave a signifi cant reduction (p<0.05). Immunohistochemical assessments revealed that all extract \u0000groups and metformin-treated were signifi cantly increased in the population of β cells (p<0.01). \u0000Conclusion: This study revealed that the plant extracts showed an ability to promote the growth or rejuvenate the STZdestructed β cells and in turn lower the blood glucose level.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":"9 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43209137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Medical complications among type 2 diabetes mellitus patients at a general hospital in East Coast Malaysia 马来西亚东海岸一家综合医院2型糖尿病患者的医疗并发症

International Medical Journal Malaysia Pub Date : 2020-11-17 DOI: 10.31436/IMJM.V9I1.736

M. NoorHasimah, Nurhanani Mn, M. Ramli

{"title":"Medical complications among type 2 diabetes mellitus patients at a general hospital in East Coast Malaysia","authors":"M. NoorHasimah, Nurhanani Mn, M. Ramli","doi":"10.31436/IMJM.V9I1.736","DOIUrl":"https://doi.org/10.31436/IMJM.V9I1.736","url":null,"abstract":"ABSTRACT Introduction: Diabetes Mellitus (DM) is a chronic metabolite disorder with high potential of multisystemic medical complications especially among poorly controlled patients. This study was conducted at Raja Perempuan Zainab II Hospital, Kota Bharu with objectives to explore the pattern of common diabetic mellitus type 2 complications and to compare between gender and races in relation to other risk factors during their hospitalization. Materials and Methods: This is a retrospective study based on patients’ record involving 215 patients (110 women and 105 men) who were admitted with diabetic complications in medical ward for a period of 6 months (January to June 2006) Results: Out of total 300 identifi ed subjects, 285 case notes were traceable. From 285, 84.6% (241 subjects) were diagnosed as DM type 2. 215 out of 241 subjects (89.2%) had one or more diabetic complications. In general the most common diabetic complication was diabetic nephropathy 34.9% (75 patients). When we compared between genders, diabetic foot ulcers was the most common diabetic complications among males (43.8%) and diabetic nephropathy for females (40.9%). A total of 199 patients (92.6%) had poor blood sugar control during their hospitalization and 103 patients (47.9%) had hypertension. Conclusion: Patients with DM type 2 had a high prevalence of complications. Common diabetic complications among genders were varied. Patients with diabetic complications had high prevalence of risk factors such as poor blood sugar control, concomitant hypertension and smoking habit. KEYWORDS: Diabetes mellitus type 2, complications, risk factors.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48064544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Diagnostic dilemma in metaplastic chondroid breast carcinoma 化生软骨样乳腺癌的诊断困境

International Medical Journal Malaysia Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I1.495

M. Farina, A. S. Niza, J. J. Saladina, M. N. Harlina, Mn Zaireen, M. Nurismah, R. Muhammad

引用次数: 0