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Bandung, Indonesia

Ang A.,University of Colorado at Boulder | Srivasthan A.,Imperial College London | Md.-Zain B.M.,Kebangsaan University | Ismail M.R.B.,National Biodiversity Center | Meier R.,National University of Singapore
Raffles Bulletin of Zoology | Year: 2012

The banded leaf monkey (Presbytis femoralis femoralis) is critically endangered in Singapore and affected by widespread deforestation in southern Peninsular Malaysia. The Singapore population has recovered from a low of 15-20 to more than 40 individuals, but prior to our study it was unclear how severely the past bottleneck had depleted the genetic diversity of the population. Here, we provide the first analysis of the genetic variability based on seven samples (ca. 20% of population) collected over two years of fieldwork. We find only two haplotypes that differ only in one variable site for the hypervariable region I (HV-I) of the mitochondrial d-loop. Compared to available population-level data for other colobines (proboscis monkey, Yunnan snub-nosed monkey, Sichuan snub-nosed monkey, Angolan black and white colobus), the banded leaf monkey population in Singapore has the lowest number and the most similar haplotypes. This low genetic variability is the next challenge for the conservation of the population. Protected habitats in prospering urban environment may become important sanctuaries for endangered species, but reintroductions may have to be considered in order to restore genetic variability that was lost during past bottlenecks. Source


Tiong K.I.,Sarawak General Hospital | Aziz S.,Sarawak General Hospital | Isa H.,Kebangsaan University
Medical Journal of Malaysia | Year: 2015

Orbital compartment syndrome (OCS) is a visual threatening ocular emergency. We report a 50-year-old male with acute presentation of OCS, a rare manifestation of idiopathic orbital inflammatory disease. At presentation, high intraocular pressure was reduced by prompt lateral canthotomy and cantholysis. The disease responded to systemic steroids and treatment resulted in good visual outcome. Detail evaluation and early detection and treatment are mandatory to prevent permanent vision loss. © 2015, Malaysian Medical Association. All rights reserved. Source


Lim P.C.,Pulau Pinang Hospital | Lim K.,Pulau Pinang Hospital | Embee Z.C.,Pulau Pinang Hospital | Hassali M.A.,Universiti Sains Malaysia | And 2 more authors.
Pakistan Journal of Pharmaceutical Sciences | Year: 2016

Involvement of pharmacists in improving medication adherence among diabetic patients is recognized globally. In Malaysian healthcare system, pharmacists are also operating health services i.e. Diabetes Medication Therapy Adherence Clinic (DMTAC). This study aimed to assess the clinical outcomes of patients managed by pharmacists (DMTAC), in a Malaysian hospital setting. This was an open labelled randomised study. Type 2 diabetes patients with HbA1c ≥8% were recruited and arbitrarily divided into the intervention group (usual care plus DMTAC) and the non-intervention group (usual care only). Those enrolled in the intervention group were scheduled for follow-up for eight consecutive visits. Improvements in lab results were compared longitudinally (pre and post analysis) between the groups. Data analysis was done using PASW 18® version. A total of 76 patients were enrolled, with 39 patients in the intervention group and 37 patients in the non-intervention group. Mean HbA1c (-0.90% vs. -0.08%, p=0.011) and fasting blood glucose levels (-3.45mmol.l vs. +0.79mmol/l, p=0.002) reduced significantly between the intervention group vs. non-intervention group. Total cholesterol and low-density lipoprotein cholesterol (LDL-C) were also significantly reduced in the intervention group (TC -0.34mmol/l, p=0.018) (LDL -0.45mmol/l, p=0.001). In conclusion, pharmacists managed DMTAC significantly improved glycaemic control and lipid profile of diabetic patients. Source


Namiki M.,Kanazawa University | Akaza H.,University of Tsukuba | Lee S.E.,Seoul National University | Song J.-M.,Yonsei University | And 8 more authors.
Japanese Journal of Clinical Oncology | Year: 2010

The incidence of prostate cancer, while still lower than in Western nations, is increasing rapidly in Asian countries due to a more westernized lifestyle. Prostate cancer mortality is declining in the USA, where most prostate cancers are diagnosed in the early stage. In contrast, the mortality rates of prostate cancer in Asian countries are expected to continue to increase, because the percentage of advanced-stage prostate cancers remains high. Therefore, early detection by prostate-specific antigen screening and a comprehensive strategy for cancer prevention are essential for Asian people. The exposure rate of prostatespecific antigen screening is very low in Asian countries. Increased prostate-specific antigen screening may reduce the mortality rate. The stances regarding population screening differ among countries. Urological associations should promote population screening. Reliable data from Asian countries are needed. The prostate cancer incidence is low in Asian countries, perhaps due to high soy consumption. Isoflavones may prevent prostate cancer in Asian countries, but that is not yet clear. A large, multinational study in Asia is needed to clarify whether or not isoflavone consumption shows efficacy in preventing prostate cancer. Clinical data suggest that hormonal therapy is more effective in Asians than in Westerners. Clinical guidelines should consider including hormonal therapy as one of the options for the treatment of localized prostate cancer. At the same time, effort should be made to decrease the adverse effects of each treatment. Collaborative studies on the treatment of prostate cancer should be carried out among Asian countries. © The Author (2010). Published by Oxford University Press. All rights reserved. Source


Ismail T.,Kebangsaan University
The Medical journal of Malaysia | Year: 2010

Spontaneous pneumothorax (SP) is a common medical condition but continues to be a frequent management problem among doctors. Despite the availability of guidelines on management of SP, studies have shown that the compliance with the guidelines is low. The various treatment options available in treating this condition further confuse doctors on the right approach in managing SP. The objective of this study is to investigate the awareness of the availability of these existing guidelines and to investigate how the doctors involved in the initial management of SP would manage this condition. A self completed questionnaire which included three case scenarios were distributed among doctors in two teaching university hospitals and two large Ministry of Health hospitals. This study showed that there is a lack of awareness of the existing guidelines even among the senior doctors and there is a variation in the initial management of SP. Therefore a locally produced guideline may be beneficial to standardise and improve the management of SP. Source

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