Evaluation of Macular and Retinal Nerve Fiber Layer Thickness in Children with Type 1 Diabetes Mellitus without Retinopathy

Purpose@#There are limited data from Asian countries regarding retinal thickness in children with type 1 diabetes mellitus (T1DM). This study aimed to compare the macular and retinal nerve fiber layer (RNFL) parameters between diabetic children without retinopathy and non-diabetic healthy children. We also evaluated the factors associated with RNFL thickness in children with T1DM. @*Methods@#A comparative cross-sectional study was conducted among children with T1DM and healthy children aged 7 to 17 years old in Hospital Universiti Sains Malaysia from 2017 to 2019. Children with retinal disease or glaucoma were excluded. Macular and RNFL thicknesses were measured using spectral-domain optical coherence tomography. Demographic information, duration of diabetes, blood pressure, body mass index, visual acuity, and retinal examination findings were documented. Glycosylated hemoglobin levels, renal function, and blood lipid levels were also collected. @*Results@#Forty-one children with T1DM and 80 age- and sex-matched children were enrolled. Both sexes were affected. Mean duration of diabetes mellitus was 3.66 years. The mean glycated hemoglobin levels in the T1DM group was 9.99%. The mean macular and RNFL thicknesses in children with T1DM were 277.56 (15.82) µm and 98.85 (12.05) µm, respectively. Children with T1DM had a significantly thinner average macula, superior outer macula, nasal outer macula, mean RNFL, and inferior RNFL thickness compared to controls (p < 0.05). There was a significant association between nephropathy and the mean RNFL thickness. @*Conclusions@#Children with T1DM had significantly decreased mean macular and RNFL thicknesses. Nephropathy is associated with an increased RNFL thickness.

Evaluation of Macular and Retinal Nerve Fiber Layer Thickness in Children with Type 1 Diabetes Mellitus without Retinopathy

Purpose@#There are limited data from Asian countries regarding retinal thickness in children with type 1 diabetes mellitus (T1DM). This study aimed to compare the macular and retinal nerve fiber layer (RNFL) parameters between diabetic children without retinopathy and non-diabetic healthy children. We also evaluated the factors associated with RNFL thickness in children with T1DM. @*Methods@#A comparative cross-sectional study was conducted among children with T1DM and healthy children aged 7 to 17 years old in Hospital Universiti Sains Malaysia from 2017 to 2019. Children with retinal disease or glaucoma were excluded. Macular and RNFL thicknesses were measured using spectral-domain optical coherence tomography. Demographic information, duration of diabetes, blood pressure, body mass index, visual acuity, and retinal examination findings were documented. Glycosylated hemoglobin levels, renal function, and blood lipid levels were also collected. @*Results@#Forty-one children with T1DM and 80 age- and sex-matched children were enrolled. Both sexes were affected. Mean duration of diabetes mellitus was 3.66 years. The mean glycated hemoglobin levels in the T1DM group was 9.99%. The mean macular and RNFL thicknesses in children with T1DM were 277.56 (15.82) µm and 98.85 (12.05) µm, respectively. Children with T1DM had a significantly thinner average macula, superior outer macula, nasal outer macula, mean RNFL, and inferior RNFL thickness compared to controls (p < 0.05). There was a significant association between nephropathy and the mean RNFL thickness. @*Conclusions@#Children with T1DM had significantly decreased mean macular and RNFL thicknesses. Nephropathy is associated with an increased RNFL thickness.

Clinical characteristics and outcomes of paediatric orbital cellulitis in Hospital Universiti Sains Malaysia: a five-year review

INTRODUCTION@#Limited data is available on paediatric orbital cellulitis in Asia. We aimed to describe demographic data, clinical presentation, predisposing factors, identified microorganisms, choice of antibiotics and management in children with orbital cellulitis treated in a tertiary care centre in Malaysia.@*METHODS@#A retrospective review was performed on children with orbital cellulitis aged below 18 years who were admitted to Hospital Universiti Sains Malaysia, Kelantan, Malaysia, between January 2013 and December 2017.@*RESULTS@#A total of 14 paediatric patients fulfilling the diagnostic criteria for orbital cellulitis were included. Their mean age was 6.5 ± 1.2 years. Boys were more likely to have orbital cellulitis than girls (71.4% vs. 28.6%). Involvement of both eyes was observed in 14.3% of the patients. Sinusitis (28.6%) and upper respiratory tract infection (21.4%) were the most common predisposing causes. Staphylococcus aureus (28.6%) was the leading pathogen. Longer duration of hospitalisation was observed in those infected with methicillin-resistant Staphylococcus aureus and Burkholderia pseudomallei. 10 (71.4%) patients were treated with a combination of two or three antibiotics. In this series, 42.9% had surgical interventions.@*CONCLUSION@#Young boys were found to be more commonly affected by orbital cellulitis than young girls. Staphylococcus aureus was the most common isolated microorganism. Methicillin-resistant Staphylococcus aureus and Burkholderia pseudomallei caused severe infection. Sinusitis and upper respiratory tract infection were the most common predisposing factors. A majority of the children improved with medical treatment alone. Our findings are in slight disagreement with other published reports on paediatric orbital cellulitis, especially from the Asian region.

Malaysian Food Barometer (MFB): a study of the impact of compressed modernisation on food habits

@#Introduction: The Malaysian society is undergoing rapid modernisation. The emerging middle class in Malaysia is influencing the lifestyles and traditional food habits of the main three ethnics (i.e. Malays, Chinese, and Indians). This article studied the impact of compressed modernisation on food in a multicultural context. The Malaysian Food Barometer (MFB), published in the year 2014, focuses on the socio-cultural determinants of food habits in Malaysia. Methods: The methods applied in the study were qualitative and quantitative surveys of the food barometers developed at the national level to study the transformation of eating habits. The surveys studied the socio-economic, demographic, and cultural determinants of food consumption, as well as identifying their possible influences on health issues. Results: The results showed two major distinguishing characteristics of Malaysian food patterns, i.e. linking with Malaysia’s multi-ethnicity background and the high frequency of foods consumed outside of home by the urban population. Conclusion: The article concluded that like many societies in transition, Malaysia has to face a rise in the prevalence of overweight. However, with its multicultural characteristics, it becomes a privileged empirical field of observation for the analysis of modernisation modalities of diet models among different ethnic groups.

A review of national plans of action for nutrition in Southeast Asian countries

@#This review describes national plans of action for nutrition (NPANs) in six Southeast Asia countries (Indonesia, Malaysia, Myanmar, Philippines, Thailand and Vietnam) in order to provide an understanding of the approach and framework undertaken by these countries in the formulation and implementation of NPANs, as well as the similarities and differences in various NPAN components. The six countries recognised the persistent undernutrition and escalating rates of obesity and other diet-related chronic diseases as the key drivers for nutrition action plan implementation. The prioritisation of nutrition interventions outlined in these NPANs are based on respective country context and needs. Although differing in strategies and targets set, these countries show similarities in several components including objectives, stakeholder involvement, nutritional issues to be addressed, implementation, monitoring and evaluation mechanism, programme/ activities identified and challenges in implementing NPANs. Countries have recognised that effective implementation, monitoring and evaluation are essential to successfully address both extremes of the challenging nutrition situation. Several important similarities in the NPANs studied suggest that closer collaboration among countries and stakeholders on NPANs would be beneficial. Opportunities should be created for periodic exchanges to enable sharing of experiences in the development and implementation of NPANs among the countries. Recommendations and conclusions drawn from this review could serve as useful reference for nutrition policy and planning in the future.

Coronary CT Angiography in Asymptomatic Diabetes Mellitus.

Background: Coronary artery disease is often asymptomatic in diabetic patients until the onset of myocardial infarction or sudden cardiac death. . Coronary artery CT angiography can detect Coronary artery disease with high specificity and sensitivity. Aims &objectives: To evaluate the prevalence of coronary artery disease by CT angiography in type 2 diabetes mellitus patients asymptomatic for coronary artery disease with one or more additive risk factors for coronary artery disease. Methods: This hospital based observational study was conducted from March 2013 to August 2014 at GMC Srinagar. This study was carried out among Type 2 diabetes mellitus patients asymptomatic for coronary artery disease with one or more additional risk factors for coronary artery disease. Total of 52 patients with Type 2 diabetes patient underwent Cardiac CT. Results: Mean age of study population was 57.08 ±9.33 years..34 were males and 18 were females. 65.39% of total patient who underwent CT Angiography had plaque in coronary arteries while 34.61% have no plaque and normal coronary vessels. 19.23% patients have significant stenosis defined by luminal narrowing more than 70%. There was statistically significant relation between those who have patient significant stenosis and nonsignificant stenosis with regards to mean age, BMI, duration of diabetes , HDL ,LDL ,total cholesterol ,TG, HbA1c and coronary calcium score. Conclusion: Asymptomatic diabetics with additional risk factors have high prevalence of atherosclerotic plaques with 19% having obstructive CAD .The timely detection of CAD can help in optimizing treatment.

Physiological and molecular characterization of drought responses and screening of drought tolerant rice varieties / Caracterização fisiológica, molecular e seleção da resposta a tolerância à seca em variedades de arroz

Drought stress has now become a severe threat to ensure food security in the developing world as well as in Malaysia. To dertermine physiological and molecular determinants of drought stress and screening of drought tolerant rice varieties, an experiment was conducted in a greenhouse at Universiti Putra Malaysia using eleven rice varieties and two irrigation regimes (well irrigated and water stressed). The present study indicated that traditional rice variety Puteh Perak and Siam is superior drought tolerant while IRRI 2011- IRLON Plot no: 064, MR 220 and BRRI Dhan 56 are moderately drought tolerant, and IRRI 2011- IRLON Plot no: 050 and MR 84 are drought sensitive rice variety. Drought tolerance of those varieties were measured based on rate of tiller reduction, leaf rolling score and drought score during water stress condition. Leaf rolling score was positively correlated to drought score, chlorophyll content and proline accumulation. Significant increase in the proline accumulation and antioxidant enzyme activities (peroxidase and catalase) were also observed under drought stress in all the rice varieties except Siam and Puteh Perak. All the rice varieties including drought tolerant and sensitive showed the existence of OsLEA 30 genes.

Tolerância à seca tornou-se um importante tema da segurança alimentar nos países em desenvolvimento, bem como na Malásia. Com o objetivo de determinar os fatores fisiológicos e moleculares da tolerância à seca em variedades de arroz foi conduzido um experimento em casa de vegetação na Universidade Putra da Malásia usando 11 genótipos e dois sistemas de irrigação (vaso contendo plantas irrigadas e estressadas). O estudo mostrou que a variedade Puteh Perak e Siam foram superiores em condições de estresse hídrico, enquanto IRRI 2011-IRLON ­ PLOT 064 e MR 220 e BRRI Dhan 56 foram de tolerância moderada e IRRI 2011-IRLON 050 foram genótipos que apresentaram sensibilidade à seca. A tolerância à seca foi quantificada pela taxa de crescimento, nota visual para o enrolamento das folhas durante e nível de estresse durante o tempo de estresse hídrico. Enrolamento das folhas foi correlacionado com o nível de estresse hídrico, teor de clorofila e acúmulo de prolina. Aumento significativo no acúmulo de prolina e na atividade enzimática anti-oxidante (peroxidase e catalase) foram também observadas sobre estresse hídrico em todas as variedades de arroz tanto tolerantes quanto as sensíveis que esteve associado a existência de genes OsLEA 30.

Comparative study of the application of jasmonic acid and pesticide in chilli: effects on physiological activities, yield and viruses control / Estudo comparativo da aplicação de ácido jasmônico e pesticida em pimenteira: efeito nas atividades fisiológicas, produção e controle de viroses

The excessive application of pesticides for agricultural production has raised quite some concern about environmental safety and sustainability. To reduce environmental impact of pesticide overuse, there is an increasing interest in using different elicitors including Jasmonic acid (JA) to induce resistance against pathogen and insect in crop. Chilli (Capsicum annuum L.), which is an important vegeTable cum spice crop around the world. The aims of this study were to compare the effectiveness of Jasmonic acid on growth, Phyto-physiological responses, yield and viruses control in chilli plant. It was evaluated the effectiveness of single spray of JA (JA1), double spray of JA (JA2), conventional pesticide (Malathion 50%) and without any of those or control. The experimental results showed that pesticide-treated plants perform much better at early growth stages and become less competitive to JA2 treatment at maturity. Double spray of jasmonic acid showed less stress symptoms in different antioxidant enzymes activities (GPX, APX and CAT), reduce percentage of disease incidence and severity as well as improve growth and yielding characters of chilli plant. Therefore application of Jasmonic acid in chilli could be a possible alternative of pesticide application and its two times exogenous spray (0.5mM) is most effective.

A aplicação excessive de pesticidas na produção agrícola tem provocado algumas alterações na segurança ambiental e na sustentabilidade. Para reduzir este impacto ambiental aumentou o interesse no uso de elicitores incluindo o ácido Jasmônico (AJ) para induzir resistência contra os patógenos e insetos na cultura da pimenteira (Capsicum annum L.), a qual é uma importante hortaliça ou planta olerícola ao redor do mundo. Neste estudo foi comparada a eficácia do ácido Jasmônico no crescimento, resposta fisiológica, produção e controle de viroses na pimenteira. Foi avaliada uma simples aplicação (AJ1), duas aplicações (AJ2), inseticida malathion 50 % e uma testemunha (controle). Os resultados experimentais demonstraram uma redução nos sintomas de doenças viróticas pela atividade das enzimas anti oxidantes (GPX, APX e CAT), que reduziram a porcentagem da incidência e severidade das mesmas e promoveram o crescimento e melhoram os caracteres da produtividade da pimenteira. Portanto, a aplicação do ácido jsmônico em pimenteira pode ser uma alternativa para reduzir o uso de inseticidas e sua aplicação em duas vezes durante o ciclo (0,5 mM) foi mais eficiência.

Translation And Validation Of The Malay Post Traumatic Stress Disorder Checklist For Civilians

Objectives: There are a number of validated questionnaires available for the screening of Post-Traumatic Stress Disorder (PTSD), and the PTSD Checklist for Civilians is one of them. However, none was translated into the Malay Language and validated for use in the Malaysian population. The aim of this study is to translate and validate the Malay PTSD Checklist for Civilians (MPCL-C). Methods: The PCL-C was translated into the Malay Language and back-translated. The reliability and validity of the MPCL-C were then determined by administering them to those who presented at the emergency department for motor vehicle accident at least one month before. Results: The MPCL-C has good face and content validity. In terms of reliability, it is also good, with Chronbach’s alpha values of 0.90, 0.77, 0.75 and 0.74 for the full scale, re-experiencing, avoidance and arousal domains respectively. Conclusions: The MPCL-C is a valid and reliable instrument to screen for PTSD in motor vehicle accident victims for the studied population.

Impact of cyclic water stress on growth, physiological responses and yield of rice (Oryza sativa L.) grown in tropical environment / Impacto do estresse hídrico cíclico sobre o crescimento, as respostas fisiológicas e rendimento de arroz (Oryza sativa L.)

A series of water stress cycles [5, 10, 15, 20, 25 and 30 days of irrigation intervel including control flooded (CF), control saturated (CS)] were exposed to investigate the impact of cyclic water stress on growth, physiological responses and yield of a famous Malaysian rice variety, MR220. The study also aimed to determine optimum irrigation schedule for better production of rice. It was observed that grain yield, total biomass, filled spikelet, 1000 grain weight, total panicle, tillers mortality, plant height and number of tillers per plant reduces with increased duration of water stress cycles. Grain yield was higher both in CF and CS condition and those are statistically identical to 5 days of stress cycle or irrigation intervel. The present experiment shows that growth performance and physiological activities of rice differ marginally for 5 days of irrigation difference, exceding that time would reduce yield significantly. The study also showed that proline accumulation and malondialdehyde (MDA) contents in levels increased with increasing duration of water stress cycle. Depending on the findings of the present, it can be stated that rice variety MR220 do not require flooding irrigation and irrigation cycle of 5 days interval is more apprapriate to increase water use and higher yield of rice.

Deficiência hídrica com ciclos de 5, 10, 15, 20, 25 e 30 dias de intervalo e irrigação incluindo controle irrigado (CF), controle de saturação (CS)] foram usadas para investigar o impacto do estresse hídrico sobre o crescimento cíclico, fito-respostas fisiológicas e rendimento de variedade de arroz MR220. O estudo também teve como objetivo determinar o cronograma de irrigação ideal para melhorar a produção de arroz. Observou-se que a produção de grãos, biomassa total, spiguetas, 1000-peso de grãos, panículas totais, a mortalidade de perfilhos, altura de planta e número de perfilhos por planta foi reduzida com o aumento da duração do ciclo de estresse hídrico. O rendimento de grãos foi maior tanto na CF e CS condição e foi estatisticamente igual a cinco dias do ciclo de estresse. O experimento mostra que o desempenho do crescimento e atividades fisiológicas de arroz diferem ligeiramente para cinco dias de diferença de irrigação, aumentado esse tempo, reduziria o rendimento significativamente. O estudo também mostrou que o acúmulo de prolina e conteúdo de malondialdeído (MDA) em níveis aumentaram com o increremento da duração do ciclo de estresse hídrico. Pode-se afirmar que a variedade de arroz MR220 não necessita de irrigação e ciclos de irrigação de cinco dias de intervalo é mais apropriado, além de aumentar a utilização de água e assim ter uma maior produção de arroz.

Development of single tubing-type canister for cryo-storage of bull semen and their effect on sperm motility and viability

The objective of this study was to evaluate the potential of using single tubing-type canister on sperm quality. Semen was collected from the Bali cattle bull by electroejaculation technique and was cryopreserved in liquid nitrogen using slow freezing cryopreservation method. Two type of canister volume was used in this study; commercial canister (342.25π x 278 mm²) and single tubing-type canister (4π x 90 mm²). Makler counting chamber and computer assisted sperm analyzer (CASA) were used to evaluate the sperm motility and viability of post-thaw sperm. Results showed that the bull sperm motility and viability at the bottom of tubing-type canister was statistically higher and significant as compared to the commercial canister (p<0.05). Significant changes were found in sperm kinetics (VCL, VAP, VSL) of tubing-type canister compared to commercial canister. No significant changes in the motility and viability of the bull sperm at the top of tubing-type canister and commercial canister. There were no significant changes in sperm progression (LIN, WOB, PROG) in both the canisters. Developed tubing-type canister in this study showed potential as an alternative to be used in bull sperm cryo-storage.

Evaluation of Effectiveness Projects on Obesity in 2010 Funded by the Malaysian Health Promotion Board / Jurnal Sains Kesihatan Malaysia

Prevalence of obesity in Malaysia has been steadily rising over the last two decades. Therefore, the efforts towards curbing this problem is becoming increasingly necessary. The main objective of this cross-sectional study was to evaluate the effectiveness of obesity projects conducted by the NGOs funded by the Malaysian Health Promotion Board (MHPB). In this study, the secondary data from the final reports of 22 obesity projects were analyzed to evaluate its effectiveness. All the information in the final report was transferred into the formative evaluation forms prepared by MHPB. The effectiveness of obesity projects was determined through the level of achievement of health literacy by using 21 indicators validated data extraction tool based on the RE-AIM Model. Projects which achieved 15 to 21 marks are considered to be of high quality, 8 to 14 marks are considered to be of moderate quality and 0 to 7 marks are categorized as low quality. Using the Cohen’s Kappa test to assess the inter-rater reliability towards 21 indicators validated data extraction tool based on the RE-AIM Model, it was found that there was very high level of inter-rater agreement (K = 0.868). From the 22 obesity projects studied, none was considered to be of high quality, 21 projects were found to have a moderate quality and 1 project was found to be of low quality. There was no significant difference on the percentage achievement of health literacy between different duration of project undertaken (p > 0.05). Based on the health screening of 1982 project participants, 333 (16.8%) are overweight and 354 (17.9%) are obese. In conclusion, although majority of the projects were successfully carried out by the NGOs. A follow-up study is needed to monitor lifestyles change which may eventually lead to reduction in the prevalence of obesity in the community where the projects were executed

Clinical Pathways: Development and Implementation at a Tertiary Hospital in Malaysia

Clinical pathways have been implemented in many healthcare systems with mix results in improving the quality of care and controlling the cost. CP is a methodology used for mutual decision making and organization of care for a well-defined group of patients within a well-defined period. In developing the CPs for a medical centre, several meetings had been carried out involving expert teams which consist of physicians, nurses, pharmacists and physiotherapists. The steps used to develop the pathway were divided into 5 phases. Phase 1: the introduction and team development, Phase II: determining the cases and information gathering, Phase III: establishing the draft of CP, Phase IV: is implementing and monitoring the effectiveness of CP while Phase V: evaluating, improving and redesigning of the CP. Four CPs had been developed: Total Knee Replacement (TKR), ST Elevation Myocardial Infarction (AMI), Chronic Obstructive Airways Diseases (COAD) and elective Lower Segment Caesarean Section (LSCS). The implementation of these CPs had supported the evidence-based medicine, improved the multidisciplinary communication, teamwork and care planning. However, the rotation of posts had resulted in lack of document ownership, lack of direction and guidance from senior clinical staff, and problem of providing CPs prior to admission. The development and implementation of CPs in the medical centre improved the intra and inter departmental communication, improved patient outcomes, promote patient safety and increased patient satisfaction. However, accountability and understanding of the CPs must be given more attention.

Studies on seed germination and growth in weed species of rice field under salinity stress.

An investigation was made to see the salt tolerance of 10 weed species of rice. Properly dried and treated seeds of weed species were placed on 9 cm diameter petridishes lined with Whatman No. 1 filter paper under 6 salinity regimes, viz. 0 (control), 4, 8, 16, 24 and 32 dS m-1. The petri dishes were then kept in germinator at 25±1.0oC and 12 hr light. The number of germinated seeds were recorded daily. The final germination percentage, germination index (GI), seedling vigour index, mean germination time and time for 50% germination were estimated. Root and shoot lengths of the weed seedlings were measured at 20 days after salt application and relative growth values were calculated. Results revealed that salinity decreased final germination percentage, seed of germination as measured by GI, and shoot and root length in all the species. Germination of most of the weed seeds was completely arrested (0) at 32 dS m-1 salinity except in E. colona (12%) and C. iria (13.9%). The species C. iria, E. colona, J. linifolia and E. crusgalli showed better germination (above 30%) upto 24 dS m-1 salinity level and were regarded as salt-tolerant weed species. J. linifolia, F. miliacea, L. chinensis and O. sativa L. (weedy rice) were graded as moderately tolerant and S. zeylanica, S. grosus and C. difformis were regarded as least tolerant weed species.

Relative salinity tolerance of warm season turfgrass species.

Fresh water, coupled with soil salinization in many areas has resulted in an increased need for screening of salt tolerant turf grasses. Relative salinity tolerance of eight warm season turfgrass species were examined in this study in sand culture. Grasses were grown in a glasshouse, irrigated with either distilled water or saline sea water adjusted to 24, 48 or 72 dSm-1. Salt tolerances of the grasses were assessed on the basis of their shoot and root growth, leaf firing and turf quality. Regression analysis indicated that Zoysia japonica (Japanese lawn grass) (JG), Stenotaphrum secundatum (St. Augustine) (SA), Cynodon dactylon ( satiri) (BS), Zoysia teneuifolia (Korean grass) (KG), Digitaria didactyla (Serangoon grass) (SG), Cynodon dactylon (Tifdwarf) (TD), Paspalum notatum (Bahia grass) (BG) and Axonopus compressus (Pearl blue) (PB) suffered a 50% shoot growth reduction at 36.0, 31.8, 30.9, 28.4, 26.4, 25.7, 20.0 and 18.6 dSm-1 of salinity, respectively and a root growth reduction at 44.9, 43.7, 33.4, 31.0, 29.5 27.5, 21.5 and 21.4 dSm-1 of salinity, respectively. Leaf firing and turf quality of the selected species, as a whole, were also found to be affected harmoniously with the change in root and shoot growth. On the basis of the experimental results the selected species were ranked for salinity tolerance as JG>SA>BS>KG>SG >TD>BG>PB.

Effect of plastic mulch on growth and yield of chilli (Capsicum annuum L.)

In this work a field study was conducted to evaluate the effect of coloured plastic mulch on growth and yield of chilli from October 2005 to April 2006. The plastic mulches were transparent, blue, and black and bare soil was the control. Different mulches generated higher soil temperature and soil moisture under mulch over the control. Transparent and blue plastic mulches encouraged weed population which were suppressed under black plastic. Plant height, number of primary branches, stem base diameter, number of leaves and yield were better for the plants on plastic. At the mature green stage, fruits had the highest vitamin-C content on the black plastic. Mulching produced the fruits with the highest chlorophyll-a, chlorophyll-b and total chlorophyll contents and also increased the number of fruits per plant and yield. However, mulching did not affect the length and diameter of the fruits and number of seeds per fruit. Plants on black plastic mulch had the maximum number of fruits and highest yield. Thus, mulching appears to be a viable tool to increase the chilli production under tropical conditions.

Relationship between Demodex sp. Infestation and Acne Problem among Adults in Klang Valley, Malaysia / Jurnal Sains Kesihatan Malaysia

Demodex sp. is a skin ectoparasite known as follicle mite. The objectives of this study were to determine the prevalence of Demodex sp. infestation among Malaysian adults with age ranges from 20 to 29 years old in Lembah Klang and to determine the relationship between the infestation status and gender and acne problem on face. This is the first study that has been conducted in Malaysia to determine the prevalence of Demodex sp. infestation. A total of 350 people participated in this study. Samples were selected by stratified random sampling. Skin scraping was carried out on forehead, nose, cheeks and chin. All specimens were mounted in Hoyer’s medium and studied under light microscope. Questionnaires were distributed to the subjects to identify acne problem on their skin conditions. The overall prevalence of Demodex sp. infestation was 18.9% with higher prevalence in males (25.7%) compared to females (12.0%). There was no significant difference between acne problem and Demodex sp. infestation. In conclusion, infestation of Demodex sp. was detected in a fifth of the subjects, with men had more problems.

Determination of malathion levels and the effect of malathion on the growth of Chrysomya megacephala (Fibricius) in malathion-exposed rat carcass

This study was conducted to examine the effect of malathion on the development of Chrysomya megacephala. A total of 12 adult Sprague-Dawley rats was divided into 4 groups. Each animal in the 4 groups was given orally 0 (control), 10, 25 and 50ml/kg body weight of malathion, respectively. Chrysomya megacephala larvae were then allowed to grow on the liver of carcass. Larvae development was estimated by means of weight and length, time of adult emergence and survival rate. Results indicated that for the first 6 to 30 hours, larvae from control group developed more rapidly than larvae feeding on tissue containing malathion. However, the 3 doses of malathion did not exhibit significant impact on larvae length and weight. The time required for adult emergence was significantly greater for malathion-treated colony which was 10 days compared to 7 days in control colony. Control larvae of C. megacephala had higher survival rate compared to larvae exposed to the three different doses of malathion. Analysis of the tissues indicated that all rats and fly samples were positive for malathion. Malathion concentration was highest in liver. It was concluded that the presence of malathion altered the development rate of C. megacephala and thus disrupted normal postmortem interval estimation.

A Study of House Officers in a Teaching Hospital on Knowledge, Perception of Skills and Confidence Level in Performing CPR

Cardio-pulmonary Resuscitation (CPR) is important and should be mastered by House Officers (HO). House officers who have just completed their studies are assigned to acute medical and surgical wards. If a patient in the ward has a cardiac arrest (CA), these doctors are usually the first to attend. Therefore an HO must be confident with CPR skills. They must be competent in performing CPR. The authors assessed 26 new HOs from Universiti Kebangsaan Malaysia Hospital (HUKM) with respect to their self-perception about CPR skills, confidence level in performing CPR and knowledge in performing CPR. Knowledge was assessed by a questionnaire. We found that 16 of 26 (61.5%) assessed themselves to have inadequate knowledge and 46.2% had no confidence in performing CPR. The mean score of the written test was 5.7 ± 1.8. Seven out of 26 (27.0%) HOs had incorrect hand placement position for CPR. Only 4 and 9 out of 26 HOs had their sternal paddle and cardiac apex paddle positions correctly placed respectively. In conclusion, knowledge, perception of skills and confidence levels of HOs on CPR are inadequate and need further assessment and improvement. Medical schools need to review their CPR curriculum in order to prepare HOs adequately to work in emergency situations.

Severity of Malaria cases reported in urban and rural hospitals in Malaysia.

The age distribution, types of infection and clinical patterns of malaria were compared in patients admitted to an urban and a rural hospital. Analysis of the cases seen in urban setting characteristically indicated a relatively low transmission rate of the disease, whereas the mean inoculation rate in patients from the rural hospital was found to be at least twenty folds higher. Plasmodium vivax was the predominant causative species in the urban hospital (p = 0.01), infecting mostly adult (p = 0.001) males (p = 0.01). The geometric mean parasite count at 3432/microl among the urban patients was significantly higher than that in the rural patients at 1422/microl (p = 0.04). Coma and death were more common among the cases seen in the urban hospital (p = 0.003), while severe anemia was the significant complication in the rural setting. Overall, the provisional diagnosis of malaria was relatively low in the urban hospital (p = 0.02). The results from this study highlighted the need to define the extent of malaria in urban areas. This report attempts to identify the non-climatic determinants of the infection and, furthermore, to provide a more informed basis to describe the burden of the disease.