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        A Case of Right Coronary Artery Fistula to Right Ventricle with Associated Aneurysm and Thrombus in Pregnant Lady

        Norain Talib,Kama Azira Awang Ramli,Yusri Mohammed 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.3

        A 27-year-old pregnant female presented to our clinic for a cardiac murmur that was detected during an antenatal check-up. She had no cyanosis, and she was asymptomatic for heart failure. The echocardiogram revealed an enlarged right coronary sinus with right coronary artery (RCA) dilatation. The electrocardiographic-gated coronary computed tomography angiogram showed aneurysmal RCA dilatation with fistula to the inferobasal region of the right ventricle. A few small thrombi were visualized in the right ventricle and within the fistula. She delivered a healthy baby via caesarean section at 31 weeks of gestation, and fistula correction was planned within one year.

      • Multimodality Imaging Features of Cardiac Fungal Infection: A Case Report

        Talib Norain,Mohammed Yusri,Abas Sharipah Intan S. SY.,Ramli Kama Azira Awang 아시아심장혈관영상의학회 2019 Cardiovascular Imaging Asia Vol.3 No.4

        We present a 38-year-old man with hepatitis C and history of intravenous drug use who presented with fever and hemoptysis. Initial chest CT showed bronchiectasis with an intracavitary lesion consistent with invasive lung aspergillosis in the background of a previously treated tuberculosis infection. Subsequently, he developed cardiac failure symptoms, and transthoracic echocardiogram revealed a left ventricle (LV) apical lesion mimicking a thrombus or vegetation. However, cardiac MRI suggested a fungating apical lesion in the LV, which showed gradual enhancement at the peripheral lesion while sparing the central core in the first-pass perfusion sequence. The long inversion time (600 milliseconds) of the late gadolinium sequence confirmed presence of persistent peripheral enhancement suggestive of an infective focus rather than a thrombus. The intracardiac lesion was compatible with a left ventricular fungal lesion or aspergilloma consistent with a positive serum galactomannan assay. The patient refused surgical intervention. Despite a long course of antifungal therapy, he succumbed to death three weeks after completion of treatment due to disease complications.

      • Promoting Oral Cancer Awareness and Early Detection using a Mass Media Approach

        Saleh, Amyza,Yang, Yi-Hsin,Ghani, Wan Maria Nabillah Wan Abd,Abdullah, Norlida,Doss, Jennifer Geraldine,Navonil, Roy,Rahman, Zainal Ariff Abdul,Ismail, Siti Mazlipah,Talib, Norain Abu,Zain, Rosnah Bin Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.4

        Background and Aim: Less than 50% of oral cancer cases are diagnosed at early stages of the disease and this is in part due to poor awareness and lack of knowledge on the signs and symptoms of oral cancer. This study sought to measure the baseline awareness of oral cancer in Malaysia and aimed to increase public awareness and knowledge of oral cancer using a mass media campaign. Methods: Baseline awareness and impact of the campaign was measured using self-administered questionnaires sent via email to individuals. The campaign was aired on two national television channels and the reach was monitored through an independent programme monitoring system. Results: 78.2% of respondents had heard of oral cancer, and this increased significantly after the campaign. However, the ability to recognize signs and symptoms remains unchanged. We found that the level of awareness differed between the distinct ethnic subgroups and the reach of the campaign was not uniform across all ethnicities. Conclusion: This substantial study to measure the oral cancer awareness in Malaysia provides important baseline data for the planning of public health policies. Despite encouraging evidence that a mass media campaign could increase the awareness of oral cancer, further research is required to address the acceptability, comprehensiveness and effectiveness. Furthermore, different campaign approaches may be required for specific ethnic groups in a multi-ethnic country such as Malaysia.

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