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A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct
Salziyan Badrin,Noraini Mohamad,Nor Akma Yunus,Maryam Mohd Zulkifli 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.6
Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previouslyin literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patientsand patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as thebasal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommonand not well documented in the literature. Neurological deficits are the most common presentation instroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depressionand anxiety, related to physical disability. The present case report describes an elderly female patient who presentedwith hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction,without other significant neurological deficits.
Salziyan Badrin,Norwati Daud,Shaiful Bahari Ismail 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.6
Background: Body image is associated with the perception of people on themselves. Influencing factors are generated internally and/or externally. The most common issue pertaining to body image is body weight and weight loss. This study aimed to determine the association between body weight perception and weight loss practices among college students. Methods: A cross-sectional study was conducted involving 297 college students from private nursing colleges in the state of Kelantan, Malaysia. A self-administered questionnaire was used to assess sociodemographic characteristics, body weight perception, and weight loss methods. Weight and height were measured, and body mass index (BMI) was calculated based on weight and height measurement. The World Health Organization BMI cutoffs were applied in the study. Results: More than half (54.2%) of college students perceived their weight correctly as per actual measured BMI. A total of 51.5% of participants had tried various methods to reduce their weight. Body weight perception is associated with weight loss practices (odds ratio, 0.31; 95% confidence interval, 0.19–0.50; P<0.001) adjusted for sex, marital status, and status of having obese family members. Those who had correct body weight perception were less likely to engage in weight loss practice. Food intake restriction (42.4%) is the most popular weight reduction method among students in nursing colleges. Over a quarter of the participants chose physical exercise (25.3%) to reduce their weight, and a small number engaged in unhealthy weight loss practices. Conclusion: Body weight perception is an important factor that influences the practice to reduce weight especially among young adult group and college students.
A Diabetic Elderly Man with Finger Ulcer
Noraini Mohamad,Salziyan Badrin,Wan Noor Hasbee Wan Abdullah 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.2
Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised sta-tus. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.