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Herpes simplex encephalitis (HSE) is a medical emergency associated with high mortality and morbidity. Definitive diagnosis is established by history, clinical examination, neuroimaging studies, supportive electroencephalogram (EEG) findings, and cerebrospinal fluid (CSF) analysis. A 7-year-old Malay girl with known case of right hemiplegia secondary to herpes encephalitis presented to the neuropediatric ward, in General Hospital with refractory seizure. She had a moderate learning disability and diagnosed as right hemiparesis secondary to herpes encephalitis complicated with epilepsy. She was planned for the positron emission tomography (PET) scan and to undergo operation if PET scan was feasible (Hemispherectomy). However, the patient refused for operation. Prompt clinical recognition is important in the HSE to prevent progressive brain tissue damage, haemorrhagic changes, and worsening of the encephalitis. Diagnosis is usually confirmed through an extensive evaluation, including a thorough clinical examination with attention to findings on mental status changes, cerebrospinal fluid (CSF) analysis, electroencephalogram (EEG) testing and findings on neuroimaging. Once HSE is suspected, high-dose acyclovir should be started immediately before lumbar puncture (LP), and only stopped once a definitive alternate diagnosis has been established. This case is reported because the patient has generalized epilepsy with right hemiparesis secondary to herpes encephalitis. Herpes encephalitis with right hemiparesis cases are quite rare.

Introduction: The main cause of overweight and obesity is the imbalance between energy intake and expenditure. Obesity is the abnormal accumulation of ≥20% of body fat, over the individual's ideal body weight. Obesity is diagnosed by measuring the weight in relation to the height of an individual, thereby determining or calculating the body mass index (BMI). Methodology: This study is a cross-sectional study with the secondary data analysis of the health records of the patients who had attended the medical camps conducted in Melaka, Malaysia. All of the attendee’s body weight and height were measured. The blood pressure measurement was done according to the Clinical Practice Guidelines, Ministry of Health, Malaysia. Hypertension is defined as if the participant has systolic blood pressure (SBP) of > 140 mmHg and/ or diastolic blood pressure (DBP) of 90 mmHg or more. Some peoples were taking treatment of Hypertension. Results: The mean SBP among females was 11.64 units and mean DBP was 5.29 units lower compared to male participants. With an increase in age, SBP is expected to increase by .29 units, provided other variables remain unchanged. Regarding to BMI, every unit increase in BMI, SBP increased by 1.99 units and DBP increased by .86 units provided other variables remain unchanged. Conclusion: This study found that BMI is associated with SBP and DBP, which suggested that interventions for bodyweight management might be beneficial for the management of hypertension.

Nonunion of intertrochanteric fracture is uncommon because there are excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). The patient was subsequently treated successfully with an open reduction procedure. Open reduction and internal fixation with right DHS (Dynamic Hip Screw) with 8 screw holes plate inserted first and then 6 screws inserted under the guidance of Image Intensifier (C Arm). We would like to report a case of right intertrochanteric fracture with non-union. A 60 years old patient presented with the history of pain in the right hip, off and on for many years after the operation. The pain was associated with stiffness of the right hip joint. This case is selected for reporting because it’s a relatively rare incidence.

Introduction: Obesity, high body fat percentage and hypertension could increase the mortality and morbidity due to cardiovascular diseases. These risk factors develop during childhood and adolescent period. The present study aimed at determining the association between body fat composition and BP level among the Chinese community in Melaka, Malaysia. Methodology: This is a cross-section study with the secondary data analysis of the health records of the patients who had attended the medical camps conducted in Melaka, Malaysia. The body fat and visceral fat were measured by using (Handheld Body Fat Scale Analyzer). The blood pressure measurement was done according to the Clinical Practice Guidelines, Ministry of Health, Malaysia. The participants who had systolic blood pressure (SBP) of 140 mmHg and/ or diastolic blood pressure (DBP) of 90 mmHg were defined as hypertension. Results: The prevalence of hypertension among male participants was 42.5%, meanwhile, among female was 23.6%. The prevalence of overweight and obesity was higher among males (37%) compared to females (20.8%). Gender, body fat (%) and was found to be associated with systolic blood pressure. Visceral fat (%) was the only associated factor of diastolic blood pressure. Conclusion: This study found that body and visceral fat compositions are significantly correlated with systolic BP and visceral fat composition is significantly correlated with diastolic BP. High body and visceral fat composition should be used as a measure of increased risk for hypertension among old age peoples.

Background: Medical doctors have to develop in professionalism in addition to become competent in clinical skills. Therefore, educators in Melaka Manipal Medical College have inculcated personal and professional development (PPD) projects into medical curriculums. The projects were in the form of Role Plays/Narratives/Creative writing and Mentored Student Project (MSP). Short terms outcomes of the projects were evaluated, and the research disclosed the positive effect of all PPDs on medical students. However, the long-term effect was yet to be evaluated. The findings of the previous study have not explained why those PPD projects are successful. While twenty fresh medical graduates were asked to reflect on one best learning experience as a qualitative evaluation of the programme, students’ appreciation of MSP disclosed. This study aimed to explore the students’ reflection to identify the reasons for their appreciation of MSP and the long-term effect of it. Study Design: Qualitative research. Methodology: Three reflective writings by fresh graduates were analyzed using the interpretive phenomenological analysis (IPA) approach. Students expressed their conscious perceptions about MSP in the form of words in their reflections. The researcher carefully read the reflections and interpret the words and phrases to catch the students’ perception of MSP. Results: The qualitative analysis revealed the reasons for participating in MSP and their appreciation about MSP. The main reason for students’ participation in MSP was to fulfill the requirement of the medical programme although one student mentioned that she was interested in MSP due to the nature of MSP. Four themes were formulated as reasons for their appreciation of MSP: (1) having an opportunity to choose their research topic, (2) the presence of a mentor to guide each student group, (3) opportunity for the poster presentation on results of MSP and (4) satisfaction with the overall outcome of the MSP. Conclusion: This study highlights the long-term impacts of MSP on students which matched with the expected learning outcomes set by Ministry of Education Malaysia. The analysis disclosed not only the outcome but also the process of MSP contribute for its success.

Background: Hospital environment is a favourable condition for growing of pathogens. Unhygienic practices of food handlers and contaminated food may be the cause of foodborne diseases, resulting in much comorbidity and longer hospital stay of the affected persons. Aims: To study socio-demographic characteristics, working characteristics and food handling practices among food handlers of eating establishments in the government hospitals, Mandalay city, Myanmar. Study Design: Cross-sectional descriptive study. Place and Duration of Study: One hundred and eleven eligible food handlers from government hospitals in Mandalay city, Myanmar between May 2018 and August 2018. Methodology: Face to face interviews with all eligible food handlers were carried out with pretested questionnaire. Observational checklist was used for current situation of food handlers. Results: The majority of employees were female and full-time food handlers. No pre-employment and periodic medical examinations of food handlers were done. More than half (54.05%) of total food handlers had unsatisfactory on food handling practices. Food handling practices status was influenced by duration of working in the current jobs (P=.001). Conclusion: There was high status of unhygienic food handling practices of the food handlers working in the eating establishments of the government hospitals, Mandalay city, Myanmar.