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8 results on '"Ahmad, Zatul Akmar"'

1. Endometrioma Presented as Acute Abdomen in a Peritoneal Dialysis Patient: A Case Report and Literature Review

Author

Ahmad,Zatul Akmar, Ramly,Fathi, Mohd Zahid,Akmal Zulayla, Abdullah,Bahiyah, and Abdul Hafidz,Muhammad Iqbal

Subjects
International Journal of Women's Health
Abstract

Zatul Akmar Ahmad,1 Fathi Ramly,1 Akmal Zulayla Mohd Zahid,1 Bahiyah Abdullah,1,2 Muhammad Iqbal Abdul Hafidz3 1Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia; 2Maternofetal and Embryo (MatE) Research Group, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia; 3Department of Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, MalaysiaCorrespondence: Bahiyah AbdullahDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Jalan Hospital, Selangor, 47000, MalaysiaTel +60 3-6126500Fax +60 3-61265224Email bahiyah@uitm.edu.myAbstract: Laparoscopic management in patients on peritoneal dialysis offers good postoperative outcome and early resumption to peritoneal dialysis. This is a report of a 43-year-old woman with end-stage kidney disease on peritoneal dialysis presented with left iliac fossa pain due to a large endometrioma. Emergency diagnostic laparoscopy was performed with careful laparoscopic entry, Tenckhoff catheter care and anti-adhesive application. The patient underwent temporary hemodialysis for two weeks before full resumption to peritoneal dialysis. She was planned for GnRH analogue for three months post-operatively. In conclusion, laparoscopy is a safe and advantageous route of surgery for ovarian endometrioma in patients on peritoneal dialysis. However, mindful surgical strategies are needed to ensure the Tenckhoff catheter’s longevity and early resumption to peritoneal dialysis post-operatively.Keywords: laparoscopy, Tenckhoff, endometrioma, renal replacement therapy

Published
2021

2. Oncologist-led BRCA counselling improves access to cancer genetic testing in middle-income Asian country, with no significant impact on psychosocial outcomes

Author

Yoon, Sook-Yee, primary, Wong, Siu Wan, additional, Lim, Joanna, additional, Ahmad, Syuhada, additional, Mariapun, Shivaani, additional, Padmanabhan, Heamanthaa, additional, Hassan, Nur Tiara, additional, Lau, Shao Yan, additional, Ch'ng, Gaik-Siew, additional, Haniffa, Muzhirah, additional, Ong, Winnie P, additional, Rethanavelu, Kavitha, additional, Moey, Lip Hen, additional, Keng, Wee Teik, additional, Omar, Jamil, additional, Mohd Abas, Mohd Norazam, additional, Yong, Chee Meng, additional, Ramasamy, Vickneswaren, additional, Md Noor, Mohd Rushdan, additional, Aliyas, Ismail, additional, Lim, Michael C K, additional, Suberamaniam, Anuradha, additional, Mat Adenan, Noor Azmi, additional, Ahmad, Zatul Akmar, additional, Ho, Gwo Fuang, additional, Abdul Malik, Rozita, additional, Subramaniam, Suguna, additional, Khoo, Boom Ping, additional, Raja, Arivendran, additional, Chin, Yeung Sing, additional, Sim, Wee Wee, additional, Teh, Beng Hock, additional, Kho, Swee Kiong, additional, Ong, Eunice S E, additional, Voon, Pei Jye, additional, Ismail, Ghazali, additional, Lee, Chui Ling, additional, Abdullah, Badrul Zaman, additional, Loo, Kwong Sheng, additional, Lim, Chun Sen, additional, Lee, Saw Joo, additional, Lim, Keng Joo Lim, additional, Shafiee, Mohamad Nasir, additional, Ismail, Fuad, additional, Latiff, Zarina Abdul, additional, Ismail, Mohd Pazudin, additional, Mohamed Jamli, Mohamad Faiz, additional, Kumarasamy, Suresh, additional, Leong, Kin Wah, additional, Low, John, additional, Md Yusof, Mastura, additional, Ahmad Mustafa, Ahmad Muzamir, additional, Mat Ali, Nor Huda, additional, Makanjang, Mary, additional, Tayib, Shahila, additional, Cheah, Nellie, additional, Lim, Boon Kiong, additional, Fong, Chee Kin, additional, Foo, Yoke Ching, additional, Mellor Abdullah, Matin, additional, Tan, Teck Sin, additional, Chow, Doris S Y, additional, Ho, Kean Fatt, additional, Raman, Rakesh, additional, Radzi, Ahmad, additional, Deniel, Azura, additional, Teoh, Daren C Y, additional, Ang, Soo Fan, additional, Joseph, Joseph K, additional, Ng, Paul Hock Oon, additional, Tho, Lye-Mun, additional, Ahmad, Azura Rozila, additional, Muin, Ileena, additional, Bleiker, Eveline, additional, George, Angela, additional, Thong, Meow-Keong, additional, Woo, Yin Ling, additional, and Teo, Soo Hwang, additional

Published
2021
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3. Oncologist-led BRCAcounselling improves access to cancer genetic testing in middle-income Asian country, with no significant impact on psychosocial outcomes

Author

Yoon, Sook-Yee, Wong, Siu Wan, Lim, Joanna, Ahmad, Syuhada, Mariapun, Shivaani, Padmanabhan, Heamanthaa, Hassan, Nur Tiara, Lau, Shao Yan, Ch'ng, Gaik-Siew, Haniffa, Muzhirah, Ong, Winnie P, Rethanavelu, Kavitha, Moey, Lip Hen, Keng, Wee Teik, Omar, Jamil, Mohd Abas, Mohd Norazam, Yong, Chee Meng, Ramasamy, Vickneswaren, Md Noor, Mohd Rushdan, Aliyas, Ismail, Lim, Michael C K, Suberamaniam, Anuradha, Mat Adenan, Noor Azmi, Ahmad, Zatul Akmar, Ho, Gwo Fuang, Abdul Malik, Rozita, Subramaniam, Suguna, Khoo, Boom Ping, Raja, Arivendran, Chin, Yeung Sing, Sim, Wee Wee, Teh, Beng Hock, Kho, Swee Kiong, Ong, Eunice S E, Voon, Pei Jye, Ismail, Ghazali, Lee, Chui Ling, Abdullah, Badrul Zaman, Loo, Kwong Sheng, Lim, Chun Sen, Lee, Saw Joo, Lim, Keng Joo Lim, Shafiee, Mohamad Nasir, Ismail, Fuad, Latiff, Zarina Abdul, Ismail, Mohd Pazudin, Mohamed Jamli, Mohamad Faiz, Kumarasamy, Suresh, Leong, Kin Wah, Low, John, Md Yusof, Mastura, Ahmad Mustafa, Ahmad Muzamir, Mat Ali, Nor Huda, Makanjang, Mary, Tayib, Shahila, Cheah, Nellie, Lim, Boon Kiong, Fong, Chee Kin, Foo, Yoke Ching, Mellor Abdullah, Matin, Tan, Teck Sin, Chow, Doris S Y, Ho, Kean Fatt, Raman, Rakesh, Radzi, Ahmad, Deniel, Azura, Teoh, Daren C Y, Ang, Soo Fan, Joseph, Joseph K, Ng, Paul Hock Oon, Tho, Lye-Mun, Ahmad, Azura Rozila, Muin, Ileena, Bleiker, Eveline, George, Angela, Thong, Meow-Keong, Woo, Yin Ling, and Teo, Soo Hwang

Abstract

BackgroundIdentifying patients with BRCAmutations is clinically important to inform on the potential response to treatment and for risk management of patients and their relatives. However, traditional referral routes may not meet clinical needs, and therefore, mainstreaming cancer genetics has been shown to be effective in some high-income and high health-literacy settings. To date, no study has reported on the feasibility of mainstreaming in low-income and middle-income settings, where the service considerations and health literacy could detrimentally affect the feasibility of mainstreaming.MethodsThe Mainstreaming Genetic Counselling for Ovarian Cancer Patients (MaGiC) study is a prospective, two-arm observational study comparing oncologist-led and genetics-led counselling. This study included 790 multiethnic patients with ovarian cancer from 23 sites in Malaysia. We compared the impact of different method of delivery of genetic counselling on the uptake of genetic testing and assessed the feasibility, knowledge and satisfaction of patients with ovarian cancer.ResultsOncologists were satisfied with the mainstreaming experience, with 95% indicating a desire to incorporate testing into their clinical practice. The uptake of genetic testing was similar in the mainstreaming and genetics arm (80% and 79%, respectively). Patient satisfaction was high, whereas decision conflict and psychological impact were low in both arms of the study. Notably, decisional conflict, although lower than threshold, was higher for the mainstreaming group compared with the genetics arm. Overall, 13.5% of patients had a pathogenic variant in BRCA1or BRCA2,and there was no difference between psychosocial measures for carriers in both arms.ConclusionThe MaGiC study demonstrates that mainstreaming cancer genetics is feasible in low-resource and middle-resource Asian setting and increased coverage for genetic testing.

Published
2022
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6. Non-bacterial thrombotic endocarditis: A rare manifestation of cervical adenocarcinoma.

Author

LIM, Michael Chung Keat, AHMAD, Zatul Akmar, Soon Chai LOW, Yin Ling WOO, RAMLI, Norlisah, SHAHRIZAILA, Nortina, and Chong Tin TAN

Subjects
*ENDOCARDITIS, *CERVICAL cancer treatment, *ADENOCARCINOMA, *PELVIS, *CHEMORADIOTHERAPY, *MAGNETIC resonance imaging
Abstract

Non-bacterial thrombotic endocarditis (NBTE) denotes the presence of sterile non-infective vegetation on structurally normal, or subtly degenerate cardiac valves and is often associated with advanced malignancies. In gynaecological cancer in particular, NBTE has been most commonly associated with ovarian cancer. Here we report a rare but interesting case of NBTE in a patient with locally advanced cervical adenocarcinoma. [ABSTRACT FROM AUTHOR]

Published
2018

8. Oncologist-led BRCA counselling improves access to cancer genetic testing in middle-income Asian country, with no significant impact on psychosocial outcomes.

Author

Yoon SY, Wong SW, Lim J, Ahmad S, Mariapun S, Padmanabhan H, Hassan NT, Lau SY, Ch'ng GS, Haniffa M, Ong WP, Rethanavelu K, Moey LH, Keng WT, Omar J, Mohd Abas MN, Yong CM, Ramasamy V, Md Noor MR, Aliyas I, Lim MCK, Suberamaniam A, Mat Adenan NA, Ahmad ZA, Ho GF, Abdul Malik R, Subramaniam S, Khoo BP, Raja A, Chin YS, Sim WW, Teh BH, Kho SK, Ong ESE, Voon PJ, Ismail G, Lee CL, Abdullah BZ, Loo KS, Lim CS, Lee SJ, Lim KJL, Shafiee MN, Ismail F, Latiff ZA, Ismail MP, Mohamed Jamli MF, Kumarasamy S, Leong KW, Low J, Md Yusof M, Ahmad Mustafa AM, Mat Ali NH, Makanjang M, Tayib S, Cheah N, Lim BK, Fong CK, Foo YC, Mellor Abdullah M, Tan TS, Chow DSY, Ho KF, Raman R, Radzi A, Deniel A, Teoh DCY, Ang SF, Joseph JK, Ng PHO, Tho LM, Ahmad AR, Muin I, Bleiker E, George A, Thong MK, Woo YL, and Teo SH

Subjects
BRCA1 Protein genetics, BRCA2 Protein genetics, Counseling, Female, Genetic Counseling, Genetic Testing methods, Humans, Prospective Studies, Oncologists, Ovarian Neoplasms diagnosis, Ovarian Neoplasms epidemiology, Ovarian Neoplasms genetics
Abstract

Background: Identifying patients with BRCA mutations is clinically important to inform on the potential response to treatment and for risk management of patients and their relatives. However, traditional referral routes may not meet clinical needs, and therefore, mainstreaming cancer genetics has been shown to be effective in some high-income and high health-literacy settings. To date, no study has reported on the feasibility of mainstreaming in low-income and middle-income settings, where the service considerations and health literacy could detrimentally affect the feasibility of mainstreaming., Methods: The Mainstreaming Genetic Counselling for Ovarian Cancer Patients (MaGiC) study is a prospective, two-arm observational study comparing oncologist-led and genetics-led counselling. This study included 790 multiethnic patients with ovarian cancer from 23 sites in Malaysia. We compared the impact of different method of delivery of genetic counselling on the uptake of genetic testing and assessed the feasibility, knowledge and satisfaction of patients with ovarian cancer., Results: Oncologists were satisfied with the mainstreaming experience, with 95% indicating a desire to incorporate testing into their clinical practice. The uptake of genetic testing was similar in the mainstreaming and genetics arm (80% and 79%, respectively). Patient satisfaction was high, whereas decision conflict and psychological impact were low in both arms of the study. Notably, decisional conflict, although lower than threshold, was higher for the mainstreaming group compared with the genetics arm. Overall, 13.5% of patients had a pathogenic variant in BRCA1 or BRCA2, and there was no difference between psychosocial measures for carriers in both arms., Conclusion: The MaGiC study demonstrates that mainstreaming cancer genetics is feasible in low-resource and middle-resource Asian setting and increased coverage for genetic testing., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2022
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