Top Medical News
3 hours ago
Intravenous terlipressin infusion appears to be the most effective medical therapy for reversing hepatorenal syndrome, while intravenous noradrenaline infusion is an acceptable alternative, according to a study.
7 hours ago
Injection with botulinum toxin A combined with bladder hydrodistention appears to be an effective method of managing ketamine-associated cystitis (KAC), a new study has reported.
10 hours ago
Drinking coffee, whether caffeinated or decaffeinated, is associated with a reduced risk of cardiovascular disease (CVD) and ischaemic heart disease (IHD) mortality in patients with a prior myocardial infarction (MI), according to a recent study.
Tristan Manalac, 11 hours ago
In foetuses exposed to the anti-Ro/SSA antibody, the rate of recurrence of conduction disturbances is higher than what was previously reported, according to a recent study. Moreover, the season of the year appears to be linked to atrioventricular (AV) time intervals during the congenital heart block risk period in such foetuses.
12 hours ago
Pregnant women are more likely to stop using addictive drugs, with multiple analyses indicating that this association is largely causal, according to a study, further suggesting that pregnancy is a strong intrinsic motivator for drug abuse cessation. Furthermore, similar strong protective effects tend to persist in the immediate postpartum period.
15 hours ago
Atrial fibrillation (AF) increases the risk of incident myocardial infarction (MI), according to a recent study from Korea. Moreover, the risk of AF-associated MI appears to be higher in patients without dyslipidaemia, ischaemic stroke, diabetes and hypertension.
Use of clarithromycin in the outpatient setting appears to be associated with long-term increases in mortality, a retrospective study has found. Additionally, erythromycin yields a similar, albeit smaller, increase in the said risk.
Special Reports
09 Oct 2017
In this issue of MIMS Gastroenterology Supplement, we bring you clinical updates related to hepatitis B, and also a symposium highlight in conjunction with the launch of tenofovir disoproxil fumarate (Ricovir®; Mylan Laboratories) in Malaysia.  
04 Oct 2017
At the Malaysian Thoracic Society Annual Scientific Congress 2017 held recently in Kuala Lumpur, Associate Professor Pang spoke on the importance of influenza vaccination in patients with chronic respiratory diseases and lung cancer, highlighting the benefit of quadrivalent influenza vaccines (QIVs) in providing a wider spectrum of protection against influenza types A and B.
29 Sep 2017
Nonalcoholic fatty liver disease (NAFLD), including simple steatosis and nonalcoholic steatohepatitis (NASH), is widely considered as the liver manifestation of the metabolic syndrome. It is a major cause of liver disease worldwide and its prevalence is expected to rise in tandem with the rising prevalence of obesity and diabetes mellitus. Recently, MIMS Doctor spoke to Associate Professor Dr Wah Kheong Chan, a Consultant Physician and Gastroenterologist at the University of Malaya Medical Centre and University of Malaya Specialist Centre, to provide an update on NAFLD, with a particular emphasis on the use of silymarin for the treatment of NASH. Here are the highlights from the interview. 
29 Sep 2017
Constipation is a common disorder which adversely affects the wellbeing and quality of life of patients.1 Recently, MIMS Doctor spoke to Associate Prof Dr Raja Affendi Raja Ali on the landscape of constipation in Malaysia, emphasizing on effective and early management of the condition.
28 Sep 2017

Benign prostatic hyperplasia (BPH) is characterized by an enlargement of the prostate gland that can lead to compression of the urethra.1 Patients often experience lower urinary tract symptoms (LUTS), which are typically classified as either voiding or storage symptoms.1

Over 60% of men will experience any LUTS.2  Although Asian men typically have smaller prostates compared with Western men, Asians experience similar or higher rates of LUTS that can impact sexual function and quality of life (QoL).1,3

20 Sep 2017
Sustained stable disease with regorafenib in heavily pretreated metastatic colon cancer
Dr. Yeo Khung Keong, Dr. Wiwun Tungsubutra, Prof. Peter Collins, 31 Aug 2017
Agents such as beta-blockers and calcium antagonists have been the cornerstone of treatment for stable angina for some time. However, new options are emerging for patients who remain inadequately controlled on conventional therapies. At a recent Menarini-sponsored symposium held during the APSC Congress 2017 in Singapore, three experts discussed the current treatment landscape, as well as changing paradigms and new effective options for patients with symptomatic angina.
Conference Reports
Pearl Toh, 21 Oct 2017
Bisphosphonate is one of the first-line therapy for treating osteoporosis, but its long-term use should take into account the balance between its antifracture benefit and risk of adverse events such as atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), according to a presentation at the AFOS 2017 Meeting in Kuala Lumpur, Malaysia.
Roshini Claire Anthony, 19 Oct 2017

Increasing evidence points to a link between hypertension and cognitive decline, particularly in the elderly population, according to a presentation at APCH 2017. However, the impact of antihypertensive medication use on dementia incidence is unestablished. 

Pearl Toh, 18 Oct 2017
For stroke prevention in an Asian population, a blood pressure (BP) of <140/90 mm Hg is a reasonable target and particularly, 120-130/80 mm Hg may be optimal, according to a presentation at the APCH 2017 Meeting in Singapore.
Roshini Claire Anthony, 17 Oct 2017

Patients with type 2 diabetes (T2D) may not necessarily have lower trabecular bone scores (TBS) than nondiabetics, a finding that contrasts with that of previous research, according to a study published in a poster at the recent meeting of the Asian Federation of Osteoporosis Societies (AFOS 2017), held in Kuala Lumpur, Malaysia.

Elvira Manzano, 17 Oct 2017
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
Audrey Abella, 17 Oct 2017
The use of functional imaging modalities such as octreotide scintigraphy and 68Ga DOTATATE PET/CT* enhances localization of tumour-induced osteomalacia (TIO), a rare syndrome characterized by bone pain, muscle weakness, and skeletal deformities due to overproduction of the hormone fibroblast growth factor 23 (FGF23), according to data presented at AFOS 2017.
Stephen Padilla, 17 Oct 2017
Use of a Japanese nomogram in predicting hypertension cure in patients with primary aldosteronism (PA) is fairly accurate, and the achieved cure rate is similar to established series, according to a study presented at the 13th Asian-Pacific Congress of Hypertension (APCH 2017) held in Singapore.
CME Modules
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