Lili Yaacob

Universiti Sains Malaysia, Kampus Kesihatan · Department of Family Medicine

Dumping syndrome after bariatric surgery is common. However, it is rarely seen during pregnancy because patients are usually advised to avoid pregnancy immediately after surgery. This case highlights the importance of avoidance of pregnancy after bariatric surgery. We report a case of unplanned pregnancy in a 35-year-old woman with a history of sub...

Hypoglycemia is a common complication of diabetes mellitus. Patients may present with any kind of symptoms, either autonomic or neuroglycopenic. Here, we report a case of a 70-year-old man with type 2 diabetes mellitus with a newly diagnosed hepatocellular carcinoma presenting with recurrent episodes of hypoglycemia. The insulin treatment was withh...

Palliative care in Malaysia has progressed steadily since its inception in 1991, and it has been integrated gradually into primary health care in the past decade. This study aims to assess the level of knowledge and the attitudes towards palliative care and its associated factors among primary care physicians. A cross-sectional study was conducted...

b>Background: Childhood urolithiasis is previously rare but increasingly recognized nowadays. Presentation varies, and often children, do not present with the classical symptoms commonly seen in adults. Case report: This case was initially presented to the emergency department with atypical symptoms of nephrolithiasis. Therefore, he was treated for...

We present a case of a patient with Sweet Syndrome secondary to possible bacterial infection. The diagnosis of Sweet Syndrome was made based on his clinical and histopathological findings. Sweet syndrome is a rare inflammatory disorder characterised by tender erythematous skin lesions, often accompanied with fever, neutrophilia and leukocytosis. It...

Purpose: The study aims to determine the prevalence of mental health problems among early adolescents and their associations with parental relationships. Methods: A cross-sectional study was conducted on 535 adolescents aged 13 to 14 on the east coast of Peninsular Malaysia using online surveys from February 2021 to April 202. Mental health status...

Cytomegalovirus (CMV) is a common virus that causes mild, self-limiting illness in immunocompetent individuals. However, CMV is also frequently associated with acute demyelinating encephalomyelitis (ADEM), which is an uncommon monophasic idiopathic inflammatory demyelinating disease. It affects both children and adults. This is a case of unfortunat...

Optimal glycaemic control is crucial in patients with diabetes mellitus (DM) to avoid episodes of hypoglycaemia and both micro- and macrovascular complications. Diabetic control relies mainly on the evaluation of haemoglobin A1c (HbA1c), which is unfortunately unreliable in patients with haemoglobinopathies. This case report describes a patient wit...

Background: The prevalence of Autism Spectrum Disorder (ASD) has been increasing for the past two decades. Parents with autism have been known to be at risk of psychological distress and maladaptation, but many parents were able to overcome this adversity and lead to a good quality of life. Methods: In-depth interviews were conducted among 21 pa...

Introduction: The quality of diabetes care is widely suboptimal, and most of the interventions depend on the active involvement and participation of patients. Understanding and determining patient related factors can help primary care providers pay more attention and give greater care to those patients. This will improve patient satisfaction, which...

Objective To determine the effect of Ashwagandha extract on sleep. Methods A comprehensive search was conducted in CENTRAL, MEDLINE, SCOPUS, Google Scholars, World Health Organization Trials Portal, ClinicalTrials.gov , Clinical Trial Registry of India, and AYUSH Research Portal for all appropriate trials. Randomized controlled trials that examine...

Sexual abuse of children is increasing at an alarming rate. This study aims to describe the risk factors and the effects of sexual abuse on children. This unobtrusive qualitative study was conducted on children aged 10 to 18 years old who experienced sexual abuse and followed-up at a psychiatric clinic between the years 2019 and 2021. The informati...

Many parents have experienced difficulties in parenting children with autism. We, therefore, consider a more in-depth understanding that is necessary to explore the challenges facing parents and families to provide a better outcome for both. We interviewed 21 parents of 24 children with autism spectrum disorder (ASD) to qualitatively explore the ch...

Background: Men's involvement in pre-pregnancy care is important to ensure a positive pregnancy outcome. The objective of this study is to determine the level of knowledge of pre-pregnancy care among men and the factors associated with poor knowledge. Methods: This work is a cross-sectional study conducted at the outpatient clinics of Hospital U...

Introduction Perimenopausal and postmenopausal women are at high risk to develop cardiovascular diseases, yet most of women in this group have inaccurate perception regarding their risk of getting the cardiovascular diseases. The aim of this study is to determine accuracy of self-perception on cardiovascular risk and its associated factor among per...

Type 2 diabetes mellitus (T2DM) and tuberculosis (TB) together impose a high disease burden in terms of both mortality and health economics worldwide. The objective of this study was to estimate the prevalence and risk factors of latent TB infection (LTBI) in patients with T2DM in Malaysia. A cross-sectional study was performed, and adult T2DM pati...

We report a case of steroid withdrawal syndrome in a 74-year-old woman who was suspected of having an occult exogenous Cushing's syndrome secondary to prolonged traditional complementary medicine use. She presented with non-specific symptoms of lethargy, malaise, and poor oral intake with weight loss for 1 month, and investigations showed suboptima...

Introduction: Acceptance of a screening programme for thalassemia is important in managing the disease and its associated complications. The objective of this study was to determine the knowledge of thalassemia and factors associated with thalassemia screening refusal among parents of secondary school children. Methods: This cross-sectional stud...

Dengue is known to cause high morbidity and mortality worldwide. In recent years, there have been increasing cases of dengue fever associated with a rare complication: hemophagocytic syndrome (HPS), which is a dangerous disorder that carries high mortality. It is associated with infections, autoimmune disorders, and malignancies. Prolonged duration...

Urinary incontinence (UI) is common in women in postmenopausal age, but many women delay seeking treatment. The objective of this study is to determine health-seeking behavior of postmenopausal women with UI and its associated factors. This is a cross-sectional study involving 348 postmenopausal women from the outpatient clinic using personal data...

Sugar control in patients with type 2 diabetes mellitus is a crucial part of managing the disease to ensure the progress of further complication of the cardiovascular disease. The aim of this case study is to look into the factors which have a relationship with sugar level among our study sample using a structural equation technique. The sugar leve...

Objectives: We sought to determine the prevalence of traditional and complementary medicine (TCM) use for knee osteoarthritis and its associated factors among patients attending a referral hospital in an eastern coastal state of Malaysia. Methods: This cross-sectional study included 214 patients with knee osteoarthritis. A universal sampling met...

p> Background: Many studies have shown that pedometer is an effective motivational tool to promote walking however there is lack of evidence which combines pedometer and group support in motivating patient to increase their physical activity Objective: To determine the effectiveness of pedometer and group support versus pedometer only on physical...

Abstract Background: Statins are a class of potent drugs that can be used to reduce cholesterol, especially low-density lipoprotein cholesterol (LDL-C). However, their effectiveness is limited if adherence to treatment is poor. The objectives of the study are to estimate the proportion of diabetic patient who has achieved LDL-C goal and to determin...

Introduction: There is limited data regarding the use of relaxation technique in managing knee osteoarthritis in Asian population.

Plasmodium knowlesi has been recently identified as the "fifth human malaria species" following the discovery in Malaysian Borneo of a large focus of this simian malaria parasite in humans. Even though it shares microscopic similarities with Plasmodium malariae, it may cause severe illness with risk of fatality. We describe a case of P. knowlesi in...

Introduction: The presence of peripheral neuropathy in elderly diabetic patients has a great impact on the health status as it can result in a lot of complications such as fall.

Buku berkenaan pengurusan pesakit strok dalam versi melayu ini julung kalinya diterbitkan di Malaysia. Buku ini banyak menyentuh berkaitan masalah strok secara umum, proses kejadian strok dan yang paling menarik ianya menyentuh dengan agak terperinci berkaitan penjagaan pesakit strok di rumah seperti kaedah melakukan fisioterapi, menyediakan makana...

Background: Cardiovascular Disease (CVD) burden in Malaysia has strikingly increased and it is critically important to overcome the problem at primary care level. There is also very few studies in Malaysia that described the population 10-year CVD risk. Objectives: To identify the associated factors of high 10-year cardiovascular disease risk based...

This case illustrates the role of a woman’s autonomy in deciding her medical management and the ethical issue which occurred when a husband refuses the management for her even though it was clearly indicated.

Objectives: The objective of the study was to investigate the effect of Tualang honey on the safety profiles among postmenopausal women. Designs: A preliminary trial to investigate the effect of Tualang honey involving postmenopausal women aged 45-60 years old. Materials and Methodology: Forty healthy postmenopausal Malay women were given 20 g/day...

Introduction: Diabetes Mellitus is becoming increasingly prevalent worldwide and is often associated with depression due to a multiple factors. Aim and Objectives: The objective of the study was to determine the prevalence of depression and the factors associated with it among type 2 diabetes mellitus patients. Methods / Study Designs: This is a cr...

Abstract Results of recent trial have shown some negative effects of HRT on postmenopausal women. Therefore, there has been a need to search for an alternative treatment and honey is one of the well known traditional remedies used in minimizing postmenopausal problems. The objectives of the study were to investigate the effects of Tualang honey on...

This cross-sectional study was aimed to identify the predictors of medication noncompliance in hypertensive patients. The study was conducted at the Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kelantan, Malaysia, which is a university-based teaching hospital. All hypertensive patients aged 40 or over-registered from January to June...