Hospital Sungai Buloh

Worsening Hypertensive Control as a Clue to High-Grade Brachiocephalic and Subclavian Artery Stenosis in Primary Care: A Case Report

Objective: Unusual clinical course Background:Upper-extremity peripheral arterial disease (PAD) is a less common manifestation of peripheral arterial disease than lower-extremity PAD.Many patients with upper-extremity PAD remain asymptomatic until significant arterial stenosis de...

Herpes Zoster in an Immunocompetent Child Following an Influenza-Like Illness

Herpes zoster (HZ) or shingles is uncommon in children and is traditionally associated with advancing age and immunocompromised states. However, HZ may also occur in immunocompetent children, in whom diagnosis may be overlooked due to its rarity and broad differential diagnosis o...

Delayed antiretroviral refills as an early clinical alert: a pharmacist-led strategy to improve viral suppression in Malaysia

Monitoring adherence to antiretroviral therapy (ART) often relies on viral load testing or patient self-report, which may identify problems only after adherence has declined. This study explored whether delays in ART refill, a readily observable and operationally simple metric, c...

Establishment of NT-proBNP reference intervals in a Malaysian population: a retrospective direct approach using a posteriori selection

Abstract Objectives To establish the first population-specific 95th percentile upper reference limit (URL) for N-terminal pro-B-type natriuretic peptide (NT-proBNP) in a health-associated Malaysian population using a retrospective direct approach with a posteriori selection. Meth...

Salivary Aldosterone as a Biomarker for Obstructive Sleep Apnea: Diagnostic Performance and the Moderating Role of Mean Arterial Pressure—A Cross-Sectional Study

Obstructive sleep apnea (OSA) is associated with renin–angiotensin–aldosterone system (RAAS) dysregulation. This study examined the relationship between salivary aldosterone and OSA severity, identified predictors of salivary aldosterone, evaluated the moderating role of mean art...

From ACR O‐RADS 2022 to Explainable Deep Learning

Objectives The 2022 update of the Ovarian‐Adnexal Reporting and Data System (O‐RADS) improves risk stratification of adnexal lesions; however, radiologist interpretation remains subject to inter‐observer variability and conservative diagnostic thresholds. Concurrently, deep learn...