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      • KCI등재

        Bloody Nipple Discharge Post Delivery: A Case of “Rusty Pipe Syndrome”

        Mohamad Noraini,Sulaiman Zaharah,Tengku Ismail Tengku Alina,Ahmad Sahida 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.4

        “Rusty pipe syndrome” is a condition that needs to be considered in a primiparous woman who presents with bilateral bloody nipple discharge in the early postpartum period. Its prevalence is low and can occur due to physiological condition that arises primarily in primiparous women with increased alveolar and ductal vascularization associated with the onset of lactation. Here, we report a case of a 29-year-old primigravida who presented with bilateral painless bloody nipple discharge after delivery. Her breast examination showed no signs of infection or structural changes, and breast ultrasound did not reveal any significant observations except for a bilateral simple breast cyst. Six days after the onset of lactation, the bloody nipple discharge ceased and lactation continued on demand.

      • KCI등재

        Knowledge, Attitude, Exposure, and Future Intentions toward Exclusive Breastfeeding among Universiti Sains Malaysia Final Year Medical and Dental Students

        Noraini Mohamad,Norkhafizah Saddki,Khairun Nadzirah Khairul Azman,Ida Dahlia Ab Aziz 대한가정의학회 2019 Korean Journal of Family Medicine Vol.40 No.4

        Background: Breastmilk is the best nourishment for an infant for the first 6 months of life. Health professionals like medical doctors and dentists can help promote and support exclusive breastfeeding. We aimed to assess knowl-edge, attitudes, exposure, and future intentions toward exclusive breastfeeding among final year medical and den-tal students at Universiti Sains Malaysia, Kelantan, Malaysia.Methods: A total of 162 students participated in this cross-sectional study that was conducted between May and September of 2015. Self-administered questionnaires were used to collect the variables of interest. Results: Most students knew exclusive breastfeeding is recommended for the first 6 months of life (98.1%). Howev-er, some students incorrectly thought formula milk can be given if the infant appears hungry after having been breastfed (61.7%). Additionally, some incorrectly thought expressed breastmilk can be warmed on direct heat (47.5%) and left-over expressed milk can be re-stored (60.5%). Most students agreed that exclusive breastfeeding is easier to practice than formula feeding and that it is the best choice for working mothers. Most students (93.2%) in-tend to breastfeed their children, and this intention was significantly associated with their experience being breast-fed as infants and attitudes toward exclusive breastfeeding.Conclusion: Generally, final year medical and dental students have favorable attitudes and future intentions to-ward exclusive breastfeeding, although some of them lacked knowledge about certain important aspects of the practice. Past experience of being exclusively breastfed and a more positive attitude toward the practice were asso-ciated with their future intentions to practice exclusive breastfeeding.

      • KCI등재

        A Diabetic Elderly Man with Finger Ulcer

        Noraini Mohamad,Salziyan Badrin,Wan Noor Hasbee Wan Abdullah 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.2

        Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised sta-tus. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.

      • KCI등재

        Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia

        Nazirah Johar,Noraini Mohamad,Norkhafizah Saddki,Tengku Alina Tengku Ismail,Zaharah Sulaiman 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.2

        Background: Cesarean delivery is linked with lower rates of early breastfeeding initiation. This study aimed to determine the prevalence and associated factors of early initiation of breastfeeding among women admitted for elective cesarean delivery in Kelantan, Malaysia. Methods: A total of 171 women admitted for elective cesarean delivery at two tertiary hospitals in Kelantan, Malaysia, participated in this study. On day two after cesarean delivery, face-to-face interviews were conducted with the mothers to get information on feeding practice. Descriptive statistics, including simple and multiple logistic regressions, were used for data analysis. Results: Seventy-three percent of mothers initiated breastfeeding within 1 hour of birth. Approximately 15.8% and 10.5% of mothers initiated breastfeeding within 24 hours and ≥24 hours, respectively. Skin-to-skin contact between mothers and their infants occurred in 77.8% of cases after cesarean delivery. Breastfeeding initiation was significantly associated with skin-to-skin contact (odds ratio [OR], 14.42; 95% confidence interval [CI], 3.58–58.06), mothers who exclusively breastfed during hospitalization (OR, 36.37; 95% CI, 5.60–236.24), and infants who were not sleepy during attempts at breastfeeding (OR, 5.17; 95% CI, 1.32–20.21). Conclusion: Based on our results, it is possible to increase the proportion of mothers initiating breastfeeding within 1 hour among women who undergo elective cesarean delivery. Therefore, it is important that health practitioners educate women beginning in the antenatal period who plan to undergo cesarean delivery by emphasizing the importance of early initiation of breastfeeding.

      • KCI등재

        A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct

        Salziyan Badrin,Noraini Mohamad,Nor Akma Yunus,Maryam Mohd Zulkifli 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.6

        Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previouslyin literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patientsand patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as thebasal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommonand not well documented in the literature. Neurological deficits are the most common presentation instroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depressionand anxiety, related to physical disability. The present case report describes an elderly female patient who presentedwith hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction,without other significant neurological deficits.

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