http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/6434 2026-04-22T22:12:42Z http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/32094 Multilevel Lumbar Spondylosis with Spinal Stenosis Ammar Muttaqin Amran; Normaizatul Afizah binti Ismail; Nurul Qomariah Abu Sohot Narrowing of the spinal canal or foramina is a common finding in spine imaging of the elderly. We present a case of multilevel lumbar spondylosis with spinal stenosis. Mr X, 79-year-old male with underlying Diabetes Mellitus, hypertension and minor coronary artery disease presented to the hospital with low back pain radiating to lower limb for 4 years, progressively worsening, affecting the ability to walk steadily for prolonged period, and the worst pain score is 9/10, and the least pain score is 4/10. It was associated with intermittent neuropathic symptoms like numbness from waist downwards, nocturnal claudication, and weakness. Otherwise, he had no fever, no vomiting, no headache, no chest and abdominal pain, no respiratory distress, palpitations, and no urinary incontinence. Management includes continue insulin as patient has diabetes mellitus, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants, anti-seizure drugs, opioids, and start physical therapy. Most patients have a progressive presentation and are offered non operative management as first treatment strategy. 2023-08-01T00:00:00Z http://unisep.lib.unishams.edu.my/xmlui/handle/123456789/28454 Sleep Deprivation Among Medical Students in Malaysia Normaizatul Afizah Binti Ismail; Hakimah binti Ismail; Muhammad Faez Zakaria; Muhammad Arif Othman; Nur Syauqin Hamim; Nur Auni Amni Sobri; Faiza Husna Mohd Fauzi; Marshitah Nabilah Aminuddin; Nur Farah Huda Zainal; Auni Madihah Mohamad Zaki; Nurul Shyafiqah Nor Azman; Harif Fadzilah Che Hashim Adequate sleep is crucial to achieve optimal brain's ability to learn and remember. Sleep deprivation adversely affects the brain and cognitive functions and a major source of morbidity. Sleep deprivation is associated with increased risks of hypertension, diabetes, obesity, ischemic heart disease, stroke, motor vehicles accidents and medical errors. Lack of sleep can be due to lifestyle habits and sleep disorders. This study aimed to investigate the prevalence, related factors and effects of sleep deprivation among medical students in Malaysia. 2021-10-01T00:00:00Z