Browse publications by year: 2016

  1. Ho, L.-H., Tang, J.Y.H., Mazaitul Akma, S., Mohd Aiman, H., Roslan, A.
    MyJurnal
    The objective of this research is to develop an “energy” snack bar supplying energy and
    electrolytes in one bar by utilizing local Malaysian ingredients. The local ingredients used to make
    this snack bar were banana, glutinous rice flour, and coconut milk. It is a wholesome nutritious
    food for different age groups from adolescents to elderly people. Proximate composition, total
    carbohydrate, energy value, and sensory quality of prototype were determined. The developed
    snack bar contains 13.23% of moisture, 1.13% of ash, 6.36% of crude protein, 22.39% of
    crude fat, 1.16% of crude fibre, 56.89% of total carbohydrate, and 454.51 kcal of energy. The
    “energy” snack bar was highly acceptable with desirable sensory quality by all consumers.
    MeSH terms: Adolescent; Animals; Cocos; Dietary Carbohydrates; Electrolytes; Flour; Humans; Milk; Oryza; Musa; Snacks
  2. Rajendran, N., Tey, Y.S., Ahmad Sidique, S.F., Abdul Hadi, A.H.I., Brindal, M., Shamsudin, M.N., et al.
    MyJurnal
    Farm sustainability issues are diverse but interconnected and complex. Many organizations
    have begun to promote packaged sustainable agricultural practices (SAPs). Some of these
    bundled SAPs (i.e. organic agriculture and integrated pest management) have long been
    employed by farmers, and studied by scientists seeking to understand their response to these
    alternative agricultural approaches. This paper reviews and synthesizes recent research in this
    area. It identifies key explanatory factors, which frequently lead to the adoption of bundled
    SAPs. Vote count analysis reveals that variables implying economic motivation and facilitation
    regularly explain farmers’ behaviour. In addition, a new finding emerged, in which factors
    inferring higher learning and superior management capacity provided further indicators to
    adoption. In particular, the training that provided by non-governmental organizations and rural
    institutions complements change agents (i.e. public extension services). While this finding is
    novel, more research is required to generate better understanding of farmer reaction to bundled
    SAPs, particularly dynamic ones (i.e. private standards) in which farm business sustainability
    depends upon good agricultural practices being implemented.
  3. Tan, S.B., Shamsudin, R., Mohammed, M. A., Rahman, N. A.
    MyJurnal
    Sesame Cracker or Kuih Bijan is a popular traditional Malays snack in Malaysia. The simplest
    formulation of Sesame Cracker dough includes glutinous rice flour, sugar, and water. In order
    to reduce the negative effect caused by dough stickiness, the effect of mixing period (3 to 7
    minutes), water (41.6 to 45.6%) and sugar (1 to 9%) on dough stickiness of sesame cracker
    dough were studied using Texture Analyzer and Chen-Hoseney methodologies (i.e. Chen-
    Hoseney Dough Stickiness Cell). The result obtained showing that the increment of mixing
    time, water and sugar addition, increased the dough stickiness, work of adhesion/adhesiveness
    and dough strength/cohesiveness. However, overmixing of dough had led to the decrease of
    these parameters.
  4. Azman, N., Jamil, N., Bejo-Khairunniza, S.
    MyJurnal
    Rice production depends on good quality of paddy. In this research, the capability of thermal
    imaging to determine the quality of paddy based on the properties used in a Deduction Schedule
    namely moisture content, immature condition and foreign material is presented. First, the
    heating and cooling treatment was applied to the samples. FLIR E60 thermal camera was used
    to acquire images of the sample. Therefore, each samples were represented by a thermal index
    calculated based on the average value of pixels in the thermal image. Results of the experiment
    have shown that highly significant relationship were exist between thermal index and maturity
    stage and moisture content of paddy with r = -0.948 and 0.896, respectively. It also worked
    well in detecting foreign material (chaff) at 25s after cooling. The method gave accurate results
    with 92% for moisture content determination, 90% for maturity stage prediction and 100% for
    chaff detection.
  5. Onwude, D. I., Hashim, N., Janius, R. B., Nawi, N., Abdan, K.
    MyJurnal
    This study investigated the drying kinetic of pumpkin under different drying temperatures (50,
    60, 70 and 80°C), samples thickness (3, 4, 5 and 7mm), air velocity (1.2m/s) and relative
    humidity (40 - 50%). Kinetic models were developed using semi-theoretical thin layer models
    and multi-layer feed-forward artificial neural network (ANN) method. The Hii et al. (2009)
    semi-theoretical model was found to be the most suitable thin layer model while two hidden
    layers with 20 neurons was the best for the ANN method. The selections were based on the
    statistical indicators of coefficient of determination (R2), root mean square error (RMSE) and
    sum of squares error (SSE). Results indicated that the ANN demonstrated better prediction
    than those of the theoretical models with R2, RMSE and SSE values of 0.992, 0.036 and 0.207
    as compared to the Hii et al. (2009) model values of 0.902, 0.088 and 1.734 respectively. The
    validation result also showed good agreement between the predicted values obtained from
    the ANN model and the experimental moisture ratio data. This indicates that an ANN can
    effectively describe the drying process of pumpkin.
  6. Lazim, S. S. R. M., Nawi, N. M., Rasli, A. M. M., Chen, G., Jensen, T.
    MyJurnal
    The influence of different data pre-processing methods (smoothing by moving average (MA),
    multiplicative scatter correction (MSC), Savitzky-Golay (SG), standard normal variate (SNV)
    and mean normalization (MN) on the prediction of sugar content from sugarcane samples was
    investigated. The performance of these pre-processing methods was evaluated using spectral
    data collected from 292 sugarcane internode samples using a visible-shortwave near infrared
    spectroradiometer (VNIRS). Partial least square (PLS) method was applied to develop both
    calibration and prediction models for the samples. If no pre-processing method was applied,
    the coefficient of determination (R2) values for both reflectance and absorbance data were 0.81
    and 0.86 respectively. The highest prediction accuracy values were obtained when the data was
    treated with MSC method, where the R2 values for reflectance and absorbance being 0.85 and
    0.87, respectively. From this study, it was concluded that pre-processing can improve the model
    performances where MSC method was found to give the highest prediction accuracy value.
  7. Etti, C. J., Yusof, Y.A., Chin, N. L., Mohd Tahir, S.
    MyJurnal
    This study was aimed at investigating the effects of formulation on flowability of selected
    herbal powders which include Labisia pumila, Ortosiphon stamineus, Eurycoma longifolia
    and Andrographis paniculata using compendial methods and a recently available powder
    flow analyser. The material properties such as moisture content, particles sizes, tap and bulk
    densities of the pure herbal powders and the formulated powders were measured to determine
    Carr index and Hausner ratio which were indices of the compendial methods. Cohesion
    index and caking strength were used as basis of flowability indicator using the powder flow
    analyser. The flowability of the herbal powders were improved when they were formulated into
    beverages mix by mixing each herbal powders with other ingredients like sugar and nondairy
    creamer before analyzed using both the compendial methods and powder flow analyser. Both
    methods of flowability measurements adopted in this work complemented each other in the
    understanding and characterization of powder flowability.
  8. Abu Bakar, B., Md. Salleh, N.H., Amir Hashim, N.A., Sudin, A., Jusoh, S., Abdullah, M.Z.K.
    MyJurnal
    This work presents the characterization of selected bioactive compounds of local herbs
    through their photonic spectrum. A Shimadzu spectrophotometer was used to map bioactive
    compounds extracted from Andrographis paniculata, Ficus deltoidea, Orthosiphon stamineus
    and Centella asiatica. Dominant peaks and repeatability were the determinant parameters
    in this study. Absorbance peaks of bioactive compounds were calibrated against respective
    standardized chemicals obtained from reputable suppliers. The results obtained indicated
    that absorbance peaks from different bioactive compounds could be identified by photonic
    spectrum. Most bioactive markers were detected within the wavelength range of 200 nm to 350
    nm, using a Deuterium (190 nm to 450 nm) light source and corresponding refraction grating.
    A mathematical relationship of concentration versus absorbance at different wavelengths for
    selected bioactive compounds were identified. The significance of the photonic characterization
    of these phytochemicals forms the basis for a mathematical model in a decision support system
    of a proposed mobile sensor prototype development.
  9. New, C.Y., Ubong, A., Nur Hasria, K., Nur Fatihah, A., Son, R.
    MyJurnal
    Vibrio parahaemolyticus is well known to be abundantly distributed in marine, coastal and
    estuarine environments. Since 1951, V. parahaemolyticus had been the source of numerous
    outbreaks related to contaminated or mishandled seafood. However, V. parahaemolyticus
    had been detected on other types of food. This issue has prompted this study to investigate
    on the prevalence of V. parahaemolyticus in various food samples and determine the risk
    associated with it. The results of the MPN-plating technique of the study indicated that V.
    parahaemolyticus was detected in seafood (33.3%, 95% Confidence Interval [CI] 31.9 – 34.8 ,
    94 – 290 MPN/g) and vegetables (10.0%, 95% CI 9.7 – 10.3 , 9.2 – 23 MPN/g) while negative
    V. parahaemolyticus was detected in fruits (0.0%, 95% CI 0 – 1,
    MeSH terms: Disease Outbreaks; Environment; Fruit; Risk; Vegetables; Vibrio parahaemolyticus; Prevalence; Confidence Intervals; Seafood
  10. Nur Sofuwani, Z.A., Siti Aslina, H., Siti Mazlina, M.K.
    MyJurnal
    An extensive amount of research has reported on the use of ultrafiltration (UF) membrane,
    particularly in the improvement of membrane performance efficiency on cow’s milk. However,
    a very limited number of researches reported on using UF for producing low-lactose goat’s
    milk due to inherently low lactose. Nonetheless, goat’s milk is still not suitable to be consumed
    in a large amount by people who are lactose intolerant, especially among Asians, where
    over 90% of the populations are suffering from lactose intolerance. Until today, fouling and
    concentration polarization (CP) on membrane surface in cross-flow hollow fiber UF unit are
    the major problems in the dairy industry. Discovery on how to overcome the problem is still
    in a hot debate due to the nature’s complex composition in milk. One way to overcome this
    problem is by evaluating the effects of processing parameters such as trans-membrane pressure
    (TMP) and feed-flow rate on flux (J), lactose rejection (Ri), concentration factor (CF), and
    accumulation rate (AR) during the fractionation of lactose. In terms of lactose fractionation for
    5 KDa and 10 KDa UF membranes, the TMPs examined were 0.41, 0.55, and 0.69 bars, while
    feed flow-rates examined were 0.18, 0.34, 0.54, and 0.74 L/min. 5 KDa membrane shows that
    feed flow-rate and flux behave in a direct relationship, while an inverse relationship in 10 KDa
    membrane. Both membranes showed that TMP 0.55 bar exhibit the best flux value without
    reaching the limiting flux region, but with feed flow rate of 0.74 L/min in 5 KDa, while 0.18
    L/min in 10 KDa membrane. Lactose rejection percentage (%Ri) is the lowest with 77.71% in
    5 KDa membrane while 66.28% in 10 KDa membrane. This can be summarized that the best
    parameters for 5 KDa membrane is at TMP 0.55 bar with feed flow-rate of 0.74 L/min, while
    for 10 KDa membrane is at TMP 0.55 bar with feed flow-rate of 0.18 L/min. Due to higher flux
    value and lowest lactose rejection obtained from low feed flow-rate, 10 KDa UF membrane
    size was chosen over 5 KDa. As a conclusion, a high degree of lactose removal from goat’s
    milk could be achieved by 10 KDa UF membrane in a cross-flow hollow fiber system, which
    proved that different outcomes between 5 KDa and 10 KDa membranes and feed flow-rate
    required is closely associated to UF pore size and molecular weight of feed solute particles.
  11. Mohd Thani, N., Mustapa Kamal, S.M., Taip, F.S., Awang Biak, D.R.
    MyJurnal
    Dadih is a favourable dessert in South East Asia due to its appealing sweet taste and jellies
    appearance. The sweet taste is from sugar (sucrose) content, and in order to reduce the sucrose,
    it was substituted with xylitol. Xylitol can provides intense sweetness with less calories and
    lower water activity, which potentially contribute to higher microbial stability thus giving
    longer shelf life. The objective of this study was to evaluate the effect of xylitol substituted
    on dadih safety and sensory qualities. Dadih was prepared by replacing sucrose with xylitol
    composition in the range of 0 – 100% and at two levels of cooking times (15 and 20 minutes).
    Safety analysis were performed using total plate count (TPC) and water activity (aw) analysis.
    For sensory analysis, seven attributes were evaluated (appearance, colour, hardness, elasticity,
    taste, sweetness, and overall acceptability) based on the 9-hedonic scale. From the findings,
    dadih samples with total sucrose (0%) were observed to be contaminated faster compared to
    total xylitol (100%). Dadih with xylitol is more stable with prolonged shelf life. From sensory
    analysis, dadih sample prepared with shorter cooking time (15 minutes) was selected as more
    favourable with overall acceptability score between 72 - 85%. More than 70% of the score for
    dadih with xylitol substitute was above ‘slightly like’, which indicates a promising future to
    produce xylitol substitute dadih. The outcome of this study has shown that xylitol is potentially
    to be utilize as sugar substitute for dadih production.
  12. Elexson, N., Rukayadi, Y., Nakaguchi, Y., Nishibuchi, M.
    MyJurnal
    Vibrio parahaemolyticus is a main foodborne disease in seafood and generally seafood is
    easily deteriorates in quality of color and flavor. In this study, clove (Syzygium aromaticum)
    extract shows potent antibacterial activity against growth of antibiotics resistant Vibrio
    parahaemolyticus on seafood samples (cockles and shrimps). Vibrio parahaemolyticus was
    artificial contaminates on the samples with 106 CFU/ml. The samples were treated with different
    concentration of cloves extract with 10 mg/ml which are 0.5%, 5% and 10% concentration
    from methanol food grade extraction in 0 hr, 5 min, 10 min, 15 min, 30 min, 60 min and
    120 min. Tab water and deionized water were selected as a negative control. As a result, the
    amount of 10 % cloves managed to mitigates the number of V. parahaemolyticus on seafood
    samples in 5 minutes and 15 min on both samples. Therefore, our results signify the fact that
    cloves can be apply as natural sanitizer which could meet consumer demands for safe and
    traditionally consumed either raw without any undesirable effect when applied in the seafood
    system industries.
    MeSH terms: Methanol; Animals; Anti-Bacterial Agents; Crustacea; Foodborne Diseases; Shellfish; Vibrio parahaemolyticus; Water; Seafood; Syzygium; Cardiidae
  13. A.F.M. Anuar, S. Saadon, H. Fazmir, M.Z. Zainol, S. Johar, M. Mazalan
    Movement Health & Exercise, 2016;5(1):25-36.
    MyJurnal
    Gait analysis measurement is a method used to access and identify gait events and the
    measurements of motion parameters involving the lower part of the body. This significant
    method is widely used in rehabilitation, sports, and health diagnostics for improving the quality
    of life. However, it is not a routine practice due to costs involved in creating and using gait labs.
    Alternatively, inertial sensors such as microcantilever accelerometer can be used in the
    development of cheap and wearable gait analysis systems. Human stride segmentation
    measurement based on a micro-accelerometer cantilever is used in the study of the lower limb
    movement patterns that include walking, jumping and running, as well as the measurements of
    the motion parameters. A complete system consisting of a fabricated sensor, a Wheatstone
    bridge circuit, and a signal amplifier tailored for real-time stride analysis measurement is
    proposed. A novel fabrication method for an accelerometer sensor using laser micromachining
    is introduced in order to develop a simple way for realizing sensor formation. This study allows
    us to optimize the requirements of hard-mask and fabrication process steps by reductions of
    30% and 25% respectively. In the general framework, this research activity is focused towards
    the development of a piezoresistive cantilever formation using laser micromachining for fast
    fabrication development of a real life gait and stride segmentation measurement application
  14. Nurdiana Abidin, Ahmad Munir Che Muhamed, Rabindarjeet, Singh
    Movement Health & Exercise, 2016;5(1):13-23.
    MyJurnal
    There are few data on the association between health-related quality of life (HRQoL) and objectively-measured physical activity (PA) in non-Westernised populations, especially the older population. Furthermore, in light of recent accelerometer models introduced in the market which assess acceleration along three axes, we theorised that a population study using cut-points based on composite vector magnitude (VM) is needed. Therefore, the aim of this study was to determine the associations between tri-axial accelerometer-determined PA and HRQoL in community-dwelling older Malay adults, using cut-points for VM. Method: The study design was cross-sectional, involving 146 community-dwelling older Malay adults aged 60 to 85 years old (59 men, 87 women) living in Seberang Perai Utara, Penang, Malaysia. PA data was collected using tri-axial accelerometers (Actigraph GT3X or GT3X+) worn around the hip during waking hours for 7 days. Intensities were categorised using cut-points for VM. HRQoL was measured using the Short Form 36-item Health Survey (SF-36®) and scored using the norm-based scoring system. Analyses included sex differences in PA variables and HRQoL and correlation (Spearman’s rho) between PA and HRQoL. Results: Significant positive association was found between moderate PA and bodily pain, but only for men (rho=0.263, p
  15. Ballard, Robert J., Jad Adrian Washif, Richards, Andre C.
    MyJurnal
    The purpose of this study was to assess the foundation depth of track and field events and objectively identify if there had been a significant advancement of performance in athletics at a foundation level. Data was taken from all 45 athletics events (23 male, 22 female) over the last seven biannual National Games from 2002 to 2014. The performances for the top five finalists across each event were analyzed. A correlation co-efficient was calculated to assess the strength of linear performance relationship over time. T-tests were performed to assess mean differences across high prospect events versus major international benchmarks. Using r = 0.70 as a high correlation, only five events (men’s 400 m, 400 m hurdles, high jump, and both men’s and women’s hammer throw) out of 41 individual events demonstrated strong positive linear relationships over the assessment period. Only men’s high jump and women’s hammer throw had a non-significant difference (p = > 0.05) when compared with the means performance measure at the two Southeast Asian Games, indicating the events’ degree of capacity to compete at an international level. In comparison to higher level competitions, men’s high jump and women’s hammer throw also demonstrated fragility. The performance gap between the National Games and comparable international event was very large, ranging from 5.3 to 71.0%. Overall, there appears to be a trivial or stagnant trend for many athletics events, which has been unable to create a foundation needed for developing consistent elite performance. Taking into account this data, consideration of the development of new intervention action plans within the overall strategy should be determined and implemented.
    MeSH terms: Female; Humans; Male; Men; Recreation; Track and Field; Benchmarking
  16. Khalili, Vajihe, Shokri, Hojjatollah, Ali Reza Khosravi, Abdah Md Akim
    MyJurnal
    Candida albicans (C. albicans) has several virulence factors, in particular heat
    shock protein 90 (Hsp90), which is expressed by Hsp90 gene. The purposes of this study were to
    assess the expression of Hsp90 gene in clinical and control isolates of C. albicans obtained from
    different geographical regions (Malaysia and Iran), different temperatures (25ºC, 37ºC and 42ºC)
    and mice with candidiasis.
    Methods: C. albicans isolates were cultured onto sabouraud dextrose agar (SDA). The
    assessment of the expression of Hsp90 gene was performed using real time-polymerase chain
    reaction (RT-PCR).
    Results: The results showed a significant increase in the expression of C. albicans Hsp90
    gene under high thermal shock (42ºC) when compared to other temperatures tested (P-value =
    0.001). The mean differences in the expression of Hsp90 gene at 37ºC were 0.20 (95% confidence
    interval (CI) 0.13-0.29) between Malaysian and Iranian controls (P-value = 0.040) and 0.47 (95% CI
    0.27-0.60) between Malaysian and Iranian patients (P-value = 0.040).
    Conclusion: The results demonstrated that the expression of C. albicans Hsp90 gene varied
    between Malaysian and Iranian subjects, representing the efficacy of geographical and thermal
    conditions on virulence gene expression.
    MeSH terms: Agar; Animals; Candida albicans; Candidiasis; Glucose; Hot Temperature; Humans; Iran; Malaysia; Temperature; Virulence; Gene Expression; HSP90 Heat-Shock Proteins; Reverse Transcriptase Polymerase Chain Reaction; Virulence Factors; Mice
  17. Zalina Nusee, Azizah Rusly, Jamalludin. A. R, Dalia F Abdulwahab, Rozihan Ismail
    MyJurnal
    Urinary incontinence (UI) demonstrates major prevalence in women of
    different population groups. Reduced quality of life (QOL) is observed due to incontinence problems.
    Urogenital Distress Inventory (UDI-6) and Incontinence Impact Quality of Life (IIQ-7) are useful
    disease-specific questionnaires evaluating the impact of urinary incontinence on the QOL of women
    which is accepted internationally.
    Objective: This study aims to translate and validate UDI-6 and IIQ-7 in Malay language.
    Methods: A cross sectional study, which recruited 100 participants from two urogynecology
    clinics. Both questionnaires were initially translated from English to Bahasa Malaysia followed
    by back translation and final correction done by the professional translators. The participants
    were requested to maintain a urinary record of the upcoming week for three days that assisted in
    quantifying the severity of symptoms. None of the subjects were assigned any treatment during the
    study period. Validity and reliability of the translated questionnaires were determined by checking
    the internal consistency and also by doing test-retest.
    Results: The internal consistency levels of the UDI-6 and IIQ-7 Bahasa Malaysia questionnaires
    were 0.73 and 0.90 respectively with good test-retest (0.86 and 0.95). Incontinence episodes were
    strongly associated with obstructive, irritative, and stress symptoms. The factor of day time voiding
    had strong correlation with obstructive and irritative symptoms.
    Conclusion: UDI-6 and IIQ-7 did not measure similar outcomes; however, both questionnaires
    have their strengths in clinical settings. Analysis has also revealed that the Malaysian versions of
    both questionnaires had appropriate test-retest validity and reliability. Thus, it can be said that
    both of the questionnaires had great importance for screening patients with urinary incontinence in
    Malaysia.
    MeSH terms: Cross-Sectional Studies; Female; Humans; Language; Malaysia; Quality of Life; Surveys and Questionnaires; Translations; Urinary Incontinence; Reproducibility of Results; Prevalence; Population Groups
  18. Chan CK, Mohamed RM, Azlina AA, Azhar MM
    Malays Orthop J, 2016 Nov;10(3):42-45.
    PMID: 28553448 MyJurnal DOI: 10.5704/MOJ.1611.004
    Multicentric disappearing bone disease, or Gorham disease, is a rare entity. A middle age woman, presented to us with left sided antalgic gait and severe bony deformity of her left knee. Radiograph revealed massive bone defect of the medial condyle of the left tibia with subluxation of the knee joint. She was scheduled for knee replacement in six months. However, she developed another lesion over the right hip that typically mimicked the disease progression of disappearing bone disease. The right femoral head vanished progressively within three months without significant history of infection or trauma. Subsequent bone biopsy of the right femoral head and left tibia condyle confirmed the diagnosis. Total knee replacement was carried out for her left knee. She remained pain free on her left knee. A year later, after confirming by sequential radiographs that the osteolysis had stopped, total right hip replacement was performed. Five years later, she remained pain free and both the arthroplasties were stable.
    MeSH terms: Adult; Anti-Inflammatory Agents; Biopsy; Female; Gait; Humans; Knee Joint; Middle Aged; Osteolysis; Osteolysis/pathology; Osteolysis, Essential; Pain; Tibia; Disease Progression; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee
  19. Gunalan R, Mazelan A, Lee Y, Saw A
    Malays Orthop J, 2016 Nov;10(3):21-25.
    PMID: 28553443 MyJurnal DOI: 10.5704/MOJ.1611.009
    Introduction: Congenital Talipes Equinovarus (CTEV) is a common congenital foot deformity that is associated with long term disability. Treatment with Ponseti method has been successful especially for children who present early. We conducted this study to investigate the age of presentation of children and report the early outcome. Materials: This is a retrospective study from a single institution. We included 31 patients with 45 idiopathic clubfeet and investigated problems and success rate at the end of serial casting. Results: Mean age at presentation was 4.9 months. The mean number of casting was 6 and mean duration of casting was 2.7 months. The initial success rate of 91.1%, with four feet (8.8%) diagnosed as resistant clubfoot and eventually required soft tissue surgery. With mean follow up of 14.1 months, four other feet (8.8%) developed relapse but were treated with repeat Ponseti method. Conclusion: Many CTEV patients present late for treatment. However, the Ponseti method remained effective with high initial success rate of 91.1%. Relapsed CTEV can still be treated successfully with repeat casting using the Ponseti method.
    MeSH terms: Child; Clubfoot; Follow-Up Studies; Foot; Humans; Infant; Recurrence; Retrospective Studies
  20. Bitar KM, Ferdhany ME, Ashraf EI, Saw A
    Malays Orthop J, 2016 Nov;10(3):17-20.
    PMID: 28553442 MyJurnal DOI: 10.5704/MOJ.1611.008
    Introduction: Hip spica casting is an important component of treatment for developmental dysplasia of the hip (DDH) and popular treatment method for femur fractures in children. Breakage at the hip region is a relatively common problem of this cast. We have developed a three-slab technique of hip spica application using fibreglass as the cast material. The purpose of this review was to evaluate the physical durability of the spica cast and skin complications with its use. Methodology: A retrospective review of children with various conditions requiring hip spica immobilisation which was applied using our method. Study duration was from 1st of January 2014 until 31st December 2015. Our main outcomes were cast breakage and skin complications. For children with hip instability, the first cast would be changed after one month, and the second cast about two months later. Results: Twenty-one children were included, with an average age of 2.2 years. The most common indication for spica immobilisation was developmental dysplasia of the hip. One child had skin irritation after spica application. No spica breakage was noted. Conclusion: This study showed that the three-slab method of hip spica cast application using fibreglass material was durable and safe with low risk of skin complications.
    MeSH terms: Child; Child, Preschool; Femur; Glass; Hip Dislocation, Congenital; Humans; Retrospective Studies; Skin Diseases; Fractures, Bone
External Links