MyMedR

Fulltext Cost effectiveness analysis of using multiple neuromodalities in treating severe traumatic brain injury in a developing country like Malaysia

Ibrahim MI, Abdullah M, Naing L, Abdullah JM, Idris Z, Aljunid SM

Asian J Surg, 2007 Oct;30(4):261-6.

PMID: 17962129

The aim of this study was to determine the cost-effectiveness of using baseline neuromonitoring (BNM) compared with multimodality monitoring (M3) for severe traumatic brain injury (TBI).

Matched MeSH terms: Brain Injuries/classification; Brain Injuries/economics*; Brain Injuries/therapy*

Prognostic study of using different monitoring modalities in treating severe traumatic brain injury

Idris Z, Ghani RI, Musa KI, Ibrahim MI, Abdullah M, Nyi NN, et al.

Asian J Surg, 2007 Jul;30(3):200-8.

PMID: 17638640

To determine whether or not multimodality monitoring technique would result in a better outcome score than single modality monitoring in severely head injured patients.

Matched MeSH terms: Brain Injuries/diagnosis*; Brain Injuries/physiopathology*; Brain Injuries/therapy

Hypotensive anesthesia in the management of a posterior suprachoroidal foreign body

Hashim H, Lim KS, Choong YY, Nor NM

Retina, 2005 Jan;25(1):87-9.

PMID: 15655449

Matched MeSH terms: Choroid/injuries*; Eye Injuries, Penetrating/surgery*

Vascular tumours disguising as solid organ injuries on computed tomography: a report of two cases

Chan KY, Yoong CK, Naqiyah I, Norlia A

Nepal Med Coll J, 2004 Dec;6(2):152-3.

PMID: 16295751

We report two cases of uncommon vascular lesions (Littoral cell angioma and liver haemangioma) mimicking traumatic organ injuries. The patients' histories and clinical findings of trauma were well demonstrated. Both patients had interesting CT scan features that were suggestive of solid organ injuries. However, both conditions were subsequently found to be benign incidental lesions.

Matched MeSH terms: Abdominal Injuries/diagnosis*; Abdominal Injuries/pathology; Abdominal Injuries/radiography

Impact of the effect of economic crisis and the targeted motorcycle safety programme on motorcycle-related accidents, injuries and fatalities in Malaysia

Law TH, Umar RS, Zulkaurnain S, Kulanthayan S

Int J Inj Contr Saf Promot, 2005 Mar;12(1):9-21.

PMID: 15814371

In 1997, a Motorcycle Safety Programme (MSP) was introduced to address the motorcycle-related accident problem. The MSP was specifically targeted at motorcyclists. In addition to the MSP, the recent economic recession has significantly contributed to a reduction of traffic-related incidents. This paper examines the effects of the recent economic crisis and the MSP on motorcycle-related accidents, casualties and fatalities in Malaysia. The autocorrelation integrated moving average model with transfer function was used to evaluate the overall effects of the interventions. The variables used in developing the model were gross domestic product and MSPs. The analysis found a 25% reduction in the number of motorcycle-related accidents, a 27% reduction in motorcycle casualties and a 38% reduction in motorcycle fatalities after the implementation of MSP. Findings indicate that the MSP has been one of the effective measures in reducing motorcycle safety problems in Malaysia. Apart from that, the performance of the country's economy was also found to be significant in explaining the number of motorcycle-related accidents, casualties and fatalities in Malaysia.

Matched MeSH terms: Wounds and Injuries/etiology*; Wounds and Injuries/mortality*; Wounds and Injuries/prevention & control

Right Ventricular Perforation Caused by a Pacing Catheter Two Weeks After Insertion in a Neonate With Congenital Atrioventricular Block

Ota N, Suzuki R, Latiff HA, Sivalingam S

Ann Thorac Surg, 2015 Oct;100(4):1471.

PMID: 26434454 DOI: 10.1016/j.athoracsur.2015.06.084

Matched MeSH terms: Heart Injuries/etiology*; Heart Ventricles/injuries*

Surgical Timing and Fracture Type on the Outcome of Diplopia After Orbital Fracture Repair

Yu DY, Chen CH, Tsay PK, Leow AM, Pan CH, Chen CT

Ann Plast Surg, 2016 Mar;76 Suppl 1:S91-5.

PMID: 26808744 DOI: 10.1097/SAP.0000000000000726

Orbital fractures and the concomitant soft tissue injuries within the bony orbit result in well-recognized complications such as diplopia and enophthalmos. Guidelines for timing and indications for surgery for achieving an optimal outcome remain elusive. This study examined the effects of timing and fracture type on the outcome of orbital fracture repair.

Matched MeSH terms: Soft Tissue Injuries

The comparison between the different generations of autologous chondrocyte implantation with other treatment modalities: a systematic review of clinical trials

Samsudin EZ, Kamarul T

Knee Surg Sports Traumatol Arthrosc, 2016 Dec;24(12):3912-3926.

PMID: 26003481

PURPOSE: This paper aims to review the current evidence for autologous chondrocyte implantation (ACI) generations relative to other treatment modalities, different cell delivery methods and different cell source application.

METHODS: Literature search was performed to identify all level I and II studies reporting the clinical and structural outcome of any ACI generation in human knees using the following medical electronic databases: PubMed, EMBASE, Cochrane Library, CINAHL, SPORTDiscus and NICE healthcare database. The level of evidence, sample size calculation and risk of bias were determined for all included studies to enable quality assessment.

RESULTS: Twenty studies were included in the analysis, reporting on a total of 1094 patients. Of the 20 studies, 13 compared ACI with other treatment modalities, seven compared different ACI cell delivery methods, and one compared different cell source for implantation. Studies included were heterogeneous in baseline design, preventing meta-analysis. Data showed a trend towards similar outcomes when comparing ACI generations with other repair techniques and when comparing different cell delivery methods and cell source selection. Majority of the studies (80 %) were level II evidence, and overall the quality of studies can be rated as average to low, with the absence of power analysis in 65 % studies.

CONCLUSION: At present, there are insufficient data to conclude any superiority of ACI techniques. Considering its two-stage operation and cost, it may be appropriate to reserve ACI for patients with larger defects or those who have had inadequate response to other repair procedures until hard evidence enables specific clinical recommendations be made.

LEVEL OF EVIDENCE: II.

Matched MeSH terms: Cartilage, Articular/injuries*; Knee Injuries/therapy*

Fulltext Appendicitis following blunt abdominal trauma

Ramesh G, Ho PW, Ng KL, Jegan T

Med J Malaysia, 2002 Mar;57(1):123-4.

PMID: 14569731

A young boy presented with history of abdominal trauma. History and initial clinical findings suggested a soft tissue injury. Due to increasing abdominal pain and fever, we proceeded with an exploratory laparotomy with a diagnosis of intra-abdominal injury, at which we found a perforated appendix. Appendicitis following blunt abdominal trauma needs high index of suspicion.

Matched MeSH terms: Abdominal Injuries/complications*; Abdominal Injuries/diagnosis; Abdominal Injuries/surgery

Fulltext Preferential utilization of healthcare systems by a Malaysian rural community for the treatment of musculoskeletal injuries

Ariff KM

Med J Malaysia, 2000 Dec;55(4):451-8.

PMID: 11221156

The preferential utilization of healthcare systems by a rural Malaysian community in Perlis for the treatment of musculoskeletal injuries was studied using focus group discussions. The objectives of the study were to explore the pattern of utilization of healthcare systems, the factors influencing the choice of a healthcare provider, rural residents' expectations of their healthcare provider and their views on integrating traditional and modern scientific healthcare systems. Most participants considered traditional and modern scientific healthcare systems as complementing each other. For musculoskeletal injuries, the traditional system was considered the primary choice of healthcare regardless of the participants' socioeconomic and educational levels. Key factors for preferring traditional care were the nature of treatment, the perceived shorter duration for recovery and inclusion of spiritual elements in the therapy. Barriers to seeking hospital treatment were the perceived longer duration for recovery, fear of surgery, use of metallic implants and casts that were culturally unacceptable and objections from elders. For perceived life-threatening situations, in children, pregnancy, and where injuries to internal organs were suspected, hospital treatment was preferred as the primary choice. Discussions on integrating traditional and modern scientific systems were inconclusive.

Matched MeSH terms: Musculoskeletal System/injuries*; Wounds and Injuries/therapy*

Lumbosacral nerve root avulsion

Chin CH, Chew KC

Injury, 1998 6 13;28(9-10):674-8.

PMID: 9624350

Lumbosacral nerve root avulsion is a rare clinical entity. Since the first description in 1955, only 35 cases have been reported. It is often associated with pelvic fractures and may be missed in the initial clinical examination as these patients usually present with multiple injuries. We present three such cases with clinical and radiological findings. These patients were involved in road traffic accidents. Two had fractures of the sacroiliac joint with diastasis of the symphysis pubis (Tile type C 1.2) and one had fractures of the public rami (Tile type B 2.1). All three had various degrees of sensory and motor deficit of the lower limbs. Lumbar myelogram shows characteristic pseudomeningoceles in the affected lumboscral region. Magnetic resonance (MR) imaging provides an additional non-invasive modality to diagnose this condition.

Matched MeSH terms: Bicycling/injuries*; Lumbosacral Plexus/injuries*; Spinal Nerve Roots/injuries*

Orbital injuries in children: play-related

Shriwas SR, Kinzha AZ

Indian J Ophthalmol, 1993 Oct;41(3):129-30.

PMID: 8125546

Matched MeSH terms: Orbit/injuries*; Eye Injuries, Penetrating/etiology*

Fulltext Perforating eye injuries due to intraocular foreign bodies

Lai YK, Moussa M

Med J Malaysia, 1992 Sep;47(3):212-9.

PMID: 1491647

The results of sixty-four perforating eye injuries with intraocular foreign bodies (IOFB) treated at University Hospital over ten years were reported. Compared to an earlier report we found that the population at risk was the same and consisted of patients under 35 years (70%), males (95.3%) and work related (86%). The commonest causes of IOFB were hand hammer (64.1%) and grass cutting (20.3%). We also noted that while the incidence of cases had increased by 23%, the final visual outcome has improved significantly due to advances in preoperative diagnosis and surgical techniques. Preoperative factors found to have a statistically significant effect on the final visual outcome were the size of the IOFB, poor initial visual acuity, and the presence of the following complications: cataract, iris damage and vitreous haemorrhage. The outcome was also worse in posterior segment IOFBs but this was not statistically significant.

Matched MeSH terms: Eye Injuries, Penetrating/etiology*; Eye Injuries, Penetrating/epidemiology; Eye Injuries, Penetrating/therapy

Blunt abdominal trauma--injury assessment in relation to early surgery

Visvanathan R, Low HC

J R Coll Surg Edinb, 1993 Feb;38(1):19-22.

PMID: 8437147

One hundred and thirteen patients sustaining blunt abdominal trauma over a 24-month period were retrospectively divided into three groups to assess parameters of three diagnostic methods and the time-lapse before implementing surgical treatment. Diagnosis was based in group A patients (n = 20) on physical findings, plain radiology, and blood and urine examinations. Diagnostic methods in group B patients (n = 35) and in group C patients (n = 58) were as in group A but with the addition of diagnostic peritoneal lavage (DPL) in group B or with the addition of diagnostic abdominal ultrasonography (DAU) in group C. Sixty-five patients underwent abdominal exploration. The time-lag from commencement of examination to surgery was 332.33 +/- 48.90 min, 251.82 +/- 29.08 min and 570.89 +/- 133.80 min respectively in groups A, B and C. It was significantly shorter in group B compared with group C (P = 0.03). DPL had a sensitivity of 95%, a specificity of 81% and an accuracy of 89% whilst DAU had a sensitivity of 79%, a specificity of 85% and an accuracy of 83% in detecting significant injury. The conclusion is that DPL in combination with DAU would facilitate early assessment and treatment of intra-abdominal injuries.

Matched MeSH terms: Abdominal Injuries/diagnosis*; Abdominal Injuries/surgery; Abdominal Injuries/ultrasonography

Fulltext The role of tranexamic acid (Cyklokapron) in the treatment of traumatic hyphaema

Sukumaran K

Med J Malaysia, 1988 Jun;43(2):155-8.

PMID: 3237131

Matched MeSH terms: Anterior Chamber/injuries*; Eye Injuries/complications*

Fulltext Penetrating laryngotracheal trauma resulting in vocal cord avulsion

Lim IR, Aw CY

Med J Malaysia, 2003 Oct;58(4):613-6.

PMID: 15190641

Penetrating neck trauma present difficult management issues by virtue of their rarity. Undiagnosed laryngotracheal injuries have serious implications, especially in the context of multiple trauma, where other injuries overshadow that of the laryngotracheal complex. This is a case of a schizophrenic patient with multiple self-inflicted cuts on his throat and abdomen. Injuries include open, comminuted laryngeal complex lacerations with vocal cord avulsion, as well as evisceration of small bowel. Adequate assessment using both direct laryngoscopy and rigid endoscopy, coupled with open exploration, allowed optimal exposure and fixation of the larynx in the anatomical configuration. The post-operative outcome of the airway and voice remained satisfactory at follow-up. A high index of suspicion coupled with adequate surgical approach allowed establishment of a functional larynx.

Matched MeSH terms: Larynx/injuries*; Trachea/injuries*; Vocal Cords/injuries*

Fulltext Outcome of meniscus surgery at University Malaya Medical Centre

Vinayaga P, Amalourde A, Tay YG, Chan KY

Med J Malaysia, 2001 Dec;56 Suppl D:18-23.

PMID: 14569761 MyJurnal

Between January 1994 to December 1998, 133 patients had a meniscal surgery at University Malaya Medical Centre. Fifty-four patients were assessed and scored with the Lysholm and Tegner scoring system. Twenty-nine patients had partial meniscectomies and 25 had meniscus repair. The outcome was successful in 80% with meniscal repair and 51.7% with partial meniscectomy. The outcome of meniscal repair in this study is comparable to other reported series. However, the failure rate for partial meniscectomy was high.

Matched MeSH terms: Knee Injuries/surgery*; Menisci, Tibial/injuries*

Fulltext Quantitative risk assessment on onshore gas terminal plant

Aliff, Farhan Bustani M., Siti Aslina Hussain

Journal of Occupational Safety and Health, 2018;15(2):25-33.

MyJurnal

Quantitative Risk Assessment (QRA) nowadays is an established risk assessment method used worldwide for the evaluation of risks on onshore plant and offshore facilities which associated with the major hazard installations. However, there are still many issues on QRA used. These include lack of consistency, complexity of the overall model structure, incorporation of new data, methodology and model analysis. Common problem observed for the onshore QRA methodology is conservatism of fire and explosion consequence results using DNV PhastRisk 6.7 software which is mainly contributed from the high release rate due to loss of containment. This paper presents an alternative way to predict the actual release rate for fire and explosion modelling which called limiting flowrate technique. This method has been applied for calculating risk in Onshore Gas Terminal (OGT) Plant. Adopting the limiting flowrate technique has provide more precise model towards real scenarios. Challenges facing during this research such as using the unmodified United Kingdom (UK) HSE hydrocarbon release database without integrate with the actual failure frequencies from the plant, the risk results tend to be much higher than actual experience. It should be noted that the development of improved onshore risk model has been used as an example for this research but many of the issues are equally applicable to offshore studies as well.

Matched MeSH terms: Blast Injuries

Fulltext Gaseous oxygen (GOX) system upgrade for mitigation to process safety risk of brownfield unit

Toh, Jia Lin, Siti Aslina Hussain

Journal of Occupational Safety and Health, 2018;15(2):47-56.

MyJurnal

Company A is a brownfield refinery that had been in service for over 25 years and has its own system to generate GOX for its needed utility usage. Noting of the hazards of GOX and in consideration of an aged refinery, this research is of the intent to evaluate the risk of GOX in the aspect of personnel and process safety; and to provide recommendation or mitigations planning with regards to Company A’s existing hardware through Bow Tie review. The analysis was done taking into consideration the data compiled as well as the inherited Process Safety Assessment (PSA) findings of Company A that served as secondary data to this research. It was observed that Company A personnel are well versed with the risk and hazards of GOX system and through the plant rejuvenation and material upgrade works, the hazards were mitigated to a lower risk within the risk matrix. The implementation and upgrade works had served to add more barriers to the left side of the bow tie as well as ensuring that the aged complex is well equipped with needed safeguarding strategies (from inherent safer design, passive & active safeguarding and procedural controls) to avoid the occurrence of potential oxygen fire or explosion incident.

Matched MeSH terms: Blast Injuries

Fulltext Radiation and explosion modelling of pressurized propylene storage failure in refinery using PHAST 6.7 software

Muniasamy, Arun Kumar, Tinia Idaty Binti Mohd Ghazi

Journal of Occupational Safety and Health, 2018;15(2):57-69.

MyJurnal

The effects of propylene stored in pressurized spherical vessel were investigated using radiation & explosion modeling using PHAST 6.7 software in one of the refinery in Malaysia. The simulations were performed for various weather conditions with different leak scenarios in deterministic approach. Modeling approach was standard with current industry practice. Resulting events such as jet fire, vapor cloud explosion, boiling liquid evaporating vapor explosion effects shown in thermal radiation and overpressure towards targeted technical buildings. The effects of resulting jet fire flame length increase with release rate and explosion overpressure effects increase with degree of confinement and volume fraction respectively. The results were reviewed, interpreted against industry standard. The sensitivity cases show that, using lower inventory with moderate operating conditions will keep the consequence in acceptable region. This consequence analysis will form a basis for layout development, safety distance and fire zone segregation during conceptual design stage. Propylene storage conditions, layout arrangements and blast protections were recommended as part of preventive and mitigative measures.

Matched MeSH terms: Blast Injuries

Displaying publications 221 - 240 of 1133 in total