MyMedR

Fulltext Non-bacterial chronic recurrent osteomyelitis of the clavicle

Pan K, Chan W, Ong G, Zulqarnaen M, Norlida D

Malays Orthop J, 2012 Mar;6(1):57-60.

PMID: 25279046 MyJurnal DOI: 10.5704/MOJ.1203.005

This report details the case of a 12-year-old girl with a painful, progressive swelling of the medial portion of the clavicle with no history of trauma or other constitutional symptoms. All laboratory investigations were normal except for an elevated erythrocyte sedimentation rate (ESR). Initial plain radiographs showed a destructive lesion with magnetic resonance imaging showing features of malignancy. Biopsies revealed osteomyelitis, but with negative bacterial cultures and no evidence of malignancy. Treatment with antibiotics did not result in a favourable response. Over time, the swelling increased in size with episodic exacerbations of pain. Follow-up radiographs showed sclerosis and hyperostosis. After five years, this was recognized as non-bacterial chronic recurrent osteomyelitis of the clavicle.

Removal of VOCs from gas streams with double perovskite-type catalysts

Pan KL, Pan GT, Chong S, Chang MB

J Environ Sci (China), 2018 Jul;69:205-216.

PMID: 29941256 DOI: 10.1016/j.jes.2017.10.012

Double perovskite-type catalysts including La2CoMnO6 and La2CuMnO6 are first evaluated for the effectiveness in removing volatile organic compounds (VOCs), and single perovskites (LaCoO3, LaMnO3, and LaCuO3) are also tested for comparison. All perovskites are tested with the gas hourly space velocity (GHSV) of 30,000hr-1, and the temperature range of 100-600°C for C7H8 removal. Experimental results indicate that double perovskites have better activity if compared with single perovskites. Especially, toluene (C7H8) can be completely oxidized to CO2 at 300°C as La2CoMnO6 is applied. Characterization of catalysts indicates that double perovskites own unique surface properties and are of higher amounts of lattice oxygen, leading to higher activity. Additionally, apparent activation energy of 68kJ/mol is calculated using Mars-van Krevelen model for C7H8 oxidation with La2CoMnO6 as catalyst. For durability test, both La2CoMnO6 and La2CuMnO6 maintain high C7H8 removal efficiencies of 100% and 98%, respectively, at 300°C and 30,000hr-1, and they also show good resistance to CO2 (5%) and H2O(g) (5%) of the gas streams tested. For various VOCs including isopropyl alcohol (C3H8O), ethanal (C2H4O), and ethylene (C2H4) tested, as high as 100% efficiency could be achieved with double perovskite-type catalysts operated at 300-350°C, indicating that double perovskites are promising catalysts for VOCs removal.

Fulltext Intraosseous synovial sarcoma of the proximal femur: Case report

Zulkarnaen M, Pan K, Shanmugam P, Ibrahim Z, Chan W

Malays Orthop J, 2012 Mar;6(1):49-52.

PMID: 25279044 MyJurnal DOI: 10.5704/MOJ.1203.003

ABSTRACT: Synovial sarcoma is primarily a soft tissue malignancy that most often affects adolescents and young adults. It very rarely presents as a primary bone tumour and has only been reported in nine other cases to date. We report a case of primary synovial sarcoma arising from the proximal femur in a 57-year-old man.

KEY WORDS: Synovial sarcoma, primary bone tumour.

Fulltext Limb salvage in osteosarcoma using autoclaved tumor-bearing bone

Pan KL, Chan WH, Ong GB, Premsenthil S, Zulkarnaen M, Norlida D, et al.

World J Surg Oncol, 2012;10:105.

PMID: 22681750 DOI: 10.1186/1477-7819-10-105

Tumor prostheses currently give the best short- and medium-term results for limb-salvage reconstruction procedures in the treatment of bone tumors. However, in developing countries, the cost of a tumor prosthesis is beyond the reach of much of the population. We report the use of autoclaved tumor-bearing bone in 10 patients, as an affordable alternative to the use of prostheses.

Fulltext Cyclin D1 expression in acral melanoma: a case control study in Sarawak

Ibrahim ZA, Narihan MZ, Ojep DN, Soosay AE, Pan KL

Malays J Pathol, 2012 Dec;34(2):89-95.

PMID: 23424770 MyJurnal

Acral melanoma has been reported to have distinctive clinical presentation and ethnic distribution compared to other histological types of malignant melanoma. Acral melanoma also exhibits distinctive focused gene amplifications, including cyclin D1 overexpression. We reviewed archived histological material of malignant melanoma in the Sarawak General Hospital from year 2004 to 2010. 43 tumours, comprising 28 acral melanoma and 15 non-acral melanoma, had sufficient material to be included in the study. The majority (36%) of acral melanoma tumours occurred in the heel. The tumours were analyzed for cyclin D1 expression by immunohistochemistry. 68% of acral melanoma were cyclin D1 positive compared to a positivity of 33% in non-acral tumours. This difference was statistically significant (p < 0.05). This finding may improve the histological diagnosis of acral melanoma and detection of positive resection margins.

Fulltext Methods used for reconstruction in aggressive bone tumours: an early experience

Pan KL, Ting SS, Mohamad AWK, Lee WG, Wong CC, Rasit AH

Med J Malaysia, 2003 Dec;58(5):752-7.

PMID: 15190663

Improvements in the overall treatment of patients with aggressive, large tumours involving the bone have made it possible to preserve and salvage limbs instead of amputating them. Each patient is unique in his clinical presentation and social circumstance. The different reconstructive options available allow us to choose the most appropriate method suited to the particular patient and with minimal delay, even when resources are limited. The patient and the relatives actively participate in the choice. The early experience of the different techniques for reconstructing these bone defects at our hospital are presented in this paper.

Fulltext Cryptococcal osteomyelitis of the femur: a case report and review of literature

Zainal AI, Wong SL, Pan KL, Wong OL, Tzar MN

Trop Biomed, 2011 Aug;28(2):444-9.

PMID: 22041767 MyJurnal

Fungal osteomyelitis is a rare opportunistic infection. It exhibits some clinical and radiological similarities to several other bone pathologies. A diagnostic delay may result in significant increase in morbidity. We report a case of a 37-year-old man with underlying hypogammaglobulinaemia presented with isolated cryptococcal osteomyelitis of the femur.

Displaying publications 21 - 27 of 27 in total