MyMedR

Cultivated oral mucosal epithelial transplantation (COMET) and penetrating keratoplasty in long-standing severe ocular surface injury

Lim IH, Alias R, Umapathy T, Samsudin A

Med J Malaysia, 2019 Oct;74(5):433-435.

PMID: 31649222

Ocular chemical injury is a true ophthalmic emergency requiring immediate medical intervention. Damages can be devastating and potentially resulting in blindness, corneal perforation and phthisis bulbi. We describe here a successful treatment outcome in a patient who sustained Roper-Hall Grade 4 injury to both eyes. Patient received medical therapy followed by serial ocular surgeries with eventual visual recovery in one eye from counting finger to 6/15 after a decade. In conclusion, after maximum medical therapy, a carefully planned serial surgeries of cultivated oral mucosal epithelial transplantation (COMET) and PK has proven beneficial for this patient with advanced limbal stem cell deficiency (LSCD).

Matched MeSH terms: Eye Injuries

Case series of haemothorax secondary to avulsed bullae vessel

Low QJ, Hatta Z, Cheo SW, Syed RSH, Goh KS

Med J Malaysia, 2019 Oct;74(5):431-432.

PMID: 31649221

Haemothorax refer to the bleeding in the pleural space. It is commonly due to iatrogenic, blunt or penetrating chest trauma. Non-traumatic haemothorax is a rare entity that can potentially lead to life threatening complications. The initial management of both traumatic and non-traumatic haemothorax includes resuscitation and stabilisation of the patient. We would like to present two cases of non-traumatic haemothorax secondary to an avulsed bullae vessel.

Matched MeSH terms: Thoracic Injuries

Head injuries

Monro JK

Journal of the Malaya Branch of the British Medical Association, 1939;3:294-96.

Matched MeSH terms: Head Injuries, Closed

Successful Transcatheter Arterial Embolisation for a Traumatic Iliacus Hematoma: A Case Report

Kato T, Chinzei N, Katayama N, Hirota S, Takahashi M

Malays Orthop J, 2020 Mar;14(1):92-95.

PMID: 32296490 DOI: 10.5704/MOJ.2003.016

A traumatic iliacus hematoma is rare and usually occurs in patients after a fall involving a lower back injury. Although the hematoma may compress the femoral nerve causing femoral nerve palsy, the gold standard treatment for this condition has not been established. Here we report transcatheter arterial embolisation as a useful treatment strategy for a traumatic iliacus hematoma.

Matched MeSH terms: Back Injuries

Fulltext Combining glidescope and fiber-optic for intubation in oral maxillofacial surgery

Loh PS, Ng KWS

J Anaesthesiol Clin Pharmacol, 2017 Apr-Jun;33(2):254-255.

PMID: 28781455 DOI: 10.4103/0970-9185.209738

Airway management for patients with recent oral facial injuries is always a challenge for the anesthetist. We describe how the glidescope (GLS) and fiber-optic (FOB) can be effectively combined in three patients undergoing oral maxillofacial surgeries after sustaining multiple facial fractures from trauma to allow less traumatic intubation, an option to visualize on either monitor and faster intubating time (mean 1 min 14 s for our cases) compared to the use of either one alone. Although it allows for better visualization of the vocal cords, it requires 2 trained anaesthetists to perform and this would need to be considered when using this technique.

Matched MeSH terms: Facial Injuries

Effect of the Timing of Anterior Cruciate Ligament Reconstruction on Clinical and Stability Outcomes: A Systematic Review and Meta-analysis

Lee YS, Lee OS, Lee SH, Hui TS

Arthroscopy, 2018 02;34(2):592-602.

PMID: 28974333 DOI: 10.1016/j.arthro.2017.07.023

PURPOSE: The purpose of this systematic review and meta-analysis was to evaluate the effect of the timing of anterior cruciate ligament (ACL) reconstruction on clinical and stability outcomes by analyzing high-quality studies that assessed timing as a primary objective.

METHODS: The MEDLINE, EMBASE, and Cochrane database were systematically searched. The inclusion criteria were as follows: (1) English articles, (2) noncomparative study or relevant study reporting clinical and/or stability results, and (3) timing of the ACL reconstruction as a primary objective. Study type, level of evidence, randomization method, exclusion criteria, number of cases, age, sex, timing of ACL reconstruction, follow-up, clinical outcomes, stability outcomes, and other relevant findings were recorded. Statistical analysis of the Lysholm scores and KT-1000 arthrometer measurements after early and delayed ACL reconstruction was performed using R version 3.3.1.

RESULTS: Seven articles were included in the final analysis. There were 6 randomized controlled trials and 1 Level II study. Pooled analysis was performed using only Level I studies. All studies assessed the timing of ACL reconstruction as a primary objective. The definition of early ranged broadly from 9 days to 5 months and delayed ranged from 10 weeks to >24 months, and there was an overlap of the time intervals between some studies. The standard timing of the delayed reconstruction was around 10 weeks from injury in the pooled analysis. After pooling of data, clinical result was not statistically different between groups (I2: 47%, moderate level of heterogeneity). No statistically significant difference was observed in the KT-1000 arthrometer measurements between groups (I2: 76.2%, high level of heterogeneity) either.

CONCLUSION: This systematic review and meta-analysis performed using currently available high-quality literature provides relatively strong evidence that early ACL reconstruction results in good clinical and stability outcomes. Early ACL reconstruction results in comparable clinical and stability outcomes compared with delayed ACL reconstruction.

LEVEL OF EVIDENCE: Level II, a systematic review and meta-analysis of Level I and II studies.

Matched MeSH terms: Anterior Cruciate Ligament Injuries/complications; Anterior Cruciate Ligament Injuries/physiopathology; Anterior Cruciate Ligament Injuries/surgery*

Fulltext Cyphellophora sp. Isolated from a Corneal Ulcer in the Human Eye

Rajandran S, Razali KM, Mustapha M, Palaniappan PA, Amran F

Case Rep Ophthalmol Med, 2020;2020:5861258.

PMID: 32774963 DOI: 10.1155/2020/5861258

Cyphellophora is a black yeast-like fungus with most of the strains being isolated from soil and plants. It tends to cause sooty blotch and flyspeck disease in plants. In humans, it is known to cause superficial skin and nail infections. This report highlights the case of a patient who initially presented with a small corneal abrasion which rapidly progressed into a corneal ulcer after the patient did not respond to the initial conventional treatment. The laboratory results from the corneal scraping found it to be Cyphellophora sp.

Matched MeSH terms: Corneal Injuries

Non-fatal occupational injuries among non-governmental employees in Malaysia

Abas AB, Said AR, Mohammed MA, Sathiakumar N

Int J Occup Environ Health, 2011;17(1):38-48.

PMID: 21344818

We analyzed data on non-fatal occupational injuries reported to Malaysia's social security organization from 2002 to 2006. There was a decrease in both the absolute number and the incidence rates of these injuries over time. About 40% of cases occurred in the manufacturing sector followed by the service (17%) and trading (17%) sectors. The agriculture sector reported the highest incidence rate (24.1/1,000), followed by the manufacturing sector subcategories of wood-product manufacturing (22.1/1,000) and non-metallic industries (20.8/1,000). Men age 40 to 59 and persons of Indian ethnicity had a greater tendency to sustain injuries. Government and non-governmental organizations should strive to develop strategies to reduce the occupational injuries targeting vulnerable groups. Enforcement of safety measures will further play an important role to ensure that both employees and employers take special precautions to address workplace hazards.

Matched MeSH terms: Wounds and Injuries/ethnology; Wounds and Injuries/etiology; Wounds and Injuries/epidemiology*

Fulltext Alum irrigation for the treatment of intractable haematuria

Ho CC, Md Zainuddin Z

Malays J Med Sci, 2009 Oct;16(4):66-8.

PMID: 22135514 MyJurnal

Managing intractable haematuria is a daunting task. One cause of this condition is radiationinduced haemorrhagic cystitis. Several treatments for the condition have been proposed and one non-invasive option is alum irrigation. Here, we report on a 65-year-old woman with intractable haematuria secondary to radiation cystitis who was successfully treated with alum irrigation. Alum irrigation is safe, well tolerated and relatively cheap. A review of the literature and a comprehensive discussion on alum irrigation as treatment for haematuria is discussed here to create an awareness regarding this treatment option.

Matched MeSH terms: Radiation Injuries

Fulltext Bilateral vocal cord palsy as the sole presentation of acquired syphilis

Asha'ari ZA, Razali MS, Ahmad RA

Malays J Med Sci, 2010 Apr;17(2):56-60.

PMID: 22135539

Bilateral vocal cord palsy is almost always caused by neck surgery, particularly surgery of the thyroid. We report a case of bilateral vocal cord palsy requiring emergency surgery to relieve the airway obstruction as the sole presentation of acquired syphilis. As the incidence of syphilis worldwide is rising, this unusual presentation may give clinicians a different perspective on the disease.

Matched MeSH terms: Recurrent Laryngeal Nerve Injuries

Fulltext Risk Factors and Phenytoin Prophylaxis for Early Post-Traumatic Seizures among Patients with Traumatic Brain Injury

Chan KH, Tharakan J, Pal HK, Khan N, Tan YC

Malays J Med Sci, 2010 Oct;17(4):36-43.

PMID: 22135559

Post-traumatic seizure is a well-known and serious complication of traumatic brain injury (TBI). The incidence and risk factors vary among study populations. Very little data have been published concerning this in the Malaysian population. The aim of this study was to ascertain the risk factors for the development of early post-traumatic seizures among patients with TBI.

Matched MeSH terms: Brain Injuries, Traumatic

Fulltext Hand grenade blast injuries: an experience in hospital universiti sains malaysia

Kamauzaman TH, Ahmad R, Latif KA, Hamzah MS, Kheng CP

Malays J Med Sci, 2007 Jul;14(2):58-61.

PMID: 22993493 MyJurnal

Hand grenade explosion is a rare occasion in our local community. Most of us have seen or heard about the injuries only from the TV news or newspaper. We report two cases of bomb blast injury that occurred in an army camp in September 2000. These case studies illustrate the clinical presentations of hand grenade blast injures that present with multiple organ involvement. We would like to share our experience in managing such cases in a busy emergency department and highlight the outcome of those two cases. Certain issues pertaining to the complexity of the injuries and mass casualty management are also highlighted.

Matched MeSH terms: Blast Injuries

Fulltext The high-affinity human IgG receptor Fc gamma receptor I (FcγRI) is not associated with vascular leakage of dengue

Mohamad Zamberi Z, Zakaria Z, Abdul Aziz AT, Heng BS, Zaid M, Chong CL, et al.

J Negat Results Biomed, 2015;14:1.

PMID: 25566870 DOI: 10.1186/s12952-014-0020-6

Dengue is a major public health problem in many tropical and sub-tropical countries. Vascular leakage and shock are identified as the major causes of deaths in patients with severe dengue. Studies have suggested the potential role of Fc gamma receptors I (FcγRI) in the pathogenesis of dengue. We hypothesized that the circulating level of Fcγ receptor I could potentially be used as an indicator in assisting early diagnosis of severe dengue.

Matched MeSH terms: Vascular System Injuries/blood*; Vascular System Injuries/diagnosis*

Fulltext The effectiveness of FES-evoked EMG potentials to assess muscle force and fatigue in individuals with spinal cord injury

Ibitoye MO, Estigoni EH, Hamzaid NA, Wahab AK, Davis GM

Sensors (Basel), 2014;14(7):12598-622.

PMID: 25025551 DOI: 10.3390/s140712598

The evoked electromyographic signal (eEMG) potential is the standard index used to monitor both electrical changes within the motor unit during muscular activity and the electrical patterns during evoked contraction. However, technical and physiological limitations often preclude the acquisition and analysis of the signal especially during functional electrical stimulation (FES)-evoked contractions. Hence, an accurate quantification of the relationship between the eEMG potential and FES-evoked muscle response remains elusive and continues to attract the attention of researchers due to its potential application in the fields of biomechanics, muscle physiology, and rehabilitation science. We conducted a systematic review to examine the effectiveness of eEMG potentials to assess muscle force and fatigue, particularly as a biofeedback descriptor of FES-evoked contractions in individuals with spinal cord injury. At the outset, 2867 citations were identified and, finally, fifty-nine trials met the inclusion criteria. Four hypotheses were proposed and evaluated to inform this review. The results showed that eEMG is effective at quantifying muscle force and fatigue during isometric contraction, but may not be effective during dynamic contractions including cycling and stepping. Positive correlation of up to r = 0.90 (p < 0.05) between the decline in the peak-to-peak amplitude of the eEMG and the decline in the force output during fatiguing isometric contractions has been reported. In the available prediction models, the performance index of the eEMG signal to estimate the generated muscle force ranged from 3.8% to 34% for 18 s to 70 s ahead of the actual muscle force generation. The strength and inherent limitations of the eEMG signal to assess muscle force and fatigue were evident from our findings with implications in clinical management of spinal cord injury (SCI) population.

Matched MeSH terms: Spinal Cord Injuries/diagnosis; Spinal Cord Injuries/physiopathology*

Safety system for child pillion riders of underbone motorcycles in Malaysia

Sivasankar S, Karmegam K, Bahri MT, Naeini HS, Kulanthayan S

Traffic Inj Prev, 2014;15(6):564-71.

PMID: 24484430 DOI: 10.1080/15389588.2013.861596

Motorcycles are a common mode of transport for most Malaysians. Underbone motorcycles are one of the most common types of motorcycle used in Malaysia due to their affordable price and ease of use, especially in heavy traffic in the major cities. In Malaysia, it is common to see a young or child pillion rider clinging on to an adult at the front of the motorcycle. One of the main issues facing young pillion riders is that their safety is often not taken into account when they are riding on a motorcycle. This article reviews the legally available systems in child safety for underbone motorcycles in Malaysia while putting forth the need for a safety system for child pillion riders.

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

Fulltext The use of dental drill in removing entrapped finger by metal ring in emergency department

Shamsuddin SR, Hashim AA, Nazer B, Hashairi F, Shaik Farid AW, Abu Yazid MN

Med J Malaysia, 2012 Jun;67(3):349-50.

PMID: 23082436 MyJurnal

Ring removal is indicated in a number of clinical circumstances to manage or prevent tourniquet effect of the digit. A ring made from hardened metal may defy commonly known methods of removal. We reported a case of unusual difficulty in removing a ring of hardened metal composition using a dental drill. We believed the unusual circumstances of this case is likely to be repeated in some other clinical practice and this instrument is an appropriate option to consider in such cases.

Matched MeSH terms: Finger Injuries/etiology; Finger Injuries/therapy*

Fulltext The role of multislice computed tomography (MSCT) in the detection of blunt traumatic intra abdominal injury: our experience in Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang

Radhiana H, Azian AA, Mubarak MY, Saat A, Mohd Amran AR, Jamalludin AR

Med J Malaysia, 2012 Jun;67(3):316-22.

PMID: 23082425 MyJurnal

Multislice computed tomography (MSCT) is the imaging modality of choice in assessing clinically stable patients with blunt abdominal trauma. This study assessed the role of MSCT in the detection of intra abdominal injury caused by blunt trauma in our centre within a two-year-period (2008-2009). A total of 151 patients had MSCT abdomen for blunt abdominal trauma within this study period. Positive scan were seen in 126 patients (83.4%). Out of these positive scans, liver, spleen and renal injuries were seen in 42.1% (n = 53), 34.9% (n = 44) and 30.0% (n = 34) of cases respectively. Laparotomies were performed in 45 patients. Out of these 45 laparotomies, 10 patients had surgically significant injuries that were missed on CT scan findings. The injuries were bowel perforation (n = 4), serosal tear of bowel (n = 1), mesenteric injuries with active haemorrhage (n=3), spleen injury (n = 1) and liver injury (n = 1).

Matched MeSH terms: Abdominal Injuries/radiography*; Abdominal Injuries/surgery

Fulltext Mason on a surgical mission

Utpal DE, Dhritiman M, Mukhopadhyay M

Med J Malaysia, 2012 Jun;67(3):331-2.

PMID: 23082429

Matched MeSH terms: Penis/injuries*; Scrotum/injuries*

Fulltext Bleeding small bowel cavernous haemangioma following blunt trauma to the abdomen presenting as subacute intestinal obstruction in a child

Abdul Aziz DA, Khandasamy Y, Tamba RP, Zaki FM

BMJ Case Rep, 2011;2011.

PMID: 22679168 DOI: 10.1136/bcr.08.2011.4672

The authors report a case of a 6-year-old girl who developed subacute intestinal obstruction after a trivial blunt trauma to her abdomen. Her normal vital signs masked the presence of intestinal bleeding. An incidental finding at surgery of a haematomatous polypoid vascular growth of the ileum was subsequently confirmed to be cavernous haemangioma of the small bowel. Surgical resection was curative in this patient.

Matched MeSH terms: Bicycling/injuries*; Intestine, Small/injuries*

A review of histomorphometric analysis techniques for assessing implant-soft tissue interface

Chai WL, Moharamzadeh K, Brook IM, Van Noort R

Biotech Histochem, 2011 Aug;86(4):242-54.

PMID: 20392135 DOI: 10.3109/10520291003707916

The success of dental implant treatment depends on the healing of both hard and soft tissues. While osseointegration provides initial success, the biological seal of the peri-implant soft tissue is crucial for maintaining the long term success of implants. Most studies of the biological seal of peri-implant tissues are based on animal or monolayer cell culture models. To understand the mechanisms of soft tissue attachment and the factors affecting the integrity of the soft tissue around the implants, it is essential to obtain good quality histological sections for microscopic examination. The nature of the specimens, however, which consist of both metal implant and soft peri-implant tissues, poses difficulties in preparing the specimens for histomorphometric analysis of the implant-soft tissue interface. We review various methods that have been used for the implant-tissue interface investigation with particular focus on the soft tissue. The different methods are classified and the advantages and limitations of the different techniques are highlighted.

Matched MeSH terms: Soft Tissue Injuries/etiology; Soft Tissue Injuries/pathology*

Displaying publications 421 - 440 of 1133 in total