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Displaying publications 41 - 47 of 47 in total

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The role of the community and medical auxiliaries in the prevention of diarrhoeal diseases of children in Sarawak, Malaysia

Chen PC

Southeast Asian J. Trop. Med. Public Health, 1982 Sep;13(3):441-5.
PMID: 7163853
Matched MeSH terms: Fluid Therapy
Fulltext Unintended Consequences: Fluid Resuscitation Worsens Shock in an Ovine Model of Endotoxemia

Byrne L, Obonyo NG, Diab SD, Dunster KR, Passmore MR, Boon AC, et al.

Am J Respir Crit Care Med, 2018 10 15;198(8):1043-1054.
PMID: 29882682 DOI: 10.1164/rccm.201801-0064OC

RATIONALE: Fluid resuscitation is widely considered a life-saving intervention in septic shock; however, recent evidence has brought both its safety and efficacy in sepsis into question.
OBJECTIVES: In this study, we sought to compare fluid resuscitation with vasopressors with the use of vasopressors alone in a hyperdynamic model of ovine endotoxemia.
METHODS: Endotoxemic shock was induced in 16 sheep, after which they received fluid resuscitation with 40 ml/kg of 0.9% saline or commenced hemodynamic support with protocolized noradrenaline and vasopressin. Microdialysis catheters were inserted into the arterial circulation, heart, brain, kidney, and liver to monitor local metabolism. Blood samples were recovered to measure serum inflammatory cytokines, creatinine, troponin, atrial natriuretic peptide, brain natriuretic peptide, and hyaluronan. All animals were monitored and supported for 12 hours after fluid resuscitation.
MEASUREMENTS AND MAIN RESULTS: After resuscitation, animals that received fluid resuscitation required significantly more noradrenaline to maintain the same mean arterial pressure in the subsequent 12 hours (68.9 mg vs. 39.6 mg; P = 0.04). Serum cytokines were similar between groups. Atrial natriuretic peptide increased significantly after fluid resuscitation compared with that observed in animals managed without fluid resuscitation (335 ng/ml [256-382] vs. 233 ng/ml [144-292]; P = 0.04). Cross-sectional time-series analysis showed that the rate of increase of the glycocalyx glycosaminoglycan hyaluronan was greater in the fluid-resuscitated group over the course of the study (P = 0.02).
CONCLUSIONS: Fluid resuscitation resulted in a paradoxical increase in vasopressor requirement. Additionally, it did not result in improvements in any of the measured microcirculatory- or organ-specific markers measured. The increase in vasopressor requirement may have been due to endothelial/glycocalyx damage secondary to atrial natriuretic peptide-mediated glycocalyx shedding.

Matched MeSH terms: Fluid Therapy/adverse effects*
Randomized controlled trial of oral versus intravenous fluid supplementation on serum bilirubin level during phototherapy of term infants with severe hyperbilirubinaemia

Boo NY, Lee HT

J Paediatr Child Health, 2002 Apr;38(2):151-5.
PMID: 12030996

OBJECTIVE: To compare the rates of decrease in serum bilirubin levels in severely jaundiced healthy term infants given oral or intravenous fluid supplementation during phototherapy.
METHODS: A randomized controlled study was carried out in the neonatal intensive care unit (NICU) of Hospital Universiti Kebangsaan Malaysia over a 12-month period. Fifty-four healthy term infants with severe hyperbilirubinemia were randomized to receive either solely enteral feeds (n = 27) or both enteral and intravenous (n = 27) fluid during phototherapy.
RESULTS: There were no significant differences in the mean birthweight, mean gestational age, ethnic distribution, gender distribution, modes of delivery and types of feeding between the two groups. Similarly, there was no significant difference in the mean indirect serum bilirubin (iSB) level at the time of admission to the NICU between the enteral (359 +/- 69 micromol/L [mean +/- SD]) and intravenous group (372 +/- 59 micromol/L; P = 0.4). The mean rates of decrease in iSB during the first 4 h of phototherapy were also not significantly different between the enteral group (10.4 +/- 4.9 micromol/L per h) and intravenous group (11.2 +/- 7.4 micromol/L per h; P = 0.6). There was no significant difference in the proportion of infants requiring exchange transfusion (P = 0.3) nor in the median duration of hospitalization (P = 0.7) between the two groups. No infant developed vomiting or abdominal distension during the study period.
CONCLUSION: Severely jaundiced healthy term infants had similar rates of decrease in iSB levels during the first 4 h of intensive phototherapy, irrespective of whether they received oral or intravenous fluid supplementation. However, using the oral route avoided the need for intravenous cannulae and their attendant complications.

Matched MeSH terms: Fluid Therapy/methods*
Fulltext Validating a Lower Urine Output Criteria in predicting death in Critically Ill Patients

Azrina Md Ralib, Mohd Basri Mat Nor

International Medical Journal Malaysia, 2017;16(1):45-52.
MyJurnal

Urine output provides a rapid estimate for kidney function, and its use has been incorporated in the diagnosis of acute kidney injury. However, not many studies had validated its use compared to the plasma creatinine. It has been showed that the ideal urine output threshold for prediction of death or the need for dialysis was 0.3 ml/kg/h. We aim to assess this threshold in our local ICU population.

Matched MeSH terms: Fluid Therapy
Fulltext Plastron osteotomy in the management of fishing hook ingestion in a Malayan box turtle (Cuora ambonensis)

Azlan, C.A., Cheah, E.H.C., Lam, J.L., Mohd Jefri, N., Saw, M.H., Noorshimah, R.

Jurnal Veterinar Malaysia, 2015;27(1):12-15.
MyJurnal

An adult male Malayan box turtle was diagnosed with foreign body obstruction of fishing hook. Upon presentation, the animal
had pale mucous membrane and fishing line protruding out from the oral cavity. Diagnosis of foreign body ingestion was based on
plain radiograph where the fishing hook was evidenced on the lateral and ventrodorsal radiographic view. Plastron osteotomy
surgical removal was performed after endoscopy guided forcep removal failed. Procedures were carried out under the injectable
anesthesia using a combination of ketamine and xylazine hydrochloride. Antibiotic, anti-inflammatory and parenteral fluid therapy
was given pre and post-surgically as medical treatment and stabilisation.

Matched MeSH terms: Fluid Therapy
Fulltext The rehydration potential of zea mays juice compared to carbohydrate-electrolyte beverage

Azimah Ahmad, Normah Jusoh, Ruaibah Yazani Tengah

Jurnal Sains Sukan & Pendidikan Jasmani, 2018;7(2):113-119.
MyJurnal

The purpose of rehydration is to replace fluid and electrolyte losses. Carbohydrates and sodium are the main nutrient sources for rehydration. The presence of protein aids the rehydration process and thereby promoting muscle synthesis. Zea mays had been identified as one of the potential food sources that could be an alternative recovery beverage. The aim of this study was to assess the potential of Zea mays (ZM) juice as an alternative rehydration beverage. A total of 15 male participants were involved in this study. They were required to cycle to 70-80% of their age predicted maximum heart rate until they were dehydrated (1.8-2% body weight loss). Then they were given either ZM juice or CE drink in an amount representing 150% of their initial body weight loss. After 4-hours of rest with no other food allowed, their USG and percentage of fluid retention were calculated. Results showed that ZM juice had better retention and demonstrated well hydrated USG readings compared to CE drink. Therefore, ZM juice has the potential to be an alternative rehydration beverage.

Matched MeSH terms: Fluid Therapy
Fulltext Cellular Biochemical Changes in Selaginella tamariscina (Beauv.) Spring and Sellaginella plana (Desv. ex Poir.) Heiron. as Induced by Desiccation

Agduma AR, Sese MD

Trop Life Sci Res, 2016 Aug;27(2):37-52.
PMID: 27688850 DOI: 10.21315/tlsr2016.27.2.4

The biochemical changes in two Selaginella species namely, S. tamariscina (Beauv.) Spring and S. plana (Desv. ex Poir.) Heiron., as induced by desiccation and subsequent rehydration were explored. Plants were allowed to dehydrate naturally by withholding irrigation until shoot's relative water content (RWC) reached <10%. After which, dehydrated plants were watered until fully rehydrated states were obtained which was about 90% RWC or more. Desiccation-tolerance characteristics were observed in S. tamariscina while desiccation-sensitivity features were seen in S. plana. Membrane integrity was maintained in S. tamariscina but not in S. plana as evidenced in the relative electrolyte leakage measurements during desiccation phase and the subsequent rehydration stage. Pigment analyses revealed conservation of some chlorophylls and carotenoids during desiccation and reaching control levels following rehydration in S. tamariscina. Very low pigment contents were found in S. plana during desiccation phase and the pigments were not recovered during rehydration attempt. Meanwhile, compatible solute determination showed rise in total sugar and proline contents of desiccated S. tamariscina only, indicating presence of biochemical protection machineries in this species and absence of such in S. plana during dehydrating conditions. These data indicate that one key element for desiccation-tolerance in lower vascular plants is the ability to protect tissues from severe damages caused by intense desiccation.

Matched MeSH terms: Fluid Therapy