Displaying publications 161 - 173 of 173 in total

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  1. Tai, Yong-Ting, Tong, Chin-Voon
    MyJurnal
    We report a case of occult primary spontaneous
    pneumothorax in a 30 years-old woman. She
    developed symptoms and signs that were suggestive of
    pneumothorax. However, chest radiograph failed to
    reveal pneumothorax. Therefore, we proceeded with
    computed tomography (CT) thorax which revealed
    significantly moderate right pneumothorax. The
    diagnostic approach and the management of this case
    are discussed.
  2. Surenthiran Ramanathan, Tong, Chin Voon
    MyJurnal
    Papillary thyroid microcarcinoma is not uncommon
    and constitutes almost one third of all differentiated
    thyroid carcinomas. It is generally regarded as low risk
    and usually an incidental finding from histopathology
    examination. Some areas of management of this entity
    remains uncertain and requires a multidisciplinary
    approach. We present a patient who initially came to
    us with symptoms of hyperthyroidism, later underwent
    thyroidectomy for a suspicious lesion but was found to
    have micropapillary thyroid carcinoma in another part
    of her thyroid gland.
  3. Kamarul Izham Kamarudin, Nur Dini Mohd Yusof, Suresh Chopra
    MyJurnal
    Open reduction and internal fixation using
    conventional lateral distal femur locking plate is a
    standard operative method for distal femur fracture.
    This case series describes medial plating of distal
    femur fracture using proximal tibia locking plate that
    is anatomically fit to the medial aspect of distal femur,
    by the minimally invasive plate osteosynthesis (MIPO)
    technique which gives a stable construct with good
    outcome.
  4. Htar Htar Aung, Nilar Shwe, Tin Tin Myint, Tin Moe Nwe
    MyJurnal
    Introduction: It is still a challenge that the
    dissecting room has a place in learning gross anatomy.
    Understanding the students’ preference of learning
    tools is important to devise alternative teaching aids
    for improvement in learning anatomy. This study was
    conducted to assess student’s preference of learning tools
    available in the anatomy laboratory of an integrated
    curriculum.

    Methods: A cross-sectional comparative study was
    carried out for 4 weeks among 741 medical and dental
    students of International Islamic University Malaysia
    (IIUM), Universiti Teknologi MARA (UiTM),
    University Sabah Malaysia (UMS) and University
    Malaysia Sarawak (UNIMAS). Pre-tested, semistructured,
    self-administrated questionnaires including
    open-ended questions were distributed. The data were
    analyzed by using SPSS 17.

    Results: Most of the participants were Malays (86%) and
    female (67%). The students from IIUM, UiTM, UMS
    and UNIMAS preferred the plastic model in terms of
    handability and application in examination (OSPE). It was
    statistically significant (p
  5. Chai WL, Phang YH, Chong HC
    MyJurnal
    Tumoral calcinosis is an uncommon condition which has been described to exist in primary and secondary forms. A lack of awareness of this entity can lead to unnecessary procedures and incorrect management. We report a case of a patient on peritoneal dialysis who presented with multiple painful joint swellings to the orthopaedic department. An initial diagnosis of septic arthritis was made, then revised to chronic tophaceous gout and referred to the rheumatology unit.
  6. Kow, Ren Yi, Hazwan Ab Wahid, Ed Simor Khan Mor Japar Khan, Colin Komahen, Low, Chooi Leng, Ruben Jaya Kumar
    MyJurnal
    Cervical spine injury is commonly associated with
    road-traffic accidents. The true incidence of cervical
    spine injuries is unknown due to under-reporting of
    such injuries. Cervical spine injury is associated with
    high morbidity and mortality if it is missed. With the
    advancement of imaging modalities, the number of
    missed cervical injuries has reduced. Nevertheless, some
    clinicians are dependent solely on imaging tools to rule
    out cervical spine injury in a trauma victim. We report
    two cases of “near miss” C6 fracture to highlight the
    importance of a detailed clinical history and clinical
    examination with imaging as an adjunct to rule out
    cervical injury.
  7. Mansharan Kaur Chaincel Singh
    MyJurnal
    Amoebiasis is a parasitic infection caused by the
    intestinal protozoan Entamoeba histolytica, most
    prevalent in developing countries. It results in 40,000 to
    100,000 deaths each year from amoebic colitis and extra
    intestinal infections. Amoebic liver abscess (ALA)
    is the most common extra intestinal site of infection
    with an incidence of between 3% and 9% of all cases of
    amoebiasis. Ultrasound which has a sensitivity of more
    than 90% for detecting ALA is highly recommended
    as an initial investigation followed by serological
    demonstration of circulating antibodies specific to
    Entamoeba histolytica.
  8. Lim, Swee Geok, Lim, Aun Cyi, Wong, Xiao Jing
    MyJurnal
    Introduction: The prevalence of cataract surgeries
    ranges from 7 to 12 million cases in 2000, 20 million
    in 2010 and an estimation of 32 million cataract
    surgeries annually by the year 2020 worldwide (WHO,
    2015). Traditionally, the healthcare providers were
    only able to give health education before the patient
    is discharged from the healthcare setting while followup
    can only be done when the patient comes for their
    follow-up. But most of the patients will remain confused
    or had forgotten about the post-operative care even
    after receiving a comprehensive discharge preparation.
    However, with the advancement of technologies in
    this modern era, nurse-led telephone follow-up can be
    considered as a tool to assist healthcare providers in the
    follow-up care in Malaysia. On the same note, a private
    eye specialist organisation with centres throughout
    Malaysia, had taken the initiative to provide telephone
    follow-up service for their patients with three main
    objectives namely, to provide pre- and post-education
    on cataract surgery, to detect early post cataract surgery
    complications as well as to minimise anxiety among
    their patients. However, till date no patient feedback
    regarding the service was conducted.

    Objective: The research objective for this study was to
    determine patient’s level of satisfaction with the nurseled
    telephone follow-up after cataract surgery at a private
    eye specialist centre in Penang.

    Method: A cross sectional quantitative descriptive study
    design was used to study ninety post cataract patients in
    a private hospital, Penang through universal sampling
    method. A validated self-developed questionnaire based
    on the three main objectives of the telephone follow-up
    service was used for this study.

    Results: Overall, the level of patient’s satisfaction with
    nurse-led telephone follow-up after cataract surgery at
    a private eye specialist centre in Penang was high (49.9
    ±4.85) especially for the health education provided
    (4.18 ±0.21) followed by the effort to detect early
    complications (4.16 ±0.12) and to minimise patients’
    anxiety level (4.16 ±0.12).
  9. Mohd Bakrynizam Abu Bakar Siddiq, Kamarul Izham Kamarudin, Kamarul Al Haq, Suresh Chopr
    MyJurnal
    Limb length discrepancy (LLD) is quite common.
    Lower limb shortening is one of the causes of limb
    length discrepancy. The common treatment that is
    used is the llizarov technique for bone lengthening.
    The new technique uses an intramedullary nail with
    a monoplanar external fixator. Using this technique,
    bone lengthening duration in patients can be reduced
    and knee joint mobility can be improved without
    jeopardizing bone regeneration. We report a case of a
    27-year-old gentleman who had right femur shortening
    from childhood and was referred to us for corrective
    deformity. He underwent bone lengthening on the nail
    which lenghthens and equalizes the leg while avoiding
    stiffness and reduces joint mobility which leads to good
    patient satisfaction outcome. The use of the external
    fixator with intramedullary nailing to lengthen the
    femur is one method that can reduce patient burden
    mentally and physically. However although it has many
    advantages we must watch out for the complications
    during the regular visits to ensure good outcome.
  10. Kow, Ren Yi, Aziah Abdul Aziz, Muhammad Firdaus Abas, Low, Chooi Leng, Akmal Azim Ahmad Alwi
    MyJurnal
    The human foot serves as an important part to support
    the body weight and accounts for the majority of our
    movements. A mangled limb involves injury to at least
    three out of four systems, namely the soft tissues, nerves,
    blood supply and bone. While amputation is indicated in
    some cases of mangled limb, with proper planning, limb
    salvaging surgical management is also a viable option.
    Special consideration to the skeletal stabilization, control
    of infection, vascular status and soft tissue coverage is
    paramount to the success of limb salvaging surgery. We
    present a case of mangled limb which was successfully
    treated with limb salvaging surgical management. Initial
    debridement, Kirschner wires insertion and cross ankle
    external fixation were used for skeletal stabilization. An
    antibiotic spacer was inserted for local antibiotic and to
    maintain the length left due to the loss of medial and
    intermediate cuneiform bones. The anterior tibialis
    artery and its venae comitantes were utilized for free
    vascularized fibular graft to provide bony reconstruction
    as well as soft tissue coverage for the mangled foot.
  11. Kamarul Izham Kamarudin, Then, Jun Wei, Yeoh, Ching Wooi, Ooi, Ying Jing, Chopra, S.
    MyJurnal
    Bone transport using the Ilizarov technique has been
    one of the most popular techniques in treating fracture
    with significant bone defect. However, pain and joint
    stiffness following Ilizarov fixation are few of the wellknown
    complications. We report a case of a 23-year-old
    gentleman with a closed left humeral diaphyseal fracture
    following a traffic accident who underwent plating of the
    left humerus which was later complicated with infected
    nonunion. He was then treated with corticotomy and
    bone lengthening using the semicircular Ilizarov ring
    fixator. Good clinical and functional outcomes were
    observed during transportation period (elbow flexion
    10̊ to 90̊) with minimal complications.
  12. Ho, Siew Eng, Tee, Sok Ching
    MyJurnal
    Introduction: Nurses are obligated to respond
    competently in the event of cardiac arrest. Nurses could
    be hesitant to intervene due to low self-efficacy in their
    ability to manage cardiac arrest patients.

    Objective: The objective of this study was to
    determine the level of nurses' perceived self-efficacy
    in cardiopulmonary resuscitation (CPR) at a private
    hospital in Kuala Lumpur.

    Method: A cross-sectional descriptive study was
    conducted with 112 respondents who fulfilled the
    inclusion criteria. A 19 item questionnaire on
    Resuscitation Self-Efficacy Scale (RSES) was adapted
    and scored using a 5-point Likert scale.

    Results: The total mean score and standard deviation
    of perceived self-efficacy score in resuscitation was (M
    = 77.68; SD ± 11.77) which indicated a high degree
    of self-efficacy among nurses. There were significant
    differences between respondents’ age groups with (t
    = -2.520; p = 0.013), unit of working (t = -4.086; p =
    0.001), real experiences in resuscitation (t = 2.532; p =
    0.013), and the number of participations in resuscitation
    (t=-6.668; p=0.001) and nurses perceived self-efficacy
    in CPR. There were also significant differences between
    respondents' years of working experience with (F
    = 7.286; p =0.001) and types of last resuscitation
    training (F= 7.088; p = 0.001). However, there was no
    significant difference between the nurses' time of their
    last resuscitation training (F = 1.225; p = 0.298) and the
    nurses perceived self-efficacy in CPR.

    Conclusion: In conclusion, nurses were deemed to possess
    a high sense of self-efficacy in CPR. This study concluded
    that nurses' age groups, years of working experience,
    unit of working, real experiences in resuscitation and
    the number of participations in resuscitation and types
    of last resuscitation training are factors contributing
    towards self-efficacy in CPR performances. However, the
    time of last resuscitation training reported no significant
    difference towards nurses' perceived self-efficacy in
    CPR. Therefore, repetitive CPR and ACLS certification
    training are pivotal in order to strengthen nurse’s self-efficacy in resuscitation and team collaboration through
    training in this private hospital.
  13. Sunil Pazhayanur Venkateswaran, Rafiq Abdul Karim Vasiwala, Norfadzilah Mohd Yusof
    MyJurnal
    Primary sinonasal Non-Hodgkin’s Lymphoma’s
    (NHLs) are quite rare and emulate the presentation
    of benign inflammatory diseases. It is challenging to
    distinguish them morphologically and radiologically
    from other malignant neoplasms.
    We report a 37-year-old male patient who presented
    with obstruction of the nasal passages, rhinorrhoea,
    epistaxis, post nasal drip, facial swelling, orbital
    symptoms and pyrexia. The mass was a nasal diffuse large
    B-cell lymphoma confirmed by immunohistochemistry.
    After the first cycle of chemotherapy was started, the
    patient improved with resolution of the facial swelling,
    pain and visual defects.
    A high index of suspicion is required to differentiate
    sinonasal lymphomas from other lesions.
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