We report one case of posterior fossa intracranial haemorrhage in a full-term Malay baby boy following vacuum assisted delivery. The patient, a term baby boy was delivered by a vacuum extraction and later developed signs of increased intracranial pressure 72 hours after birth. Computed tomography (CT) of the brain showed a posterior fossa intracranial haemorrhage with acute obstructive hydrocephalus. He was initially treated with isolated ventricular shunting which later caused an upward cerebellar herniation. An immediate suboccipital craniectomy for evacuation of cerebellar haematoma was performed which resulted in a gradual recovery.
The construction industry relies heavily on concrete as a building material. The coarse aggregate makes up a substantial portion of the volume of concrete. However, the continued exploitation of granite rock for coarse aggregate results in an increase in the future generations' demand for natural resources. In this investigation, coconut shell was used in the place of conventional aggregate to produce coconut shell lightweight concrete. Class F fly ash was used as a partial substitute for cement to reduce the high cement content of lightweight concrete. The impact of steel fiber addition on the compressive strength and flexural features of sustainable concrete was investigated. A 10% weight replacement of class F fly ash was used in the place of cement. Steel fiber was added at 0.25, 0.5, 0.75, and 1.0% of the concrete volume. The results revealed that the addition of steel fibers enhanced the compressive strength by up to 39%. The addition of steel fiber to reinforced coconut shell concrete beams increased the ultimate moment capacity by 5-14%. Flexural toughness was increased by up to 45%. The span/deflection ratio of all fiber-reinforced coconut shell concrete beams met the IS456 and BS 8110 requirements. Branson's and the finite element models developed in this study agreed well with the experimental results. As a result, coconut shell concrete with steel fiber could be considered as a viable and environmentally-friendly construction material.