From Quran, dogs were mentioned several times in different perspectives. Surah al-Maidah , informs that a hunting dog’s catch is lawful to be eaten. An authentic hadith about a prostitute who gave water to a dog and her sins were forgiven and was promised heaven. Case report: MrJ, 35 years old gentleman, sustained 3cm x 2cm over left leg following a dog bite. Patient underwent emergency operation and appropriate antibiotic given. After operation, the nurse had washed entire surgical instruments with taharah soap, washed it again six times with water and followed by enzymatic detergent before sending for autoclaving. Discussion: The status of dog impurities and how to clean it derived from hadith narrated by Abu Hurairah: ‘Rasulullah PBUH said: ‘Cleaning a utensil that has been licked by a dog is by washing it seven times and one of the washing cycle is mixed with soil”. Majority Muslims in Malaysia follow Shafi'i sect, where dog’s saliva and all its body are considered ritually mughallazah. Thus, if touched, they are required to cleanse the body part that came into contact with a specific Islamic ritual as mentioned. Up to date, there is no official guideline from KKM or JAKIM related to this. Surgical instruments used for the operation related to dog bite injury were not in direct contact with the dog. This practice imposes unnecessary steps for staffs. Apart from that, there are no study done on the effect of commercially manufactured soil-based soap to surgical instruments. The information regarding content also unclear. Surgical instruments are sensitive and expensive, thus improper handling can expedite damage to the instruments. Conclusion: KKM and JAKIM are recommended to produce SOP regarding this issue. Effort should be done to produce medical grade soil-based cleansing agent. Study should be done to evaluate the safety to surgical instruments.
Total knee arthroplasty represents a major advance in the treatment of
degenerative joint disease. It provides excellent restoration of joint function and pain
relief. The primary indication for total knee arthroplasty is to relieve pain caused by
severe arthritis, with or without significant deformity. This study is to assess
psychological impact pre and post arthroplasty. (Copied from article).
A novel injectable calcium phosphate bone cement (osteopaste) has been
developed. Its potential application in orthopaedics as a filler of bone defects has been
studied. The biomaterial was composed of tetra-calcium phosphate (TTCP) and tricalcium
phosphate (TCP) powder. The aim of the present study was to evaluate the
healing process of osteopaste in rabbit tibia.(Copied from article).
This is a prospective study on infection following fixation of closed fractures done in Hospital Tengku Ampuan Afzan ,Kuantan from May 2003 to May 2005. There were 23 cases in this study. The mean age of patient was 32.9 years (range 15 to 77). Twenty one were males and 2 females. Twenty (87%) infections occurred in the lower limb and only 3(13%) occurred in the upper limbs. Twenty two patients (91%) had plating done for the fracture. Infection following internal fixation is commonly a deep seated (96%) and florid (78%) infection in which 70% occur after the surgical wound has healed. Staphylococcus aureus is the commonest organism isolated in which 43% are Methicillin resistant (MRSA). Overall infection caused by gram negative organisms is more common than gram positive organisms.
Having children with congenital anomalies, particularly congenital talipes
equinovarus (CTEV) may impact the psychological wellbeing of the parents. This study
is to assess the psychological impact of CTEV, the related factors, and the coping
strategies used by the parents in Hospital Tengku Ampuan Afzan (HTAA), Kuantan,
Pahang. (Copied from article).