journal
https://read.qxmd.com/read/38817072/development-of-ultrasound-guided-regional-anaesthesia-in-the-emergency-department-hospital-kuala-lumpur
#1
JOURNAL ARTICLE
N S K Shamala, L H Mohd, R J Siti, N S Gopinath, M M Nornadia, S Hidayah, A W Mahathar
Ultrasound guided regional anaesthesia is a fast-rising acute pain management modality in emergency departments worldwide. It is a safe and effective alternative to opioid based systemic analgesia. Establishing a standardised and efficient protocol requires a multidisciplinary approach namely involving collaborations between anaesthesiology and emergency medicine counterparts. In this article, we outline our approach in establishing an end-to-end service which is both patient-centred and sustainable.
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817071/statistical-properties-of-auditory-behaviour-outcome-measures-for-children-with-hearing-loss-a-scoping-review
#2
REVIEW
S M Haris, N Onwi, N A Mohamed Zain, S Rahmat, B F Othman
INTRODUCTION: Various evaluation tools have been developed to track the growth of auditory-related behaviours of children with hearing loss during intervention. However, the reliability and validity of currently available outcome measures remain uncertain due to the lack of information on their psychometric properties. A lack of reliable outcome measures may jeopardise intervention quality and affect these children's listening skills progression. This scoping review aims to explore the mechanics of producing or developing an outcome measure either completely new or adapted from the original version that is considered as having robust statistical properties...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817070/a-systematic-review-on-thalassaemia-screening-and-birth-reduction-initiatives-cost-to-success
#3
JOURNAL ARTICLE
A B Azrin Syahida, A R Nour El Huda, J Safurah
INTRODUCTION: Thalassaemia has been prevalent with high morbidity and mortality rates since 1925. Although there is a lack of systematic review on the costs of prevention that has yielded reductions in thalassaemia prevalence, this review will show a widespread presence of complex but effective strategies in reducing national thalassaemia prevalence. MATERIALS AND METHODS: A systematic search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020)...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817069/identifying-an-appropriate-gene-testing-tool-for-inherited-retinal-dystrophy-in-indonesia-a-developing-country
#4
REVIEW
A B I Perdamaian, R N Drupadi, E Aribowo, D K Paramita, M B Sasongko, S Supanji
INTRODUCTION: Inherited retinal dystrophy (IRD) is a group of untreated genetic ocular diseases that mostly affect young people. The number of patients with IRD worldwide, including in developing countries, is growing each year. This literature review aimed to investigate the current utilised genetic screening of IRD worldwide and to propose the most feasible genetics test and diagnostic method for IRD in developing countries, especially Indonesia. MATERIALS AND METHODS: A literature search was performed in PubMed and Google Scholar databases...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817068/adverse-neonatal-outcome-associated-with-maternal-tuberculosis-in-a-public-tertiary-centre-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
Z Zurina, M A Nunis, A F A Abdulla, M Osman, N Zakaria
INTRODUCTION: The aim of this study was to evaluate a group of infants born to women with tuberculosis (TB) during pregnancy to determine the neonatal morbidities and its outcomes associated with tuberculosis in pregnancy. MATERIALS AND METHODS: Data from January 2007 to December 2021 was collected for analysis as part of a retrospective cohort study. This study was conducted in a tertiary public hospital in Malaysia, Hospital Sultan Idris Shah (HSIS). Cases were identified from the hospital's bacille Calmette-Guerin (BCG) vaccination notification forms and merged with records from the neonatal intensive care unit's census...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817067/high-fibre-and-fluid-intake-increase-the-success-of-hypospadias-surgery
#6
JOURNAL ARTICLE
H Poerwosusanta, M Bakhriansyah, A A Wibowo, Juhairina, D Raihani
INTRODUCTION: Hypospadias is a congenital malformation of the urethral meatus in the ventral penis that requires surgery. Fibre and fluid intake can accelerate the healing process, act as an anti-inflammatory and support the success of surgery. Based on hypospadias objective scoring evaluation (HOSE) scoring, this study aims to determine whether a high-fibre diet and adequate fluid intake affect the outcome of hypospadias surgery. MATERIALS AND METHODS: This analytic observational study used a case-control study design on 104 post-operative hypospadias patients at Ulin and Siaga Hospital Banjarmasin from 2018 to 2023 with quota sampling...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817066/conventional-surgery-in-colon-cancer-with-comparison-to-complete-mesocolic-excision-and-central-vascular-ligation-initial-experience-in-a-tertiary-centre
#7
COMPARATIVE STUDY
S H Mohd Mydin, Z A Mohd Azman, N A Abdul Rahman, F Hayati, A Hidrus, I Sagap
INTRODUCTION: The complete mesocolic excision (CME) and central vascular ligation (CVL) is an advanced surgical technique used to treat colon cancer. It combines the removal of the affected portion of the colon and surrounding lymph nodes with an improved method of controlling the vascular supply to the tumour. MATERIALS AND METHODS: A retrospective study of patients with colon cancer underwent right hemicolectomy (either CME and CVL or conventional method) were operated by colorectal surgeons in a tertiary centre in Kuala Lumpur from 2018 to 2020...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817065/efficacy-of-caprini-risk-assessment-model-in-predicting-venous-thromboembolism-risks-among-asian-surgical-patients
#8
JOURNAL ARTICLE
L Lee, N C Liew, Y J Teoh, A A Ahmad-Zaidi
INTRODUCTION: Caprini risk assessment model (RAM) has been validated in Caucasians but evidence of its suitability in Asian surgical patients is still unknown. This study aims to determine the efficacy of Caprini model in venous thromboembolism (VTE) risk assessment among Asian surgical patients. MATERIALS AND METHODS: Consecutive surgical patients with Asian ethnicities admitted to a tertiary public hospital between January 2013 and December 2014, were included...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817064/clinical-characteristics-and-surgical-outcomes-of-acute-acquired-concomitant-esotropia-in-a-tertiary-referral-centre-in-malaysia
#9
JOURNAL ARTICLE
W Karimmah, M Nurul-Farhana, M Y Aiman-Mardhiyyah, H Waheeda-Azwa, H J Wardati, I Shatriah
INTRODUCTION: Acute acquired concomitant esotropia (AACE) is an uncommon type of strabismus that occurs due to interruption of fusion. Limited data are available on AACE from Asian countries especially from the Southeast Asian region. We aim to describe the clinical profile and surgical outcomes of AACE patients treated in a tertiary hospital in Malaysia. MATERIALS AND METHODS: We conducted a retrospective study of 20 patients aged 3-26 years who were diagnosed with AACE and attended Hospital Universiti Sains Malaysia, Kelantan, Malaysia, between January 2020 and June 2022 with follow-up periods a minimum of 12 months...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817063/a-retrospective-review-of-antiphospholipid-syndrome-a-single-tertiary-centre-experience
#10
JOURNAL ARTICLE
W C Yeoh, A L Lim
INTRODUCTION: Antiphospholipid syndrome (APS) is a systemic autoimmune disease characterised by thrombosis and pregnancy morbidity in the presence of antiphospholipid antibodies (aPL). Our study aims to study the clinical and laboratory characteristics, treatment strategies and outcomes of APS patients retrospectively. MATERIALS AND METHODS: A retrospective review of all APS patients treated in Rheumatology Unit, Hospital Pulau Pinang between October 2021 and October 2022 was conducted...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817062/the-outcome-of-12-week-corticosteroid-therapy-in-covid-19-related-diffuse-interstitial-lung-abnormalities
#11
JOURNAL ARTICLE
B H Ng, M I Azmi, N N N Abeed, H J Low, C I Soo, M F M Jailaini, A A Azmel, R A Osman, P Periyasamy, H J Tan, S A M Mukari, W N N W Yahya, M F A Hamid, A Y L Ban
INTRODUCTION: The efficacy of long-course corticosteroid therapy in treating COVID-19-related diffuse interstitial lung abnormalities (DILA) needs to be better understood. We aimed to investigate the benefits of 12-week corticosteroid treatment in COVID-19-related DILA by evaluating computed tomography (CT) lung severity scores. MATERIALS AND METHODS: This retrospective, single-centre observational study included patients aged 18 years or older admitted with moderate to severe COVID-19 pneumonia who received 12 weeks of oral prednisolone between January 2021 and December 2021...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817061/prognostic-factors-for-ivf-icsi-live-birth-rate-in-women-with-endometriosis-related-infertility
#12
JOURNAL ARTICLE
M P Tew, A S Rahilah, S Rosliza
INTRODUCTION: The present study aims to identify the factors contributing to diminished successful cumulative live birth rate (LBR) of in-vitro fertilisation-intra-cytoplasmic sperm injection (IVF-ICSI) among patients with endometriosis. MATERIALS AND METHODS: In this study, a retrospective cohort investigation was conducted from January 2016 to December 2022 at the Reproductive Medicine Center, Department of Obstetrics and Gynaecology, Sultanah Bahiyah Hospital, Alor Setar, Malaysia...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817060/iron-burden-and-endocrine-complications-in-transfusion-dependent-thalassemia-patients-in-sarawak-malaysia-a-retrospective-study
#13
JOURNAL ARTICLE
L C Chow, B S Lee, S O Tang, E W Loh, S C Ng, X Y Tan, M N Ahmad Noordin, G B Ong, L C Chew
INTRODUCTION: Thalassaemia is one of the major health problems in Malaysia. With safe blood transfusion regime, the lifespan of patients with transfusion-dependent thalassaemia (TDT) has improved but at the cost of a higher risk of developing endocrine disorders. It is crucial for us to monitor the iron overload to prevent end organ damage. This study aims to evaluate the iron burden and prevalence of endocrinopathies in patients with TDT in Sarawak. MATERIALS AND METHODS: This retrospective cohort study was conducted between January 2020 to June 2020 in six government hospitals in Sarawak...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817059/clinical-outcomes-of-ovarian-stimulation-with-follitropin-delta-in-a-mixed-regimen-with-hp-hmg-a-real-world-retrospective-analysise
#14
JOURNAL ARTICLE
L J Lim, A M F Kit, P S Wong
INTRODUCTION: Optimising controlled ovarian stimulation (COS) procedures for in vitro fertilisation (IVF) requires an assessment of the patients' medical history, ovarian reserve, prognostic factors and resources to personalise the treatment plan. Treatment personalisation in IVF is increasingly recognised as being vital in providing a balance of efficacy and safety for patients undergoing the COS procedure. In this study, we aimed to assess the efficacy of an ovarian stimulation protocol employing a personalised dosing algorithm for a novel recombinant FSH (rFSH) derived from a human cell-line - follitropin delta, in a mixed gonadotrophin regimen with human menotrophin (HP-HMG)...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817058/health-related-quality-of-life-and-its-relationship-with-time-use-role-participation-and-perceived-social-support-among-retirees-in-klang-valley-and-malacca
#15
JOURNAL ARTICLE
N S Noor Azreen, M Q M Sabri, T A M Tengku Mohd, N Baharom, N Nurhidayah, A Z Che Daud
INTRODUCTION: With increased life expectancy among older adults in Malaysia, there is an increasing number of years of living after retirement. The role and lifestyle changes can significantly affect time use and participation in everyday life, influencing individuals' quality of life (QoL) and wellbeing. However, limited research has examined the healthrelated QoL and its relationship with time use, role participation and perceived social support among retirees in Malaysia. MATERIALS AND METHODS: In this cross-sectional study, we used the Malay versions of EuroQol 5 Dimensional (EQ-5D- 3L, Time Use Diary, Role Checklist Version 3 (RCv3) and Multidimensional Scale of Perceived Social Support (MSPSS) questionnaires among 362 purposively selected Malaysian retirees aged 55 and older...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817057/the-clinical-and-geographical-characteristics-health-seeking-behaviours-of-st-segment-elevation-myocardial-infarction-patients-with-their-total-ischaemic-time-and-short-term-cardiac-mortality-outcomes-a-local-geographical-perspective-from-a-developing-country
#16
JOURNAL ARTICLE
C T Lim, Y H Ho, A Y Y Fong, T K Ong
INTRODUCTION: Ischaemic heart disease including ST-segment elevation myocardial infarction (STEMI) is the leading cause of death among Malaysians. Total ischaemic time (TIT) which consists of patient delay and systemic delay is a strong predictor of cardiovascular outcome in STEMI. Primary percutaneous coronary intervention (PPCI) is superior to medical thrombolysis in improving STEMI patients' survival outcomes. Our study aims to provide an insight into the clinical and geographical characteristics of STEMI patients, their health-seeking behaviour, TIT, interventions received and short-term cardiac mortality outcomes in the effort to improve the existing coronary care service...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817056/reasons-behind-providing-care-for-older-persons
#17
JOURNAL ARTICLE
A Dahlan, N M Dzaki, I S Adeli, N Nurhidayah
INTRODUCTION: There is a global increase in the ageing population, and Malaysia is expected to become an ageing country. As elderly individuals experience deterioration in physical and cognitive functions, they often require longterm care from caregivers. This study aims to investigate the reasons why caregivers provide care for older adults at home. MATERIALS AND METHODS: A qualitative phenomenological approach was employed, and semi-structured face-to-face interviews were conducted with 12 caregivers...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817055/factors-contributing-to-patency-after-aneurysmorrhaphy-and-outflow-repair-in-arteriovenous-fistula-aneurysm-treatment
#18
JOURNAL ARTICLE
S P Sunil, N Mohd Ali, H M F Zaid, Z Ismazizi
INTRODUCTION: Vascular access-related aneurysms (VARA) are a complication of arteriovenous fistulas. Repair techniques have been described in the literature with varied outcomes. MATERIALS AND METHODS: We conducted a prospective cohort study on patients who had VARA repair over 41 months. The indication for repair was an aneurysmal arteriovenous fistula (AVF) at risk of haemorrhage or difficulty in cannulation. Pseudoaneurysms, infected AVF and bleeding VARA were excluded...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38817054/correlation-of-risk-factors-with-systemic-inflammatory-response-syndrome-in-burn-patients-at-the-burn-center-of-dr-soetomo-general-hospital-surabaya-indonesia
#19
JOURNAL ARTICLE
A M H Setya, I Handriani, M R Hutagalung
INTRODUCTION: Systemic inflammatory response syndrome (SIRS) is the main cause of death in burns and is associated with high burn mortality rates. SIRS occurs when burns are in the subacute phase and is affected by several factors, such as host, trauma and management. The research was conducted at the Burn Center of Dr Soetomo General Hospital, Surabaya, Indonesia, using retrospective observational analytic research design. The aim of the study was to assess the correlation of risk factors which include age, extent of burns, cause of burns, inhalation trauma, history of hyperglycaemia, anaemia, hypoalbuminemia and ESBL infection with the incidence of SIRS...
May 2024: Medical Journal of Malaysia
https://read.qxmd.com/read/38678382/abstracts-of-the-malaysian-medical-association-congress-2024-on-3rd-5th-may-2024
#20
JOURNAL ARTICLE
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May 2024: Medical Journal of Malaysia
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