1.A case of successful extracorporeal membrane oxygenation for right ventricular failure following pericardiectomy
Karthigesu Aimanan ; Hamdan Leman ; Mohd Arif Mohd Nor ; Haslan Ghazali
The Medical Journal of Malaysia 2015;70(6):369-370
Extracorporeal membrane oxygenation (ECMO) is a useful
but less commonly used technique in right ventricular
failure post cardiac surgery in our region. We report a case
of successful use of ECMO for right ventricular failure post
cardiac surgery. Our patient is a 27-year-old male presented
with constrictive pericarditis post completion of treatment
for disseminated Tuberculosis. He underwent
pericardiectomy that was complicated with acute right
ventricular failure. He was placed on extracorporeal
membrane oxygenation after few hours post op that lasted
for five days. The patient survived to hospital discharge and
remained well on follow-up. From our experience, this
aggressive management approach is beneficial in right
ventricular failure and can be safely utilised in all
cardiothoracic centres.
2.Management of asthma in adults in primary care
Andrea Ban Yu-lin ; Azza Omar ; Chong Li Yin ; Hilmi Lockman ; Ida Zaliza Zainol Abidin ; Irfhan Ali Hyder Ali ; Jaya Muneswarao Ramadoo@Devudu ; Leong Swee Wei ; Mazapuspavina Md. Yasin ; Mohd Aminuddin Mohd Yusof ; Mohd. Arif Mohd. Zim ; Nor Azila Mohd. Isa ; Shamsuriani Md. Jamal ; Yoon Chee Kin ; Zul Imran Malek Abdol Hamid
Malaysian Family Physician 2018;13(3):20-26
Asthma is a chronic inflammatory disease of the airway which is often misdiagnosed and
undertreated. Early diagnosis and vigilant asthma control are crucial to preventing permanent
airway damage, improving quality of life and reducing healthcare burdens. The key approaches
to asthma management should include patient empowerment through health education and selfmanagement and, an effective patient-healthcare provider partnership.
3.Intraocular Pressure: the Effect of Short-term Fasting and Its Association With Fluid and Fat Status
Nur Raihan Esa ; Nor Azwani Mohd Shukri ; Norsham Ahmad ; Mohd Radzi Hilmi ; Md Muziman Syah Md Mustafa ; Nura Syahiera Ibrahim ; Fatin Amalina Che Arif ; Firdaus Yusof @Alias
Malaysian Journal of Medicine and Health Sciences 2020;16(No.2):180-186
Introduction: Short-term fasting may influence intraocular pressure (IOP) due to alteration of fluid (total body water; TBW, and water intake) and fat (total body fat; TBF). This study aimed: i) to compare IOP values within and between, fasting and non-fasting periods; and ii) to assess the association between IOP and, TBW and TBF. Methods: Thirty healthy participants aged 21.8±1.1 years were assessed on two different periods (fasting vs. non-fasting). During each period, the IOP, TBW and TBF values were assessed for four times (morning, afternoon, evening, late-evening). The IOP was measured using AccuPen® tonopen, while TBW and TBF were assessed by using a Tanita body composition analyser. Results: During fasting, the IOP value in the afternoon (14.53±2.33 mmHg) was significantly higher than in the evening (12.43±2.73 mmHg, p=0.009) and late-evening (12.60±2.44 mmHg, p=0.003). No significant difference in IOP was observed during non-fasting period. The mean of IOP in the evening was significantly lower during fasting compared to non-fasting (12.43±2.73 mmHg vs 13.75±2.53 mmHg, p=0.044). The IOP and TBW were negatively correlated (r=-0.268; p=0.011) during non-fasting and showed no association during fasting period. There was no significant correlation between IOP and TBF during both fasting and non-fasting periods. Conclusion: IOP reduction during short-term fasting, together with the no association with TBF and TBW suggested that IOP is an independent factor that reduces during fasting in healthy population.