1.Students’ preference of learning tools for gross anatomy in an integrated curriculum
Htar Htar AUNG ; Nilar SHWE ; Tin Tin MYINT ; Tin Moe NWE
International e-Journal of Science, Medicine and Education 2018;12(1):11-17
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, semi-structured, 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<0.05). In terms of understanding and information, the students of IIUM, UiTM and UMS preferred the plastic model while UNIMAS students preferred the prosected wet specimen over the plastic models. In terms of overall preference, students of IIUM and UiTM preferred the plastic model (85.8% and 44.1% respectively). In UNIMAS, their preference for the prosected wet specimen (90.7%) was slightly higher than for the plastic model (87.8%). UMS students preferred both cadaver (51.9%) and plastic model (50%). Conclusion: Most of the students preferred the plastic model as the best learning tool in studying gross anatomy. This study suggests that plastic model may hold a role in enhancing students’ learning of gross anatomy in an integrated curriculum.
2.Ovarian teratoma-associated anti-NMDAR encephalitis in a 12-year-old girl
Soe Lwin, MMed Lwin, MMed ; Myat San Yi ; Mardiana Kipli ; Dr ObsGyn ; Woon SY ; Tin Moe Nwe ; Wan Zuraida Wan Azemi
The Medical Journal of Malaysia 2020;75(6):731-733
The association of ovarian teratoma and anti-N-Methyl-Daspartate receptor (anti-NMDAR) is one of the most common
autoimmune encephalitis syndromes and it is a serious and
potentially fatal pathology that occurs in young women. This
case report describes of a pediatric patient with anti-NMDAR
encephalitis. A-12-year-old girl presented with abnormal
behavior for one week came to Emergency Department of
Sarawak General Hospital, Malaysia. She had psychotic
spectrum symptoms including suicidal tendency. She was
diagnosed with anti-NMDAR encephalitis as positive
antibody was seen in her cerebrospinal fluid. She was
treated with Injection Immunoglobulin. She turned out to
have teratoma which was successfully removed later. Her
progress was remarkable after the surgery with the
Immunoglobulin. A multi-disciplinary team involving a
psychiatrist, neurologist and gynaecologist liaised with
intensivist to successfully manage the case and achieve the
good outcome.
3.Uterine artery pseudoaneurysm: A case of late intraabdominal haemorrhage after caesarean section
Soe Lwin ; Thidar Soe ; Myat San Yi ; Christine Mui Fong Lee ; Sue Marie Cheng Kian Pe ; Tin Moe Nwe
The Medical Journal of Malaysia 2020;75(3):298-300
Uterine artery pseudoaneurysm (UAP) is a rare acquired
vascular malformation associated with vaginal bleeding or
intraabdominal haemorrhage occurring after pelvic surgery.
Pseudoaneurysm may present with delayed, severe
haemorrhage after a seemingly uncomplicated initial
postoperative period. Treatment is therefore necessary to
prevent further complications. We describe here a case of a
32-year-old mother, who presented with abdominal pain and
intraabdominal bleeding, 20 days after Caesarean Section.
Computerised Tomography (CT) scan showed the presence
of haemoperitoneum, suggestive of pseudoaneurysm at the
right cervical artery which was successfully managed with
emergency angiographic embolisation.