2.Percutaneous Screw Fixation As An Option In Sacral Fracture Management: A Case Series
Syed A ; Norhaslinda B ; Abdul R
Malaysian Orthopaedic Journal 2018;12(Supplement A):226-
6.Prevalence of child malnutrition in agro-pastoral households in Afar Regional State of Ethiopia.
Rabia FENTAW ; Ayalneh BOGALE ; Degnet ABEBAW
Nutrition Research and Practice 2013;7(2):122-131
Based on data generated from 180 randomly selected households with children age under five years old in Aysaita district of Afar region of Ethiopia, this study explored prevalence of malnutrition and scrutinized household characteristics, maternal characteristics, specifics of the child and economic variables associated with child malnutrition. The height-for-age Z-scores (HAZ), weight-for-height Z-scores (WHZ) and weight-for-age Z-scores (WAZ) were used to measure the extent of stunting, wasting and underweight, respectively. The results revealed that prevalence of long term nutritional imbalance and malnutrition status indicator (i.e. stunting) was 67.8%. The short term measure (wasting) was found to be 12.8% and underweight was found to be 46.1%. Moreover, children in households which are headed by women, and characterized by more dependency ratio, less access to assets, health services and institutions are more likely to be undernourished.
Anthropometry
;
Child
;
Child Nutrition Disorders
;
Dependency (Psychology)
;
Ethiopia
;
Family Characteristics
;
Female
;
Head
;
Health Services
;
Humans
;
Malnutrition
;
Prevalence
;
Thinness
7.Usefulness of Red Blood Cell Size Factor (RSf) in Screening Genetic Variants of Alpha Thalassaemia Thalassaemia Trait Regardless of Iron Status
Malaysian Journal of Medicine and Health Sciences 2018;14(SP3):25-30
Introduction: Screening for alpha (α) thalassaemia trait (TT) is challenging especially in the presence of iron deficiency (ID). Red blood cell size factor (RSf) is a parameter introduced by Beckman Coulter capable of detecting acute and chronic changes to cellular haemoglobin status and iron supply. The research aimed to investigate the clinical usefulness of RSf as screening parameter for α TT and the effect of concomitant ID to RSf mean values (m.v) among respondents with α TT. Methods: A cross-sectional retrospective laboratory analysis involved 55 respondents’ data selected from January 2014 to December 2015 in Pathology Department, Hospital Tuanku Ja’afar Seremban, Negeri Sembilan. The significant difference at p <0.05 in the RSf m.v. among respondents with α0 TT, α+ TT, and ID groups and the effect concomitant ID to RSf m.v. were determined using statistical test, one-way analysis of variance (ANOVA). Results: Significant differences were detected in RSf m.v. i) between α0 TT, α+ TT and ID, F (2, 52) = 18.99, p=0.001. ii) between α TT without ID, α TT with ID and ID cohorts for both a) α0 TT [F (2, 33) = 23.77, p=0.001) and b) α+ TT [F (2, 28) = 5.37, p=0.011]. iii) between α TT and ID group regardless of the presence of ID for both a) α0 TT and b) α+ TT. Conclusion: RSf is a potential screening parameter in evaluating patients with hypochromic microcytosis in identifying possible cases of alpha TT regardless of iron status.
Thalassaemia trait
8.ISOLATED TRIPLANE FRACTURE OF DISTAL TIBIA IN ADOLESCENT
Zulfahrizzat S ; Safie S ; Alias A ; Ahmad AR
Malaysian Orthopaedic Journal 2019;13(Supplement A):78-
10.Diagnostic accuracy of pneumonia in Hospital Tuanku Ja’afar Seremban, a tertiary hospital
Poh Kok Wei ; Cheok Lay Hock ; Liow Jyue Hong ; Mohd Azlan bin Mat Soom ; Azlina binti Samsudin ; Nadiah binti Mohd Noor ; Gun Suk Chyn
The Medical Journal of Malaysia 2020;75(1):7-11
Objectives: The primary objective of this study was to
describe the accuracy of pneumonia diagnosis, both
community-acquired pneumonia (CAP) and hospitalacquired pneumonia (HAP). Secondary objectives were
describing the choice of antibiotics used, pathogens
isolated, and predictive parameters in diagnosing
pneumonia.
Methods: This was a prospective cross-sectional study to
determine the accuracy of the diagnosis of CAP and HAP
admitted to Hospital Tuanku Ja’afar. All patients aged ≥12
years admitted to the general medical ward with the
diagnosis of CAP or HAP were included in the study. Chest
radiograph interpretation was done by certified radiologists.
An accurate diagnosis of pneumonia was defined by clinical
signs and symptoms of pneumonia supported by
radiographical evidence.
Results: A total of 159 patients were enrolled into the study
from January 2018 to February 2018. Of these only 59(37.1%)
cases were accurately diagnosed as pneumonia. Amongst
those with pneumonia diagnosis made by the emergency
department, medical officers and specialists of medical
department; 65.4%, 60% and 47.3% respectively were not
pneumonia. Amoxicillin with clavulanate and azithromycin
were amongst the most common first choice of antibiotic
used (46.5%). In this study, pathogens were isolated either
by blood culture or sputum culture in only 20 (12.6%)
patients. There was no significant predictive parameter
identified in this study, which included white cell counts, Creactive protein (CRP) levels, erythrocyte sedimentation rate
(ESR), and Pao2/FiO2 ratio.
Conclusion: About two-thirds of patients diagnosed with
pneumonia did not have a compatible radiological finding.
Better tools and systems are needed to aid in the diagnosis
of pneumonia