Cardiac surgery-associated kidney injury (CSA-AKI) is common but relatively less known about its progression. The present study aimed at evaluating the incidence and course of CSA-AKI relationship with different durations cardiopulmonary bypass (CPB) cross clamp times.Occurrences are evaluated as per Akin Kidney Injury Network (AKIN) criteria over 5 postoperative day (POD) in 100 patients. CPB aortic time analyzed by Chi-squared test for trend other appropriate tests using INSTAT...

Positive and negative psychological reactions have been described in head neck cancer patients. Nevertheless, the relationships between these responses across time need to be studied understand patients' strengths vulnerabilities.The aim of this study is determine changes posttraumatic growth (PTG), depression anxiety longitudinally correlations PTG patients.A prospective was conducted on 60 patients within a year diagnosis recruited from an oncology referral centre Malaysia with 50...

Neurofibromatosis type 1 (NF-1) is also known as von Recklinghausen disease. It a rare autosomal dominant disorder that affects the skin and nervous system. The head neck region one of potential areas for involvement neurofibromatosis due to unique anatomical compartmentalization central peripheral systems. Neurofibromas in are primarily found within soft tissues. NF-1 can be diagnosed during childhood because characteristic cutaneous manifestations typically present childhood. In this...

Background and aims The assessment of supportive care needs fear cancer progression are important variables to be considered when evaluating the psychological aspects patients. However, data on how these affect posttraumatic growth (PTG) lacking. This study aimed investigate level PTG among head neck (HNC) patients within first year diagnosis determine association between unmet needs, progression, PTG. Methods Participants were administered socio-demographic clinical characteristics...

In laryngectomised patients, tracheoesophageal speech is the gold standard for voice rehabilitation. This study evaluated complications related to puncture (TEP) and success rate in prosthesis after total laryngectomy at our institution over a 10-year period.A retrospective review of 22 TEPs was performed between January 1998 December 2008. The timing TEP, type prosthesis, surgical prosthesis-related complications, TEP closure were noted.Eighteen percent patients underwent primary 82%...

Objectives: Obstructive sleep apnea (OSA) has been identified as one of the significant risk factors for motor vehicle crashes (MVCs). In interest public safety, this study was conducted to determine prevalence OSA and its associated among express bus drivers in Malaysia. Identifying or conditions related with is very important because they can be used indicators subject a person confirmatory diagnosis using polysomnography testing. Methods: Two hundred eighty-nine randomly selected from 5...

Despite head and neck cancer (HNC) association with various negative impacts, collective evidence is accumulating regarding the positive impacts of psychology on survivors. However, data how related to psychological complications HNC across time are lacking. This longitudinal study examined trends (e.g., posttraumatic growth [PTG], hope, optimism), perceived spousal support, depression, anxiety, stress symptoms) determined between them, complications, PTG two timelines among a cohort...

Abstract Background Glutamine supplementation is a novel approach to perioperative nutritional management. Methods This study was prospective randomized clinical trial of effects enteral glutamine in surgical patients with head and neck malignancy tertiary center. measured the within 4 weeks postoncologic period relation fat‐free mass, serum albumin, quality life scores. Results The population consisted 44 patients. There significant difference albumin ( p < .001), mass scores .05)...

Despite an enormous number of studies addressing the importance posttraumatic growth (PTG) among cancer patients, literature lacks data regarding how different coping strategies affect PTG head and neck (HNC) patients over time. This longitudinal study investigated trend 5-7months a cohort HNC within first year after their diagnosis. It determined association between The study's respondents were administered socio-demographic clinical characteristics questionnaire during baseline...

Isolated laryngeal histoplasmosis is a very rare entity.It has variable clinical presentations that might mimic both benign and malignant lesions, usually associated with pulmonary other disseminated forms of histoplasmosis.Herein, we report case primary without the involvement systems in 70-year-old Chinese man, who previously worked as miner.He presented history hoarseness for two months, no symptoms.Direct laryngoscopy revealed irregularity posterior onethird vocal folds.Histopathological...

Leadership and teamwork are important aspects of personal professional development (PPD) to be inculcated within medical students. PPD module had been included throughout the five-year period achieve most eleven programme outcomes UKM programme. As a part teaching-learning method (TLM) for PPD, three outdoor camps scheduled students with main emphasis on leadership. To determine final year students' perception achievement Medical Doctor (MD) outcomes, two self-assessment surveys were...

introduction: Low Cardiac Output Syndrome (LCOS) following Cardiopulmonary Bypass (CPB) is common and associated with increased mortality.Maintenance of adequate cardiac output one the primary objectives in management such patients.Aim: To compare Levosimendan, Milrinone Dobutamine for treatment LCOS after CPB patients who underwent valve replacement surgeries.

Objective: To present a case of cervical vagal schwannoma and describe our experience with the clinical presentation, surgical management outcome an elderly patient this pathology.
 Methods:
 Design: Case Report
 Setting: Tertiary Public Hospital
 Patients: One
 Result: A 65-year-old lady presented recently enlarging, pulsatile right sided neck mass that had been asymptomatic for 15 years. Contrast CT revealed circumscribed non-enhancing heterogenous 4 x 7 cm...

The assessment of stigma among cancer patients is the utmost importance as may lead to various psychological sequelae and a lower quality life. This study aimed translate English version Shame Stigma Scale (SSS) into Malay validate SSS (SSS-M) assess degree in Malaysia. Initially, concurrent translation back SSS-M were performed, face content validity assessed. Subsequently, was administered total 234 with mixed types its reliability (internal consistency test–retest reliability), construct...

Diabetes mellitus is a public health problem and has become a concern to all levels of society. In Malaysia, the prevalence diabetes had increased, from about 0.65% in early 1960s 2 – 4% 1980s 14% 21st century. Studies showed that glucose control effective preventing complications mellitus. Level glycosylated hemoglobin (HbA1c) an accepted indicator glycaemic control. A cross- sectional study was carried out determine level HbA1c among 307 type patients attending clinic Bandar Tun Razak,...

Primary malignancies of the external auditory canal (EAC) are extremely rare with more than 80% being squamous cell carcinomas and adenoid cystic carcinoma (ACC) accounting for approximately 5%. These tumours associated a high risk recurrence significant morbidities from surgical management adjuvant radiotherapy. Therefore, we present case young female right EAC mass diagnosed as cylindroma confirmed postoperatively to be ACC which is in literature.