Abstract A severe acute respiratory syndrome, COVID-19 outbreak started in December 2019 reported the city of Wuhan, China has spread rapidly other countries around world. Declared as a pandemic, lockdowns, industrial shutdowns, closing international borders and overall reduced mobility population either for tourism or work commutes have led to air pollution reduction. The lockdown implemented worldwide including Malaysia come respite environment, especially pollutant levels. Utilizing Air...

The study aimed to assess the rate of cesarean section and analyse risk factors contributing C-sections introduce measures check unwanted, non-medical reasons go for a C-section. was retrospectively conducted at Sheikh Khalifa Bin Zaid Hospital Rawlakot Azad Kashmir on 5226 normal deliveries 1604 C-sections. found be 30.6%, more than recommended by WHO (10-15 %). major factor previous scar (41.6%). most prevalent indications were foetal distress (14%), older age 35 years (6 %), obstructed...

This case report illustrates the of complete androgen insensitivity syndrome (CAIS) which is a rare form sexual development disorders (DSD). Complex critical thinking needed for pathophysiology primary amenorrhea causes and sex chromosomes differences development, such as ovarian failure, Mullerian Agenesis or with abnormal synthesis response. phenotypically female who presented at age 19 years old. Normal levels thyroid function test, serum prolactin follicle stimulating hormone ruled out...

This study aimed to determine the difference in postnatal confinement practice between two different generations. It was an unmatched cross-sectional involving 200 women. Women aged less than 50, and 50 years old or more, were grouped as younger older generation, respectively. showed there significant differences including pattern of food restriction some traditional care practices (less sexual abstinence, hot compression, herbal bath avoiding social outing among women from generations)....

BACKGROUND:Uterine rupture is uncommon but when it happens, can cause significant morbidity and mortality to both mother fetus. Incidence reportedly higher in scarred than unscarred uteri. Most cases occur laboring women their third trimester with a previous history of uterine surgery, such as caesarean delivery or myomectomy. We present case spontaneous non-laboring uterus the mid-trimester pregnancy. CASE REPORT:The patient presented threatened miscarriage at 17 weeks' gestation ultrasound...

Adult giant hydronephrosis in a normally sited kidney is unusual during pregnancy. The most frequent cause congenital obstruction at the ureteropelvic junction. Ultrasound accompanied by magnetic resonance imaging (MRI) are valuable reaching diagnosis, especially when clinical assessment of an abdominal mass inconclusive regarding aetiology. We report case woman who presented 23 weeks gestation with distension. She was managed conservatively. Unfortunately, pregnancy complicated severe...

<h3>Introduction</h3> Liver-related mortality continues to increase in the UK with alcohol remaining leading cause. A recent NCEPOD report highlighted deficiencies acute care received by patients decompensated ALD, including early management and access specialist review ITU care. In our instituition, a large DGH, we have dedicated HDU/ITU 2 hepatologists. We sought assess outcomes predictors of survival admitted CLD utility mechanical ventilation (MV) renal replacement therapy (RRT.)...

Introduction: Although urinary incontinence is commonly associated with increasing parity, there however a lack of published data on among primiparous women. This study aims to determine its prevalence women at 6-8 weeks postpartum, risk factors and effects their quality life. Methods: crosssectional involving postpartum. Women in third trimester were recruited using convenience sampling. Data obtained proforma, International Consultation Incontinence Questionnaire – Short Form (ICIQSF) over...

Abstract This paper discussed the API status in urban and sub-urban cities Malaysia before, during after Movement Control Order (MCO) was implemented year 2020. The lockdown worldwide including has come as a respite to environment, especially air pollutant levels. 2 have been chosen this study that is Kangar (suburban) Cheras (urban). Air Pollutant Index (API) data recorded on an hourly basis throughout different series of national phases obtained from Malaysian website. findings show...

Abstract: Laparoscopic management in patients on peritoneal dialysis offers good postoperative outcome and early resumption to dialysis. This is a report of 43-year-old woman with end-stage kidney disease presented left iliac fossa pain due large endometrioma. Emergency diagnostic laparoscopy was performed careful laparoscopic entry, Tenckhoff catheter care anti-adhesive application. The patient underwent temporary hemodialysis for two weeks before full She planned GnRH analogue three months...