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Libraries at the forefront of open science : Proceedings of the International 9th Conference on Libraries, Information and Society, ICoLIS 2023, Putrajaya, Malaysia, 20-21 September 2023
Organised by: Department of Library and Information Science, Faculty of Arts and Social Sciences, Universiti Malaya and Universiti Malaya Library
Reimagining libraries for a post-pandemic world : Proceedings of the International 8th Conference on Libraries, Information and Society, ICoLIS 2021, Kuala Lumpur, Malaysia, 18-19 August 2021
Organised by: Department of Library and Information Science, Faculty of Computer Science and Information Technology, University of Malaya and University of Malaya Library
Treatable myopathies
Neuromuscular disorders are a relatively uncommon and heterogeneous group of disorders involving the peripheral nervous system and consist of diseases of the anterior horn cell, peripheral nerve, neuromuscular junction and muscle. Of these, diseases of the muscle, myopathies are probably the least common compared the other neuromuscular disorders; many of which are genetic in aetiology, and often presenting in infancy or childhood. Until recently, apart from the inflammatory myopathies, it was a common misconception among general physicians that these disorders are rare and untreatable; and management is essentially supportive only.
In this lecture, I shall highlight several muscle disorders which present not in the paediatric but in the adult Malaysian population and for which specific treatments are now available
Conservative spine surgery: The true "minimally invasive" spine surgery/dharmendra ganesan
"Conservative spine surgery" is a concept or perhaps a philosophy that I coined after 12 years of practicing as a consultant neurosurgeon with a subspecialized interest in spinal neurosurgery. UM deals with a plethora of patients with spinal conditions, where degenerative spinal disorder (DSD) is the one most commonly diagnosed.
In managing DSD, it is imperative to understand that the symptom of pain could emanate from various anatomical structures from the spine and its surrounding structures. It is also important to appreciate the natural history of these conditions as it is equally important, to be cognizant of the immediate, short and long-term risk and been fits related to the treatment, as well as the short and long-term effects of the intervention on the inherent spine adjacent
to the treatment area, which undergoes wear and tear as we age. By reflecting on the management of these cohorts of patients, I would like to discuss the importance of clinico-radiological features in identifying a clinically relevant,
surgical pathology when strategizing treatment, Thence, determining the appropriate choice of "minimally invasive" surgical management, in treating that one, individual patient with the background belief that "less is more" in
spine surgery.
In the quest of moving with the times, we have to embrace new technology and treatment modalities, however the onus is on us surgeons to do the critical appraisal prior to practicing it and this is an area I wish to expound on. In
addition to that, I will also highlight the conundrums in the application of evidence-based surgical treatment in a patient-centred management