IIUM Medical Journal Malaysia (IMJM)
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Posterior Fossa Intradiploic Epidermoid Cyst: A Case Report
Get PDFEpidermoid cysts are rare, benign congenital tumours of ectodermal origin which typically present between the third to fifth decade. These tumours comprise approximately 0.2-1.8% of all intracranial tumours. Though these pearly tumours are potentially curable, subtotal resection may lead to catastrophic complications such as recurrence, granulomatous meningitis and carcinomatous degeneration of cyst wall. We herein report the case of a 36-year-old man who presented with an unusual mixed density posterior fossa epidermoid cyst on imaging studies. Total removal not only cures both tumour and seizure attack in this case but also preserves patient’s neurological function
Medical Specialist Training: Views from Stakeholders
Get PDFIntroduction: In Malaysia, medical specialisation training is mainly carried out by the public universities. Methods: A survey was carried out to explore the views of medical specialists in the country on issues such as structure of medical specialty training, availability of human resource, public/private sector competition, competency and apprenticeship, and its impact on assurance and quality of medical specialty training. Results: Altogether 238 medical specialists from 30 hospitals and medical institutions in the country participated in the survey. Conclusion: Among the findings, competition for human resource between public and private sector and lack of uniformity on medical specialty training across universities in the country are among the issues found to be of concern. There is also a need to address governance issue which necessitates to clearly delineating what constitutes medical specialty and what constitutes a subspecialty so that an agreed uniformed nomenclature is exercised across all stakeholders. The respondents also strongly agreed on the need to ensure competence in medical specialist training
Right Posterior Segmental Hepatic Duct: Role of Intraoperative Cholangiogram to Prevent Extrahepatic Biliary Duct Injuries
Get PDFExtrahepatic bile ducts constitute a significant anatomic site for surgeons when performing hepatobiliary operations from minor procedure such as cholecystectomy to major operation such as hepatectomy. The challenges for surgeon in performing such cases increase when congenital variance of biliary tree occurs which may lead to unintentional bile duct injuries. We reported a case of a lady who presented with obstructive jaundice secondary to huge distal common bile duct stone. The presence of right posterior segmental hepatic duct, which rarely occurs, was discovered during intraoperative cholangiogram before common bile duct exploration. The operation was successful without incidence of biliary duct injury
EFFECT OF FLAXSEED EXTRACT ON THE LIVER HISTOLOGICAL STRUCTURE IN STREPTOZOTOCIN INDUCED DIABETIC RATS
Get PDFCORRELATION BETWEEN SEVERITY OF EROSIVE REFLUX ESOPHAGITIS AND ITS MANOMETRIC FINDINGS IN A TERTIARY HOSPITAL AT EAST COAST, PENINSULAR MALAYSIA.
Get PDFApolipoprotein E Gene Polymorphisms in Essential Hypertension: A Preliminary Study with Meta-analysis
Get PDFDengue Vector Control in Malaysia- Challenges and Recent Advances
Get PDFDengue is a serious mosquito borne disease common in tropical and sub-tropical countries including Malaysia. There is at present a lack of specific treatment and an effective tetravalent vaccine against dengue. The control of dengue depends solely on the suppression of the two most important vectors namely, Aedes aegypti and Ae albopictus. Despite intensive and extensive control efforts by health agencies, the disease continues to spread. This paper updates various innovations on control of dengue vectors. Gene-based sterile insect technique using the RIDL technology for both Aedes aegypti & Ae albopictus control has now been actively researched and field trials are pursued to evaluate the effectiveness of the technology. The release of Wolbachia-infected Ae aegypti is another dengue control innovation. The infected mosquito cannot support development of dengue virus and has shorter life span. Other innovations include: auto-dissemination of insect control agents using ovitrap, autocidal adult and larva trap, outdoor residual spraying, insecticidal paint and biocontrol agent. In other innovation, outbreak prediction capability is enhanced by developing model based on environmental data and analysis utilising neural network
The Girl With Rapunzel Syndrome
Get PDFRapunzel syndrome is a syndrome whereby a gastric trichobezoar (hair ball) extends through the pylorus, in the form of a long tail, to cause gastric outlet obstruction. It was first described by Vaughan et al. in 1968. The syndrome is mostly seen in young females with psychiatric illness. Presentations can be non-specific especially in the early stages. If left untreated it may leads to severe complications, which may include gastric ulceration, intestinal obstruction, perforated viscus and obstructive jaundice. Treatment is essentially surgical and psychiatric consultation is necessary to prevent relapses. We present the case of a 26-year-old mentally subnormal lady with gastric trichobezoar and provide a review of the literature
