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Luc's abscess: a real textbook description
No full textLuc’s abscess is an uncommon suppurative complication of otitis media. Unlike other extracranial abscesses, the
pathogenesis of Luc's abscess is different from other extracranial complications of middle-ear infections in that it is not
associated with mastoid involvement which results in subperiosteal pus formation. We present an unusual case of a 47
years old gentleman diagnosed with Luc’s abscess with mastoid involvement and describe the successful management. He
presented with right temporal swelling associated with fever, right ear pain and right ear discharge. High resolution
computed tomography (CT) temporal and brain confirmed hypodense collection is seen at right parieto-temporal-occipital
scalp and soft tissue density within right mastoid cavity with communication between both. Incision and drainage and right
cortical mastoidectomy was done. Post-operative recovery was uneventful and the patient was discharged on the tenth day
post-operation after completed 10 days of intravenous antibiotic. Follow-up at 2 weeks showed complete regression of the
Luc’s abscess
Fat to Lean Mass Ratio As New Anthropometric Tool In Predicting Insulin Resistance Risk In Malaysia Children
No full textElemen Pembelajaran Bahasa Arab Dalam Kitab Al-Qiraah Al-Rashidah Oleh Abu Al-Hasan Ali Al-Nadwi
No full textSymptomatic ureteric stone in second trimester pregnancy:current management and treatment approach.
No full textMom, where am I?” Herniation of a gravid uterus
No full textPregnancy by its own predisposes a mother to various complication
throughout the 40weeks ordeal. Our case report highlights a rare but
serious complication of pregnancy - herniation of a gravid uterus. This
is a rare occurence that is challenging in its management of both the
mother and fetus1,2. To our best knowledge this serves as the first
reported case of a herniation of a gravid uterus through a previous
incision scar in Malaysia. We hope this case report would serve as an
eye opener both to us as surgeons and our obstetrics colleagues
regarding the prompt management and close observation
School environment associated with obesity in Malaysian schoolchildren
No full textObjective: To determine the potential factors in a school environment context that
can impact on obesity of school children.
Methods: The study was a cross-sectional study involving 400 primary school
children aged 9 to 11 years. School principals were interviewed face-to-face using a
set of validated Malay version “Whole- school Environmental Mapping” questionnaire that consists of four domains of school environment factors: physical, economic, political and socio-cultural environment. In addition, observation of school environment also included in order to fit the list of environmental factors in this study. The
schoolchildren were assessed for body mass index (BMI) according to WHO 2007
reference. Associations between school environment and obesity were estimated in
multiple linear regression models.
Results: Overall, the total score for the school environment was 63.1%. Rural
school scored higher compared to urban counterpart for overall school environment,
physical and political environment (p<0.05). In multiple linear regression analysis,
seven criteria of school environment were found to be associated with BMI of schoolchildren when it was adjusted for calorie intake and physical activity. The findings
showed that 33.4% of the variation in BMI was explained by equation BMI (kg/m2
)=
26.396-3.063 (health professional involvement) - 3.753 (simple exercise available
before class) + 1.120 (encouragement of walking/riding bicycle to school) - 2.999 (no
high calorie food) - 1.751(healthy foods and drinks at tuck shop) - 2.735 (policy for
physical activity) + 1.498 (training teacher as a role model).
Conclusion: Awareness and enhancement of school environment are needed in
order to reduce the prevalence of obesity in children. Supporting such schools in a
targeted way may be an efficient way to intervene and could impact both health and
academic outcomes
