8142 research outputs found
Sort by
Regulating sharing economy for protecting consumer interests in Malaysia
No full textThe development of Malaysia's shared economy offers better prices for consumers, more affordable commodities and more convenient access to shared goods and services. It I.s changed how many consumers commute, shop, vacation, borrow and rent. This phenomenon I.s provided both consumers and corporations with unexpected challenges. Besides, these business models did not even exist when many aspects of the regulatory framework were designed, such as consumer protection rules. In addition, due to competition and rapid technological growth, the business conditions are changing drastically. Law and public policy should also change and adapt in order to meet these realities. This paper explores the reasons regulating the sharing economy sector on the basis of a systematic literature review and offers arguments both for and against public regulation of the sharing economy using the method of content analysis. This paper concludes with some proposals f further research in this area, and a call f appropriate regulatory approach for protecting consumer interests the sharing economy businesses. Keyword: Sharing economy, consumer protection, regulation
Successful pectoralis plane block for pacemaker implantation in brugada syndrome
No full textEffective anaesthesia and analgesia are vital components during pacemaker implantation surgery to maintain haemodynamic
stability, especially in elderly and patients with compromised cardiac function. We report a case of successful pacemaker
implantation surgery in a patient with Brugada Syndrome using monitored anaesthesia care utilizing unilateral pectoralis plane
block. A single shot left side pectoralis plane block (PECS II) was done under ultrasound guidance. 5 ml of 0.5% Ropivacaine with
1% Lignocaine was injected between the fascial plane of pectoralis major and minor muscle, and 15 ml was injected in the fascial
plane of pectoralis minor and serratus anterior muscle. The patient maintained a patent airway with oxygen supplementation via
face mask, tolerating the procedure well, with no pain or restlessness and no significant haemodynamic changes. No sedation was
required and patient did not require opioids post-operatively. He reported minimal pain for 24 h post-operatively (VAS ranging 0-2).
PECS block can provide effective anaesthesia in high risk cardiovascular patients. This blocks can provide an opioid sparing option
for post-operative management in pacemaker implantation surgery