Displaying publications 21 - 40 of 113 in total

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  1. Darain KMU, Jumaat MZ, Shukri AA, Obaydullah M, Huda MN, Hosen MA, et al.
    Polymers (Basel), 2016 Jul 19;8(7).
    PMID: 30974542 DOI: 10.3390/polym8070261
    This study investigates the flexural behaviour of reinforced concrete (RC) beams strengthened through the combined externally bonded and near-surface mounted (CEBNSM) technique. The externally bonded reinforcement (EBR) and near-surface mounted (NSM) techniques are popular strengthening solutions, although these methods often demonstrate premature debonding failure. The proposed CEBNSM technique increases the bond area of the concrete⁻carbon fibre reinforced polymer (CFRP) interface, which can delay the debonding failure. This technique is appropriate when any structure has a narrow cross-sectional width or is in need of additional flexural capacity that an individual technique or material cannot attain. An experimental test matrix was designed with one control and five strengthened RC beams to verify the performance of the proposed technique. The strengthening materials were CFRP bar as NSM reinforcement combined with CFRP fabric as EBR material. The test variables were the diameter of the NSM bars (8 and 10 mm), the thickness of the CFRP fabrics (one and two layers) and the U-wrap anchorage. The strengthened beams showed enhancement of ultimate load capacity, stiffness, cracking behaviour, and strain compatibility. The ultimate capacity of the CEBNSM-strengthened beams increased from 71% to 105% compared to that of the control beam. A simulation method based on the moment-rotation approach was also presented to predict the behaviour of CEBNSM-strengthened RC beams.
    Matched MeSH terms: Rotation
  2. Mohamad R, Awang N, Jotani MM, Tiekink ER
    Acta Crystallogr E Crystallogr Commun, 2016 Aug 1;72(Pt 8):1130-7.
    PMID: 27536397 DOI: 10.1107/S2056989016011385
    The crystal and mol-ecular structures of two di-phenyl-tin bis-(di-thio-carbamate)s, [Sn(C6H5)2(C5H10NOS2)2], (I), and [Sn(C6H5)2(C7H14NO2S2)2], (II), are described. In (I), in which the metal atom lies on a twofold rotation axis, the di-thio-carbamate ligand coordinates with approximately equal Sn-S bond lengths and the ipso-C atoms of the Sn-bound phenyl groups occupy cis-positions in the resulting octa-hedral C2S4 donor set. A quite distinct coordination geometry is noted in (II), arising as a result of quite disparate Sn-S bond lengths. Here, the four S-donors define a trapezoidal plane with the ipso-C atoms lying over the weaker of the Sn-S bonds so that the C2S4 donor set defines a skewed trapezoidal bipyramid. The packing of (I) features supra-molecular layers in the ab plane sustained by methyl-ene-C-H⋯π(Sn-ar-yl) inter-actions; these stack along the c-axis direction with no specific inter-actions between them. In (II), supra-molecular chains along the b-axis direction are formed by methyl-ene-C-O(ether) inter-actions; these pack with no directional inter-actions between them. A Hirshfeld surface analysis was conducted on both (I) and (II) and revealed the dominance of H⋯H inter-actions contributing to the respective surfaces, i.e. >60% in each case, and other features consistent with the description of the mol-ecular packing above.
    Matched MeSH terms: Rotation
  3. Mohd Syafiq Mohd Suri, Nor Liyana Safura Hashim, Ardiyansyah Syahrom, Mohd Juzaila Abd. Latif, Muhamad Noor Harun
    MyJurnal
    Introduction: The lubricant thickness in clearance between bearing surfaces for metallic hip implants are currently incapable of accommodating the motion experienced (high load and low entraining motion) in hip walking cycle. Thus, micro-dimpled surfaces were introduced onto surfaces of metallic acetabular cups to improve lubricant thick- ness. Micro-dimpled surface is a method of advanced surface improvement to increase the lubricant thickness in various tribological applications, such as hip implants. However, the application of micro-dimpled surfaces in hip implants has not yet been explored adequately. Therefore, this study aims to identify the influence of micro-dimpled depth on lubricant thickness elastohydrodynamically for metallic hip implants using Fluid-Structure Interaction (FSI) approach. Methods: Fluid-Structure Interaction (FSI) approach is an alternative method for analysing characteristics of lubrication in hip implant. Dimples of radius 0.25 mm and various depths of 5μm, 45μm and 100μm were applied on the cup surfaces. The vertical load in z-direction and rotation velocity around y-axes representing the average load and flexion-extension (FE) velocity of hip joint in normal walking were applied on Elastohydrodynamic lubri- cation (EHL) model. Results: The metallic hip implants with micro-dimpled surfaces provided enhanced lubricant thickness, namely by 6%, compared to non-dimpled surfaces. Furthermore, it was suggested that the shallow depth of micro-dimpled surfaces contributed to the enhancement of lubricant thickness. Conclusion: Micro-dimpled sur- faces application was effective to improve tribological performances, especially in increasing lubricant thickness for metallic hip implants.
    Matched MeSH terms: Rotation
  4. Malays J Nutr, 1995;1(1):-.
    MyJurnal
    An examination of the fat composition of the diet of a Malaysian urban hostel population obtained by chemical analysis of representative meals prepared by a 7-day rotation menu, revealed both nutritional attributes and limitations when compared against the dietary messages contained in the American Heart Association (AHA) and World Health Organisation (WHO) models. The Malaysian diet supplies 26% kcal i.e. 66 g total fat (51 g vegetable fats, 15 g animal fats) and contains
    Matched MeSH terms: Rotation
  5. Chong HC, Chai FY, Balakrishnan D, Asilah SM, Adila IN, Syibrah KZ
    Case Rep Surg, 2016;2016:6067374.
    PMID: 27648337
    Subhepatically located caecum and appendix is a very rare entity. It occurs due to the anomaly in fetal gut rotation that results in an incomplete rotation and fixation of the intestine. Appendicitis, which is a common surgical emergency, in combination with the abnormal subhepatic location, presents a great challenge in its diagnosis and management. Here, we describe a 42-year-old male with chronic dyspepsia who presented with sepsis and severe pain at his right hypochondriac and epigastric region. The final diagnosis was acute appendicitis of the subhepatic appendix. Our discussion focuses on the diagnostic approach and clinical and surgical management. We hope that our report will increase the awareness among the clinicians and hasten the management of such rare condition to avoid complications.
    Matched MeSH terms: Rotation
  6. Chia, S.L., Chong, G.H.
    MyJurnal
    Red pitaya (Hylocereus polyrhizus) peel is a rich source of fibre, antioxidant and betacyanin; however, it is discarded during processing, so it is able to cause environmental problems. In order to convert the fruit waste to potential by-product ingredients, drum drying is used as pre-treatment to create an ingredient which is shelf-stable. In this study, the effects of rotation speed and steam pressure of drums on the physico-chemical properties of pitaya peel that had undergone drum drying are investigated. Pitaya peel was dried in a laboratory scale double drum dryer at rotation speed of 1, 2, and 3 rpm at steam pressure of 1, 2, and 3 bar. The drum dried pitaya peel was then further analyzed based on percentage yield, moisture content, water activity, betacyanin retention and color change. Interaction of steam pressure and rotation speed gives significant effect (p < 0.05) on percentage yield, moisture content, water activity, betacyanin retention and Hunter L value, whereas it has no significant on Hunter a and b values. The best combination parameters (1 rpm and 2 bar) yield the highest betacyanin retention (80.21 mg/g of dry solid), acceptable moisture content (10.66% wet basis), water activity (aw = 0.42) and with 7.61% of yield.
    Matched MeSH terms: Rotation
  7. Abdul Manap AH, Md Izah SS, Mohamed K
    ACS Omega, 2019 Dec 03;4(23):20257-20264.
    PMID: 31815228 DOI: 10.1021/acsomega.9b02547
    This study aims at investigating the distortion of poly(dimethylsiloxane) (PDMS) nanostructures in a soft lithography demolding process using molecular dynamics simulation. Experimental results show that after peeling, PDMS nanopillars became 10-60% longer in height than the mold size. Molecular dynamics simulations have been employed to plot the stress-strain curve of the nanopillars when subjected to uniaxial stress. Three force fields (COMPASS, CVFF, and PCFF) were used for modeling. The demolding process in soft lithography and nanoimprint lithography causes significant deformation in replication. The experimental results show clear signs of elongation after demolding. Molecular dynamics simulations are employed to study the stress-strain relationship of the PDMS nanopillars. The results from the simulation show that a PDMS nanopillar at temperature T = 300 K under tensile stress shows characteristics of flexible plastic under tensile stress and has a lower Young's modulus, ultimate tensile stress, and Poisson's ratio.
    Matched MeSH terms: Rotation
  8. Mohammed Iman K, Harris Shah Abd H
    Student engagement has been known to be positively associated with academic performance, but there is no published valid measure for use among Malaysian undergraduates. This study seeks to examine the factor structure of the Student Engagement Instrument (SEI) in a Malaysian sample. The scale was administered to 290 undergraduate students from the Faculty of Islamic Revealed Knowledge and Human Sciences as well as the Faculty of Economics and Management Sciences of the International Islamic University of Malaysia. Principal axis factor with Promax rotation was used in exploratory factor analysis (EFA) and revealed a sixfactor solution that was consistent with the factor structure found in the original study. A new factor labelled belongingness which was not discussed in previous studies was also discovered, which is worth exploring.
    Matched MeSH terms: Rotation
  9. Hasan MM, Faruque MRI, Islam SS, Islam MT
    Materials (Basel), 2016 Oct 13;9(10).
    PMID: 28773951 DOI: 10.3390/ma9100830
    The aim of this paper is to introduce a compact double-negative (DNG) metamaterial that exhibits a negative refractive index (NRI) bandwidth of more than 3.6 GHz considering the frequency from 2 to 14 GHz. In this framework, two arms of the designed unit cell are split in a way that forms a Modified-Z-shape structure of the FR-4 substrate material. The finite integration technique (FIT)-based Computer Simulation Technology (CST) Microwave Studio is applied for computation, and the experimental setup for measuring the performance is performed inside two waveguide ports. Therefore, the measured data complies well with the simulated data of the unit cell at 0-degree and 90-degree rotation angles. The designed unit cell shows a negative refractive index from 3.482 to 7.096 GHz (bandwidth of 3.61 GHz), 7.876 to 10.047 GHz (bandwidth of 2.171 GHz), and 11.594 to 14 GHz (bandwidth of 2.406 GHz) in the microwave spectra. The design also exhibits almost the same wide negative refractive index bandwidth in the major region of the C-band and X-band if it is rotated 90 degrees. However, the novelty of the proposed structure lies in its effective medium ratio of more than 4, wide bandwidth, and compact size.
    Matched MeSH terms: Rotation
  10. Al-Dubai S, Ganasegeran K, Barua A, Rizal A, Rampal K
    Ann Med Health Sci Res, 2014 Jul;4(Suppl 2):S104-7.
    PMID: 25184074 DOI: 10.4103/2141-9248.138023
    BACKGROUND: The 10-item version of Perceived Stress Scale (PSS-10) is a widely used tool to measure stress. The Malay version of the PSS-10 has been validated among Malaysian Medical Students. However, studies have not been conducted to assess its validity in occupational settings.
    AIM: The aim of this study is to assess the psychometric properties of the Malay version of the PSS-10 in two occupational setting in Malaysia.
    SUBJECTS AND METHODS: This study was conducted among 191 medical residents and 513 railway workers. An exploratory factor analysis was performed using the principal component method with varimax rotation. Correlation analyses, Kaiser-Meyer-Olkin, Bartlett's test of Sphericity and Cronbach's alpha were obtained. Statistical analysis was carried out using statistical package for the social sciences version 16 (SPSS, Chicago, IL, USA) software.
    RESULTS: Analysis yielded two factor structure of the Malay version of PSS-10 in both occupational groups. The two factors accounted for 59.2% and 64.8% of the variance in the medical residents and the railway workers respectively. Factor loadings were greater than 0.59 in both occupational groups. Cronbach's alpha co-efficient was 0.70 for medical residents and 0.71 for railway workers.
    CONCLUSION: The Malay version of PSS-10 had adequate psychometric properties and can be used to measure stress among occupational settings in Malaysia.
    KEYWORDS: Factor structure; Malaysia; Occupational; Perceived stress scale; Psychometric properties; Validity
    Matched MeSH terms: Rotation
  11. Ariffin M, Lloyd S, Rhani S, Kamalnizat, Baharudin A
    Malays Orthop J, 2014 Jul;8(2):40-2.
    PMID: 25279091 DOI: 10.5704/MOJ.1407.001
    The management of post-radiation wound breakdown over the posterior cervico thoracic region can be a challenging task for a surgeon. The aim of the treatment is to produce a well vascularized and a low tensile flap which will close a large defect. We describe the use of the lower trapezius flap to reconstruct the wound breakdown and to obtain stable tissue coverage in a patient with postradiation necrosis. This flap minimizes the disruption of the scapula-thoracic function while preserving the range of movement over the shoulder. From the literature review, it was noted that the dorsal scapular artery (DSA) and transverse cervical artery (TCA) aid in the blood supply to the trapezius muscle and prevent local necrosis during rotation of the flap. The trapezius flap is widely accepted because of the minor donor site morbidity, large arc of rotation and adequate blood supply.
    Matched MeSH terms: Rotation
  12. Abdul Aziz Azdel, Khairil Wahidin Awang, Raja Nerina Raja Yusof, Salleh Mohd Radzi, Mohd Noor Ismawi Ismail
    MyJurnal
    The purpose of this study is to assess the determinants of psychological traits towards users’ technology experience specifically on Online Travel Agencies (OTA) via exploratory factor analysis (EFA). Working on these issues and after sequences of analyses to verify reliability and factor structure, the final 16 items of Technology Readiness 2.0 (TR2.0) with 4 items for each dimension (Optimism, Innovativeness, Discomfort, and Insecurity) have been congregated. Through an online survey, the technology readiness determinants were administered to 100 travelers at KLIA2 who have experienced on OTA. EFA using Principal Component Analysis with Varimax Rotation indicated 14 items, with 4 factors final solution with the following subscales: Innovativeness (4 items); Optimism (4 items); Discomfort (3 items); and Insecurities (3 items). All in all, only two items were removed from the original total of 16 items by the factor analysis based on the factor loading matrix for this final solution. This study basically plays an important role in contributing to the existing literature on the OTA users’ standpoint by using an approach which is very powerful to redefine the factors within Technology Readiness. This enhancement has reorganized the items according to their importance specifically towards new perspective which are OTA users in Malaysia setting.
    Matched MeSH terms: Rotation
  13. Haditiar Y, Putri MR, Ismail N, Muchlisin ZA, Ikhwan M, Rizal S
    Heliyon, 2020 Sep;6(9):e04828.
    PMID: 32939416 DOI: 10.1016/j.heliyon.2020.e04828
    Malacca Strait (MS) has an important role and potential for many countries. It is a major transportation route for oil and commodities across continents. In addition, various activities such as shipping, fishing, aquaculture, oil drilling, and energy are also carried out in MS. Tides strongly affect the MS environment so that it becomes a major parameter in MS management. This paper is the first study, which presents MS tidal hydrodynamics based on a baroclinic and nonhydrostatic approach. Tidal hydrodynamics in MS and the surrounding waters were assessed using tidal forces, temperature, salinity, and density. This study analyzes the amplitude, phase, current ellipses, and semi-major axis of the tides. These variables are obtained from the simulation results of the three-dimensional numerical models of M2 tides and combined tides (M2, S2, N2, K1, and O1) with nonhydrostatic models. Then the results obtained are verified by observation data. Amplitude and phase of the tidal wave in MS originate from two directions, namely the northern part of MS (Andaman Sea) and the South China Sea (SCS). Tides from the north of MS propagate into the MS, while tides from the SCS travel to Singapore Waters (SW) and the south of MS. This causes a complex residual flow in SW and shoaling in the middle of MS. Shoaling in the middle of MS is characterized by a large amplitude and semi-major, as in B. Siapiapi. The results of this analysis show that tidal waves are dominated by semidiurnal types rather than diurnal types. The M2 current ellipse has dominantly anticlockwise rotation along the west of the MS, while along the east of MS, it has generally a clockwise rotation.
    Matched MeSH terms: Rotation
  14. Hanim A, Wafiuddin M, Azfar MA, Awang MS, Nik Abdul Adel NA
    Cureus, 2021 Mar 22;13(3):e14043.
    PMID: 33898129 DOI: 10.7759/cureus.14043
    Introduction This appears to be the first biomechanical study that compares the stability of various locations of the crossing points in crossed pinning Kirschner wiring (K-wire) construct in treating pediatric supracondylar humerus fracture (SCHF). Additionally, this study compared the biomechanical stability between crossed pinning K-wire construct and the three-lateral divergent K-wire construct. Methods For the study purpose, 30 synthetic humerus bones were osteotomised at mid-olecranon fossa, anatomically reduced, and pinned using two 1.6-millimeter K-wires in five different constructs. A total of six samples were prepared for each construct and tested for extension, flexion, valgus, varus, internal rotation, and external rotation forces. Results As for crossed pinning K-wire construct, the center crossing point emerged as the stiffest construct in both linear and rotational forces, in comparison to the lateral crossing point, superior crossing, and medial crossing point Conclusion Based on this analysis, it is highly recommended that, if the crossed pinning construct is selected to treat supracondylar humerus fracture, the surgeon should aim for center crossing point as it is the most stable construct. Nevertheless, if lateral and superior crossing points are obtained during the initial attempt of fixation, the fixation may be accepted without revising the K-wire as the stability of these two constructs are comparable and portrayed no significant difference when compared to that of the center crossing point. Additionally, it is essential to avoid the medial crossing point as it is significantly less stable in terms of rotational force when compared to the center crossing point.
    Matched MeSH terms: Rotation
  15. Dorobantu DM, Wadey CA, Amir NH, Stuart AG, Williams CA, Pieles GE
    Diagnostics (Basel), 2021 Apr 01;11(4).
    PMID: 33915862 DOI: 10.3390/diagnostics11040635
    Speckle tracking echocardiography (STE) has gained importance in the evaluation of adult inherited cardiomyopathies, but its utility in children is not well characterized. We conducted a systematic review to evaluate the role of STE in pediatric inherited cardiomyopathies. PubMed, EMBASE, Web of Science, Scopus, CENTRAL and CINAHL databases were searched up to May 2020, for terms related to inherited cardiomyopathies and STE. Included were dilated cardiomyopathy (DCM), hypertrophic cardiomyopathy (HCM), left ventricular non-compaction (LVNC) and arrhythmogenic cardiomyopathy (ACM). A total of 14 cohorts were identified, of which six were in DCM, four in HCM, three in LVNC and one in ACM. The most commonly reported STE measurements were left ventricular longitudinal strain (Sl), circumferential strain (Sc), radial strain (Sr) and rotation/torsion/twist. Sl, Sc and were abnormal in all DCM and LVNC cohorts, but not in all HCM. Apical rotation and twist/torsion were increased in HCM, and decreased in LVNC. Abnormal STE parameters were reported even in cohorts with normal non-STE systolic/diastolic measurements. STE in childhood cardiomyopathies can detect early changes which may not be associated with changes in cardiac function detectable by non-STE methods. Longitudinal and circumferential strain should be introduced in the cardiomyopathy echocardiography protocol, reflecting current practice in adults.
    Matched MeSH terms: Rotation
  16. Safbri SA, Halim SN, Tiekink ER
    Acta Crystallogr E Crystallogr Commun, 2016 Feb 1;72(Pt 2):203-8.
    PMID: 26958388 DOI: 10.1107/S2056989016000700
    The common feature of the title compounds, [Zn(C5H10NO2S2)2(C10H8N2)]·2H2O, (I), and [Zn(C6H12NOS2)2(C10H8N2)], (II), is the location of the Zn(II) atoms on a twofold rotation axis. Further, each Zn(II) atom is chelated by two symmetry-equivalent and symmetrically coordinating di-thio-carbamate ligands and a 2,2'-bi-pyridine ligand. The resulting N2S4 coordination geometry is based on a highly distorted octa-hedron in each case. In the mol-ecular packing of (I), supra-molecular ladders mediated by O-H⋯O hydrogen bonding are found whereby the uprights are defined by {⋯HO(water)⋯HO(hy-droxy)⋯} n chains parallel to the a axis and with the rungs defined by 'Zn[S2CN(CH2CH2)2]2'. The water mol-ecules connect the ladders into a supra-molecular layer parallel to the ab plane via water-O-H⋯S and pyridyl-C-H⋯O(water) inter-actions, with the connections between layers being of the type pyridyl-C-H⋯S. In (II), supra-molecular layers parallel to the ab plane are sustained by hy-droxy-O-H⋯S hydrogen bonds with connections between layers being of the type pyridyl-C-H⋯S.
    Matched MeSH terms: Rotation
  17. Abdul Yamin NAA, Basaruddin KS, Salleh AF, Salim MS, Wan Muhamad WZA
    Appl Bionics Biomech, 2021;2021:8842591.
    PMID: 33603827 DOI: 10.1155/2021/8842591
    Objective: The aim of this study was to investigate the effects of surface stiffness on multisegment foot kinematics and temporal parameters during running.

    Methods: Eighteen male subjects ran on three different surfaces (i.e., concrete, artificial grass, and rubber) in both heeled running shoes (HS) and minimal running shoes (MS). Both these shoes had dissimilar sole profiles. The heeled shoes had a higher sole at the heel, a thick base, and arch support, whereas the minimal shoes had a flat base sole. Indeed, the studied biomechanical parameters responded differently in the different footwear during running. Subjects ran in recreational mode speed while 3D foot kinematics (i.e., joint rotation and peak medial longitudinal arch (MLA) angle) were determined using a motion capture system (Qualysis, Gothenburg, Sweden). Information on stance time and plantar fascia strain (PFS) was also collected.

    Results: Running on different surface stiffness was found to significantly affect the peak MLA angles and stance times for both HS and MS conditions. However, the results showed that the joint rotation angles were not sensitive to surface stiffness. Also, PFS showed no relationship with surface stiffness, as the results were varied as the surface stiffness was changed.

    Conclusion: The surface stiffness significantly contributed towards the effects of peak MLA angle and stance time. These findings may enhance the understanding of biomechanical responses on various running surfaces stiffness in different shoe conditions.

    Matched MeSH terms: Rotation
  18. Amirah Zahiran, Fara Liana Zainuddin, Shazlin Shaharudin
    MyJurnal
    Introduction: In this study, we evaluated the kinematics of lower limb during early and late phases of 2km time trial on stationary rowing ergometer among Malaysian male rowers. Methods: Seventeen national-level rowers voluntari- ly participated. Three dimensional lower limb kinematics data were collected to represent the first 400 m (i.e., early) and the last 400m (i.e., late) phases of 2km time trial on a stationary ergometer. The kinematics data at sagittal, frontal and transverse planes of dominant leg during catch and finish positions were compared across early and late phases of the time trial using paired T-test. Results: The kinematics of lower limb joints at three planes were not significantly different during early versus late phases of 2km time trial among male senior rowers except for hip flexion at finish (p=0.411), ankle rotation at catch (p=0.779) and ankle abduction at finish (p=0.677). Conclusion: Lower limb kine- matics particularly the hip flexion, ankle rotation and ankle abduction may change across early and late phases of 2km time trial due to fatigue. Coaches and rowers should monitor these motions during fatiguing rowing piece and develop necessary injury prevention measures.
    Matched MeSH terms: Rotation
  19. Kamaluddin, M.R., Hassan, S.K., Dharmalingam, T. K.
    MyJurnal
    Introduction: Despite general acknowledgement of the importance in assessing family needs in critical care
    patients, there is no psychometric instrument to measure the family needs within Malaysian settings. This
    study aimed to perform factorial validation and establish psychometric properties of Malay translated
    Critical Care Family Need Inventory (CCFNI-M) for Malaysians. Methods: This study consisted of four
    protocols: Forward-Backward translation, validity, internal reliability and inter domain correlations phases.
    The factorial validation of the CCFNI-M was based on its administration to 109 family members of critical
    care patients admitted to the Intensive Care Unit of Hospital Universiti Sains Malaysia, Kelantan, Malaysia.
    At validity phase, factorial validation was performed using Exploratory Factor Analysis using Principal
    Component Analysis with Varimax rotation. The internal consistency and inter domain correlations were
    calculated using Cronbach’s alpha and Pearson correlation coefficient respectively. Results: Preliminary
    analyses reported the suitability of data for factorial validation. With reference to the original CCFNI, five
    factors were extracted which explained 49.4% of the total variance. After removal of several items for
    different reasons, the final items in CCFNI-M were 42. The internal consistency values for five dimensions
    ranged from 0.72 to 0.87 with inter domain correlation values (r) among the dimensions ranged between
    0.36 and 0.61. Conclusion: The high measures of factorial validity, internal consistency and inter domain
    correlations values of the CCFNI-M make it suitable measure for assessing the family needs of critical care
    patients.
    Matched MeSH terms: Rotation
  20. Ariffin, M. H., Selvyn Lloyd, Rhani, S. A., Kamalnizat, Baharudin, A.
    Malays Orthop J, 2014;8(2):40-42.
    MyJurnal
    The management of post-radiation wound breakdown over the posterior cervico thoracic region can be a challenging task for a surgeon. The aim of the treatment is to produce a well vascularized and a low tensile flap which will close a large defect. We describe the use of the lower trapezius flap to reconstruct the wound breakdown and to obtain stable tissue coverage in a patient with post- radiation necrosis. This flap minimizes the disruption of the scapula-thoracic function while preserving the range of movement over the shoulder. From the literature review, it was noted that the dorsal scapular artery (DSA) and transverse cervical artery (TCA) aid in the blood supply to the trapezius muscle and prevent local necrosis during rotation of the flap. The trapezius flap is widely accepted because of the minor donor site morbidity, large arc of rotation and adequate blood supply.
    Matched MeSH terms: Rotation
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