MyMedR

Tan S, Suraya A, Sa'don S, Ruzi A, Zahiah M

Biomed Imaging Interv J, 2010 Apr-Jun;6(2):e16.

PMID: 21611037 MyJurnal DOI: 10.2349/biij.6.2.e16

The authors propose a musculoskeletal (MSK) magnetic resonance imaging (MRI) protocol using selected sequences for common orthopaedic indications. Selected sequences allow optimal visualisation of the indicated pathology while screening for other common conditions. The authors emphasise the need for standard positioning of the patient and standard orientation of scan planes to facilitate comparison with follow-up scans.

Matched MeSH terms: Follow-Up Studies

Fulltext Ossifying fibromyxoid tumour in a child

Aminudin CA, Sharaf I, Hamzaini AH, Salmi A, Aishah MAS

Med J Malaysia, 2004 Dec;59 Suppl F:49-51.

PMID: 15941162

Ossifying fibromyxoid tumor (OFMT) is a rare benign tumor, most of which occurs in adults with localization in the subcutaneous tissue or muscle of the extremities. A five-year-old girl presented with a mass in her right upper thigh. Due to the large size of the mass (10 x 7 cm), our provisional diagnosis was a soft tissue sarcoma. A tru-cut biopsy showed that the lesion was benign. The mass was excised and has not recurred since. To the best of our knowledge, this patient is the youngest case of OFMT reported in the English literature.

Matched MeSH terms: Follow-Up Studies

Fulltext The transobturator outside in suburethral sling insertion procedure

Balakrishnan SS, Dass AK, Tan YL

Indian J Urol, 2015 Apr-Jun;31(2):160-1.

PMID: 25878424 DOI: 10.4103/0970-1591.154223

This video describes the transobturator outside in suburethral sling surgical procedure for the indication of urodynamic stress urinary incontinence. A total of 170 cases were performed from January 2007 till December 2013. The average follow up was from 6 months till 7 years. The cure rate was 90%. There were no recurrences in our series. There was one patient with tape exposure after 3 years which required excision.

Matched MeSH terms: Follow-Up Studies

Fulltext Outcome of 235 renal transplant recipients followed up at ministry of health hospitals in the State of Johor

Chan AYK, Hooi LS, Liu WJ

Med J Malaysia, 2001 Mar;56(1):82-7.

PMID: 11503302

Retrospective analysis was done on 235 recipients, 133 males and 102 females, who were transplanted between 25th September 1979 and 25th June 1999. 85.1% were Chinese, 7.7% were Indians and 7.2% Malays. 23% (54) were living related renal transplants (LRRT) all except 5 done at Hospital Kuala Lumpur. 60% (141) were living unrelated donor renal transplants (LURT) done in India. 17% (40) were cadaveric transplants (CADT) (all done in China except 2 at Hospital Kuala Lumpur and one in London). 97% (228) were first transplants. Primary renal disease was unknown in 69.4%, 17% (40) glomerulonephritis, 5.5% diabetic nephropathy and 8.1% 19 others. All were on prednisolone, 93.2% were on azathioprine and 96.6% were on cyclosporin A. The acute rejection rate was 23.4% (55 episodes). Patient survival was 88% at five years and patients alive with functioning graft was 84% at 5 years. LRRT had significantly better survival compared to LURT. 34 grafts were lost to chronic allograft nephropathy. 46 recipients died (33 died with functioning graft).

Matched MeSH terms: Follow-Up Studies

Fulltext HUKM instrumentation system in surgical treatment of adolescent idiopathic scoliosis--an early experience

Razak MA, Fazir M, Ibrahim S

Med J Malaysia, 2000 Sep;55 Suppl C:2-8.

PMID: 11200040

Between May 1992 through October 1998, twenty-two patients who had adolescent idiopathic scoliosis were treated using Universiti Kebangsaan Malaysia (UKM) spinal instrumentation and fusion. The minimum length of follow-up was 2 years with an average of 2.9 years. Nineteen patients were female and three patients were male. The mean age at the time of the operation was 16.2 years (range, 13 to 24 years). The average blood loss was 1,878 ml and the average operating time was 291 minutes. The mean pre-operative curve was 61.2 degrees, with a range of 40 degrees to 90 degrees. The average post-operative correction of the Cobb's angle was 53.5 per cent, with a range of 33 per cent to 81 per cent. Post-operative immobilization consisted of a maximum of six months in a body cast. There were no neurological injuries, no deep wound infections, and no evidence of pseudoarthroses. Only three complications occurred and these did not disturb the progress of the fusion. This technique safely achieves the objectives of scoliosis correction, and is cost-effective in the treatment of adolescent idiopathic scoliosis.

Matched MeSH terms: Follow-Up Studies

Fulltext The outcome of trabeculectomy for primary glaucoma in adult patients in UKM

Sharif FM, Selvarajah S

Med J Malaysia, 1997 Mar;52(1):17-25.

PMID: 10968049

A clinical audit was conducted for a 4-year period at the Universiti Kebangsaan Malaysia (UKM) Ophthalmology Department in which 61 eyes of adult patients with primary glaucoma underwent trabeculectomies without antimetabolites. At a 2-year follow-up duration, successful trabeculectomies as defined by intraocular pressure below 20 mm Hg without additional glaucoma medication were 62% for primary open-angle glaucoma, 48% for primary acute angle-closure glaucoma and 43% for chronic angle-closure glaucoma. 50.8% of eyes were without complications while 49.2% had complications. Shallow anterior chamber (22.9%) and hyphaema (19.7%) were the two commonest complications.

Matched MeSH terms: Follow-Up Studies

Fulltext Clinically definite multiple sclerosis in a young Malay female. A case report

Muthusamy E, Tan CT

Med J Malaysia, 1988 Jun;43(2):170-2.

PMID: 3237134

Matched MeSH terms: Follow-Up Studies

Fulltext Traumatic dislocation of the knee

Dhillon KS, Teng TK

Med J Malaysia, 1987 Sep;42(3):173-6.

PMID: 3506639

This study analyses retrospectively the results of sixteen acute dislocations of the knee at the University Hospital, Kuala Lumpur from 1980 to 1985. The average follow-up was 3.5 years. There were seven posterior, six anterior, one lateral and two postero-lateral dislocations. All were due to motor vehicle accidents except one. There were four patients with popliteal artery injury and two patients with peroneal nerve injury; three required amputations due to late detection. All the peroneal nerve palsies were permanent. The results of surgical treatment appear to be better than conservative management of acute dislocation of the knee.

Matched MeSH terms: Follow-Up Studies

Fulltext Diagnostic and operative arthroscopy of the knee: report of 51 consecutive arthroscopies

Rajaram TJ

Med J Malaysia, 1986 Sep;41(3):269-72.

PMID: 3670145

Fifty-one consecutive arthroscopies of the knee were reviewed after an average of eight months follow-up. Thirty-eight patients underwent arthroscopic surgical procedures as well. A meniscus tear was the commonest (68%) primary pathology noted, followed by isolated anterior eructate tears (16%). Excellent/good results were obtained in 80% of arthroscopic partial meniscectomies. Synovial biopsies and loose body removal were all successfully achieved arthroscopically: Arthroscopic knee surgery is a useful and less traumatic technique of obtaining a diagnosis and treating amenable knee lesions compared to open arthrotomy.

Matched MeSH terms: Follow-Up Studies

Fulltext Endourology new vistas in the management of urinary tract disease

Mahamooth Z

Med J Malaysia, 1987 Sep;42(3):191-5.

PMID: 3506643

Retrograde ureteroscopy, using the 12.5 French Storsz Perez-Castro Ellendt operating ureteroscope provides excellent visual access to the whole of the ureteric lumen in most instances. A total of 41 ureteroscopies were performed on a similar number of patients over a period of 12 months since April 1986. Majority of them were for ureteric calculi. Success rate for patients with ureteric calculi below the pelvic brim was 77.4%. A lower success was noted for calculi above the pelvic brim (50%). Retrograde ureteroscopy will eventually make blind basketing of lower ureteric stones an unnecessarily risky procedure and perhaps even obsolete. Ureterolithotomy nevertheless will still have a place in the management of stones that cannot be extracted either due to acute bullous oedema of the ureteric mucosa or in previously explored rigid non-yielding ureters not suitable for ureteroscopy.

Matched MeSH terms: Follow-Up Studies

Cataract extraction in West Malaysia

Then SM, Chandran S

Med J Malaysia, 1975 Mar;30(3):180-6.

PMID: 1160676

Matched MeSH terms: Follow-Up Studies

Standards of yellow fever vaccination and travel medicine practice in the Republic of Ireland: A questionnaire-based evaluation

Noone P, Hamza M, Tang J, Flaherty G

Travel Med Infect Dis, 2015 Sep-Oct;13(5):409-14.

PMID: 26148651 DOI: 10.1016/j.tmaid.2015.06.007

The Department of Health regulates the designation of yellow fever vaccination centres (YFVCs) in the Republic of Ireland to ensure appropriate standards in the safe, effective use of yellow fever vaccine for overseas travellers. The process of designation of YFVCs is delegated to Directors of Public Health who direct Principal Medical Officers. Variation in implementation of specific criteria for designation exists and no formal follow up inspection is carried out. This survey of all designated YFVCs in the Republic of Ireland aimed to assess compliance with standards to ensure the objectives of the national yellow fever vaccination programme were met.

Matched MeSH terms: Follow-Up Studies

Fulltext Removal of failed dental implant with application of concentrated growth factor (CGF): a case report

Nurul Ain Mohamed Yusof, Mohd Salman Masri, Erni Noor

Compendium of Oral Science, 2018;5(1):46-53.

MyJurnal

Introduction: High survival rates of dental implants were commonly reported even after 10 years of follow up. Nevertheless, complications and failure may occur and the implant would need to be removed. In recent years, the use of autogenous blood products in dental surgery has increased due to its ability to aid the healing of the soft and hard tissues. Clinical case: The case demonstrated the utilisation of concentrated growth factor (CGF) from the patient’s blood for healing following conservative removal of a failed dental implant. Subsequently, the patient showed satisfactory recovery without any infections and clinical complaints. Conclusion: This explantation procedure, together with the use of CGF, may prevent the normal bone resorption and accelerate soft tissue healing. As it is biological in nature having originated from the patient’s blood, it is more readily accepted by the tissues and the risk of infection is low.

Matched MeSH terms: Follow-Up Studies

Fulltext Clinical Efficacy of Single Application Local Drug Delivery and Adjunctive Agents in Nonsurgical Periodontal Therapy: A Systematic Review and Network Meta-Analysis

Tan OL, Safii SH, Razali M

Pharmaceutics, 2020 Nov 12;12(11).

PMID: 33198248 DOI: 10.3390/pharmaceutics12111086

This review aimed to rank the clinical efficacy of commercially available single-application local drug delivery and adjunctive agents (LDAs) compared with subgingival mechanical debridement (SMD) in nonsurgical periodontal therapy (NSPT). Randomized controlled clinical trials that compared LDAs against SMD alone or with placebo in adults (aged at least 18 years) diagnosed with periodontitis with a minimum of 6 months follow-up were included. A frequentist approach to random-effects network meta-analysis was implemented. The efficacies of the LDAs measured by probing pocket depth (PPD) reduction and clinical attachment level (CAL) gain were reported as mean difference (MD) with 95% confidence intervals (CIs). The treatments were ranked according to their P-score. Four network meta-analyses suggested that sulfonic/sulfuric acid gel (PPD MD -1.13 mm, 95% CI -1.74 to -0.53, P-score 0.91; CAL MD -1.09 mm, 95% CI -1.58 to -0.61, P-score 0.95) and doxycycline hyclate gel (PPD MD -0.90 mm, 95% CI -1.50 to -0.30, P-score 0.93; CAL MD -0.84 mm, 95% CI -1.40 to -0.28, P-score 0.92) were the most effective in reducing PPD and gaining CAL in split-mouth and parallel studies, respectively (moderate certainty of evidence). LDAs have differing efficacies, but they present with possible clinical significance over SMD alone in NSPT.

Matched MeSH terms: Follow-Up Studies

Fulltext The therapeutic potential of stem cells and progenitor cells for the treatment of Parkinson's disease

Liau MT, Amini F, Ramasamy TS

Tissue Eng Regen Med, 2016 Oct;13(5):455-464.

PMID: 30603427 DOI: 10.1007/s13770-016-9093-2

Parkinson's disease (PD) is the second most common neurodegenerative disorder. It is usually seen in those above 50 years old. Current medical treatments only provide symptomatic relief but cannot cure the disease. There are claims that PD can be cured by stem cell transplant. The present study is aimed to assess the clinical potency and safety of stem cell in treating PD. A total of eleven articles were included for analysis, with four randomised control trials (RCTs), five non-RCTs and 2 follow up studies. All the four non-RCTs showed improvement of Unified Parkinson's Disease Rating Scale with no adverse events. However, results from RCTs showed no significant differences in the rating score among the transplant group and the Sham surgery group. The secondary analysis of one study showed a significant improvement of the rating score in those patients aged 60 and younger. Transplant group also associated with an overall higher incidence of adverse events. In conclusion, the RCTs and non-RCTs produced opposite results. When the studies were performed as non-RCTs in small number of patients, they showed promising result in the patients. It could say that currently the use of stem cell/progenitor cells in treating PD need much research despite having the implanted stem cell to be able to survive and integrated. The survival of implanted dopamine neurons in the striatum, however, does not indicate a success in correcting PD symptoms. Further investigations will shed light on the application and mechanism of action of stem cells in treating PD.

Electronic Supplementary Material: Supplementary material is available for this article at 10.1007/s13770-016-9093-2 and is accessible for authorized users.

Matched MeSH terms: Follow-Up Studies

Remodelling of Humeral Fracture in a Child with Osteopetrosis Tarda following Conservative Management - A 7-year Follow-up: A Case Report

Erkus S, Turgut A, Kose O, Kalenderer O

Malays Orthop J, 2019 Jul;13(2):42-44.

PMID: 31467651 DOI: 10.5704/MOJ.1907.008

Osteopetrosis (OP) is a rare hereditary sclerosing bone dysplasia characterised by generalised hard and brittle bone secondary to defective osteoclastic function. Osteopetrotic bone is brittle, thus these subjects are prone to frequent fractures, particularly of the long bones. Due to defective osteoclastic function, remodeling is also defective in OP. This report is a case of humeral fracture in a 9 years old girl who was followed seven years. The fracture had remodeled totally similar to healthy bone at the final follow-up. Conservative treatment should be kept in mind in the management of fractures in children with OP, and fractures within acceptable angulations and/or translations should be treated conservatively without hesitation.

Matched MeSH terms: Follow-Up Studies

Root Coverage of Palatal Recession Using Epithelial Embossed Connective Tissue: A Case Report

Rath A, Fernandes B, R PH, Varma S, Pavuluri AK

J Int Acad Periodontol, 2017 Jan 02;19(1):10-14.

PMID: 31473707

Labial and buccal gingival recession is a common finding in the adult population, which can occur due to various factors. When present, it can lead to an unesthetic appearance and can cause hypersensitivity. However, very limited literature is available regarding the incidence of palatal gingival recession. Many times it goes unnoticed during routine clinical examinations. Although there are no esthetic concerns in these regions, recession can cause sensitivity and pose a technical challenge in surgical correction because of poor accessibility and visibility. This case reports the treatment of a single palatal recession defect using an epithelial embossed connective tissue graft. The 12-month follow-up of the case showed significant root coverage (93.6%) and decreased sensitivity. The advantage of the harvested graft was that the connective tissue was not exposed, as it was tucked into the underlying flap, and the mucosal contour was maintained.

Matched MeSH terms: Follow-Up Studies

The effect of beta-blockers on a course of chronic heart failure in patients with a low triiodothyronine syndrome

Pyvovar SM, Rudyk IS, Kopytsya MP, Lozyk TV, Galchinskaya VI, Chenchik TO

Wiad Lek, 2020;73(7):1402-1409.

PMID: 32759428

OBJECTIVE: The aim: The aim is to study the effect of β-ABs in patients with LT3 S on the course of HF.

PATIENTS AND METHODS: Materials and methods: 354 patients with HF on a background of post-infarction cardiosclerosis were included in the 2-yeared follow-up study. LT3 S was diagnosed at 89 (25.1%) patients. The levels of thyroid-stimulating hormone, free T3f and T4f, and reversible T3 were determined. The echocardioscopy was performed.

RESULTS: Results: Patients with HF in combination with LT3 S have a heavier functional class by NYHA, greater dilatation of the left heart cavities, less myocardial contractility, a higher frequency of atrial fibrillation and re-hospitalization. The use of β-ABs in patients with HF without LT3 S leads to a likely decrease in hospitalization frequency, while in patients with LT3 S it has an opposite effect. The frequency of rehospitalization increases with an excess of β-ABs dose > 5 mg (equivalent to bisoprolol). At these patients a decrease in serum T3 level and negative dynamics of parameters of intracardiac hemodynamics are observed.

CONCLUSION: Conclusions: The use of β-ABs in patients with LT3 S leads to an increase in re-hospitalization at a dose over 5.0 mg (equivalent to bisoprolol). In these patients there is a decrease in serum T3, an increase in T4 level; and the ejection fraction decrease; and heart cavities size increase.

Matched MeSH terms: Follow-Up Studies

Fulltext The effectiveness of non-dominant hand in performing oral hygiene care

Normaliza Ab Malik, Aws Hashim Ali Al-Khadim1, Muhammad Syafiq Alauddin, Siti Nur Farhanah Mohd Desa, Azlan Jaafar

Malaysian Journal of Medicine and Health Sciences, 2020;16(2):63-68.

MyJurnal

Introduction: This study aimed to assess the effectiveness of dental plaque removal and to determine factors that could influence its efficacy when using the non-dominant hand. Methods: A quasi-experimental study was per- formed on a group of dental students. Dominant hands were determined using Edinburg Handedness Inventory ques- tionnaire, and the dental plaque scores were examined using Quigley-Hein (Turesky) index. All of the participants were examined twice for dental plaque index scores. Data obtained was analyzed using a paired t-test and an inde- pendent t-test. Factors which influenced the dental plaque removal were listed and categorized accordingly. Results: A total of 62 dental undergraduates participated in the study. A high percentage of them, (71%, n = 44) were found to be right-handed. There was a significant increase in the dental plaque score for the left-handed participants, from baseline (use of the dominant hand) to follow-up appointment (after brushing their teeth with non-dominant hands) (p< 0.01). A significant change was found between the right- and left-handed participants in the first quadrant of the buccal side (p

Matched MeSH terms: Follow-Up Studies

Effect of locally delivered doxycycline as an adjunct to scaling and root planing in the treatment of periodontitis in smokers: A systematic review of randomized controlled trials with meta-analysis and trial sequential analysis

Nath S, Pulikkotil SJ, Dharmarajan L, Arunachalam M, Jing KT

Dent Res J (Isfahan), 2020 08 14;17(4):235-243.

PMID: 33282148

Background: Scaling and root planing (SRP) for the treatment of periodontitis may be less effective in some patients. This study evaluated the effectiveness of local doxycycline as an adjunct to SRP among smokers with periodontitis compared to SRP alone in randomized controlled trials (RCTs).

Materials and Methods: For this systematic review and meta-analysis, PubMed and Scopus databases were searched till November 2018 for English publications. RCTs that compared the effect of local doxycycline adjunct to SRP among smokers with periodontitis were selected. Patient characteristics, disease characteristics, and outcome data on clinical attachment level (CAL) and periodontal probing depth at 1, 3- and 6-month follow-up was extracted. Quality of selected studies was assessed by the revised Cochrane Risk of Bias 2.0 tool. Random effects model and trial sequential analysis were performed. GRADE approach was used to assess the quality of evidence. P > 0.05 was considered as statistically significant.

Results: Five trials were included in the review. Local use of doxycycline as an adjunct to SRP was effective in gain of 1.1 mm (0.47-1.74, P = 0.091) in CAL at 6 months calculated from two studies. The evidence was of low quality, and at least a total of 866 patients are required for conclusiveness.

Conclusion: Local doxycycline as an adjunct to SRP significantly improved clinical attachment in smokers with periodontitis and can be recommended. Studies are required with long-term follow-up and patient-related outcome data.

Matched MeSH terms: Follow-Up Studies

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