Pub Date : 2021-07-01DOI: 10.31674/mjmr.2021.v05i03.004
Isuru Dehideniya
Music plays an important role in our day to day life as a source of entertainment. More importantly music can also affect the other aspects of physical, mental, social and spiritual wellbeing of a person. According to Western and Eastern literature, heart rate correlates with certain musical aspects including tempo, melody, and music genre. The present research studied the variation of heart rate while listening to sedative and excitative Sri Lankan folk melodies. Prashasthi and Kamath folk musical creations have been selected for this experiment. Forty-five men between the ages of 25-30 who had never studied music were used as samples in this research. The mean heart rates of the subjects have increased significantly while listening to the prashasthi song. The mean heart of the subjects three minutes after stopping the prashasthi song remained significantly increased compared to their baseline (p < 0.01). Listening to Kamath songs did not significantly change the mean heart rates of the subjects.
{"title":"THE INFLUENCE OF UNIQUE MELODIES OF PRASHASTHI AND KAMATH SONGS IN SRI LANKAN FOLK MUSIC ON HEART RATE","authors":"Isuru Dehideniya","doi":"10.31674/mjmr.2021.v05i03.004","DOIUrl":"https://doi.org/10.31674/mjmr.2021.v05i03.004","url":null,"abstract":"Music plays an important role in our day to day life as a source of entertainment. More importantly music can also affect the other aspects of physical, mental, social and spiritual wellbeing of a person. According to Western and Eastern literature, heart rate correlates with certain musical aspects including tempo, melody, and music genre. The present research studied the variation of heart rate while listening to sedative and excitative Sri Lankan folk melodies. Prashasthi and Kamath folk musical creations have been selected for this experiment. Forty-five men between the ages of 25-30 who had never studied music were used as samples in this research. The mean heart rates of the subjects have increased significantly while listening to the prashasthi song. The mean heart of the subjects three minutes after stopping the prashasthi song remained significantly increased compared to their baseline (p < 0.01). Listening to Kamath songs did not significantly change the mean heart rates of the subjects.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"11 38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79595868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.31674/mjmr.2021.v05i03.001
Tan Kui Foung, M. Aris, N. S. K. Roslee
Fetal cardiac rhabdomyoma is a rare disease, and most of the cases are detected incidentally during the antenatal ultrasound. This is a case discovered during antenatal ultrasonography at 29 weeks of gestation. Multiple hyperechoic round shape masses were seen in the cardiac. After birth, the baby had been under a paediatric cardiologist follow-up with regular echocardiography. Management was mainly conservative at the time being as there was no sign of obstruction.
{"title":"A CASE REPORT: PRENATAL DIAGNOSIS OF FETAL CARDIAC RHABDOMYOMA","authors":"Tan Kui Foung, M. Aris, N. S. K. Roslee","doi":"10.31674/mjmr.2021.v05i03.001","DOIUrl":"https://doi.org/10.31674/mjmr.2021.v05i03.001","url":null,"abstract":"Fetal cardiac rhabdomyoma is a rare disease, and most of the cases are detected incidentally during the antenatal ultrasound. This is a case discovered during antenatal ultrasonography at 29 weeks of gestation. Multiple hyperechoic round shape masses were seen in the cardiac. After birth, the baby had been under a paediatric cardiologist follow-up with regular echocardiography. Management was mainly conservative at the time being as there was no sign of obstruction.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88073496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.31674/MJMR.2021.V05I02.005
Randy Ian F. Gallego, Amal Abdullah
Background: Soil-transmitted helminths are the most common cause of childhood parasitic infection particularly in developing countries. Government efforts are geared towards addressing this health concern especially among school-aged children who are most vulnerable to intestinal infections secondary to environmental exposure from play and recreation. This study examines the determinants of effectiveness of the national deworming program initiated by the Department of Health in Marawi City, Philippines. Methods: The study used descriptive-correlational research design involving 50 parents/guardians of children who were recipients of the national deworming program. Validity and reliability-tested questionnaires were used as instrument. The data obtained was analyzed using frequency and percentage distribution, weighted mean and Chi-square correlation technique. Results: When tested at 0.05 level of 2 2 significance, the chi-square values obtained were ( x =108.494) and ( x =42.957) at p -value=0.000, revealing that assessment, evaluation and monitoring of the recipients before and after deworming interventions have a significant association to the perceived effectiveness of the program. Conclusion: The present national school deworming drive can be improved further by creating clear-cut protocols and procedures to assess parameters that would measure assessment findings, evaluation and monitoring of children vis-à-vis effects of anti-helminthic drugs taken.
{"title":"STRUCTURED ASSESSMENT, EVALUATION AND MONITORING PARAMETERS: CRITICAL CORRELATES TO THE PERCEIVED EFFECTIVENESS OF SCHOOL-BASED DEWORMING PROGRAMS","authors":"Randy Ian F. Gallego, Amal Abdullah","doi":"10.31674/MJMR.2021.V05I02.005","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I02.005","url":null,"abstract":"Background: Soil-transmitted helminths are the most common cause of childhood parasitic infection particularly in developing countries. Government efforts are geared towards addressing this health concern especially among school-aged children who are most vulnerable to intestinal infections secondary to environmental exposure from play and recreation. This study examines the determinants of effectiveness of the national deworming program initiated by the Department of Health in Marawi City, Philippines. Methods: The study used descriptive-correlational research design involving 50 parents/guardians of children who were recipients of the national deworming program. Validity and reliability-tested questionnaires were used as instrument. The data obtained was analyzed using frequency and percentage distribution, weighted mean and Chi-square correlation technique. Results: When tested at 0.05 level of 2 2 significance, the chi-square values obtained were ( x =108.494) and ( x =42.957) at p -value=0.000, revealing that assessment, evaluation and monitoring of the recipients before and after deworming interventions have a significant association to the perceived effectiveness of the program. Conclusion: The present national school deworming drive can be improved further by creating clear-cut protocols and procedures to assess parameters that would measure assessment findings, evaluation and monitoring of children vis-à-vis effects of anti-helminthic drugs taken.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78573908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.31674/MJMR.2021.V05I02.006
S. Bhattacharya, Shakya Sinha, S. Bhattacharya, Sandeep Poddar
COVID-19 has been declared a pandemic by the World Health Organization (WHO) in March 2020. The governments have imposed various restrictions and taken several preventive measures to contain the spread of this viral infection. People started experiencing a new, unpredictable and rapidly evolving situation. During this one year of pandemic period, the rising tide of coronavirus infections, strict preventive measures like lockdowns and corona curfews, living life on the edge every day, uncertainty of the future and many more adverse situations have triggered anxiety among different groups of people including the college students. After a year of the ongoing pandemic, the situation still demands a sensible response towards the disease. A study was conducted to know the overall awareness level of COVID-19 among the students of West Bengal, India. Respondents of this study were apprehensive about several factors like the decreasing availability of jobs, a lack of real-life experience and a turbulent economic situation. The aspirations of students of getting their dream job, seeking admission in a prestigious institution and becoming economically independent are also affected by the pandemic situation. In this context, there is an urgent need for sustained awareness through recognized and responsible print, electronic, and social media so that students can update their understanding of the pandemic. The development of scientific temper and rationalization among the students may reduce the anxiety of their future and help them to nurture their aspirations for better career prospects in this pandemic situation.
{"title":"STUDIES ON THE AWARENESS, APPREHENSIONS AND ASPIRATIONS OF THE UNIVERSITY STUDENTS OF WEST BENGAL, INDIA IN THE CONTEXT OF COVID-19 PANDEMIC","authors":"S. Bhattacharya, Shakya Sinha, S. Bhattacharya, Sandeep Poddar","doi":"10.31674/MJMR.2021.V05I02.006","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I02.006","url":null,"abstract":"COVID-19 has been declared a pandemic by the World Health Organization (WHO) in March 2020. The governments have imposed various restrictions and taken several preventive measures to contain the spread of this viral infection. People started experiencing a new, unpredictable and rapidly evolving situation. During this one year of pandemic period, the rising tide of coronavirus infections, strict preventive measures like lockdowns and corona curfews, living life on the edge every day, uncertainty of the future and many more adverse situations have triggered anxiety among different groups of people including the college students. After a year of the ongoing pandemic, the situation still demands a sensible response towards the disease. A study was conducted to know the overall awareness level of COVID-19 among the students of West Bengal, India. Respondents of this study were apprehensive about several factors like the decreasing availability of jobs, a lack of real-life experience and a turbulent economic situation. The aspirations of students of getting their dream job, seeking admission in a prestigious institution and becoming economically independent are also affected by the pandemic situation. In this context, there is an urgent need for sustained awareness through recognized and responsible print, electronic, and social media so that students can update their understanding of the pandemic. The development of scientific temper and rationalization among the students may reduce the anxiety of their future and help them to nurture their aspirations for better career prospects in this pandemic situation.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84892441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.31674/MJMR.2021.V05I02.004
Zul Hazmi Zawawi, S. E. Shalihin
Gastric tumour if large enough can be suspected from proper abdominal examination. It can easily be missed if the doctor did not perform correct examination technique. A 59-year-old man, no known illness presented with isolated symptoms of abdominal pain for three weeks. He had sought attention to two primary care clinics and was reassured to have dyspepsia. However, his symptoms did not resolve. In line with WHO approach in primary care, we proceed with thorough clinical examination. Despite subacute presentation of less than one month, surprisingly there is a palpable mass at his epigastric area with irregular margin. Without initial imaging study, we referred this case urgently to the surgical team with a high possibility of gastric malignancy. Urgent CT scan was performed in which huge mass arising from posterior wall of stomach was revealed. He was then successfully managed with total gastrectomy and esophagojejunostomies. Postoperatively, he recovers well and benefit regular surgical follow up. This case highlights the importance of clinical examination in all cases that come to our attention. It might be missed if every medical professional assumes dyspepsia as gastritis and comes into diagnosis without proper examination.
{"title":"CORRECT HAND PALPATION –A PROVEN CASE TO DETECT MALIGNANCY","authors":"Zul Hazmi Zawawi, S. E. Shalihin","doi":"10.31674/MJMR.2021.V05I02.004","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I02.004","url":null,"abstract":"Gastric tumour if large enough can be suspected from proper abdominal examination. It can easily be missed if the doctor did not perform correct examination technique. A 59-year-old man, no known illness presented with isolated symptoms of abdominal pain for three weeks. He had sought attention to two primary care clinics and was reassured to have dyspepsia. However, his symptoms did not resolve. In line with WHO approach in primary care, we proceed with thorough clinical examination. Despite subacute presentation of less than one month, surprisingly there is a palpable mass at his epigastric area with irregular margin. Without initial imaging study, we referred this case urgently to the surgical team with a high possibility of gastric malignancy. Urgent CT scan was performed in which huge mass arising from posterior wall of stomach was revealed. He was then successfully managed with total gastrectomy and esophagojejunostomies. Postoperatively, he recovers well and benefit regular surgical follow up. This case highlights the importance of clinical examination in all cases that come to our attention. It might be missed if every medical professional assumes dyspepsia as gastritis and comes into diagnosis without proper examination.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81698104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.31674/MJMR.2021.V05I02.002
W. Rahman, N. Suliman, S. Sigh
Neovascular Glaucoma (NVG) is a severe form of secondary glaucoma characterized by proliferation of fibrovascular tissue in the anterior chamber angle. Clinically rubeosis iridis was seen at the pupillary margin and angle via gonioscopy.NVG results in guarded visual prognosis in view of aggressive clinical course and the difficulty in controlling the intraocular pressure(IOP).Patient treatment is indivdualized by taking into account patient visual prognosis, severity, level ofIOP, the cause of NVG, financial issues and patient's expectations. Trans-scleral cytophotocoagulations is one of the modalities available to reduce the intraocular pressure, usually reserved for the poor prognosis eye in view of its destructive nature . TSCPC in a good prognosis eye is always used in cautions.In this case series, we present 3 case of NVG whichwe use the early limited TSCPC to reduce the IOP to buy time for other managementsin which patient have good visual outcome.
{"title":"CASE SERIES OF NEOVASCULAR GLAUCOMA:EARLY LIMITEDTRANS-SCLERAL CYTOPHOTOCOAGULATIONS (TSCPC) AS AN OPTIONS FOR PREPARATION OF FILTERING SURGERY IN NVG PATIENTS CAN SAVE PATIENT’S VISIONS","authors":"W. Rahman, N. Suliman, S. Sigh","doi":"10.31674/MJMR.2021.V05I02.002","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I02.002","url":null,"abstract":"Neovascular Glaucoma (NVG) is a severe form of secondary glaucoma characterized by proliferation of fibrovascular tissue in the anterior chamber angle. Clinically rubeosis iridis was seen at the pupillary margin and angle via gonioscopy.NVG results in guarded visual prognosis in view of aggressive clinical course and the difficulty in controlling the intraocular pressure(IOP).Patient treatment is indivdualized by taking into account patient visual prognosis, severity, level ofIOP, the cause of NVG, financial issues and patient's expectations. Trans-scleral cytophotocoagulations is one of the modalities available to reduce the intraocular pressure, usually reserved for the poor prognosis eye in view of its destructive nature . TSCPC in a good prognosis eye is always used in cautions.In this case series, we present 3 case of NVG whichwe use the early limited TSCPC to reduce the IOP to buy time for other managementsin which patient have good visual outcome.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80599149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.31674/MJMR.2021.V05I01.005
Anita Paul Samanta, Ansuman Mitra
A retrospective medical record analysis was done to identify the physical problems, related risk factors, and psychological problems faced by flood affected victims of Uttarakhand. The main aim of the study is to disintegrate the information related to the impact of the disasters on people and sustainable environment, which can be prevented with appropriate preparedness and measures. A total of 2311 patients were taken care. Of these, (41.8%) were middle-aged (18–50 years), 35% were below 18 years, and 23.2% of them were above 50 years of age. 26.76% of them suffering from RTI, 25.33% from GI problems, 10.84% had dental problems, and 10.41% skin problems.7.41% of the victims had orthopedic problems, 5.75% ENT issues, 5.48% eye infections, 4.68% CVS problems. Again this is to be noted that 3.34 % of them were suffering from UTI. Data also depicted that 39.88 % of the people was suffering from acute stress disorder. Identified risk factors were unavailability of safe drinking water, food, gathering of the victims in a small or uncovered space, severe financial losses and loss of the near and dear one respectively. The victims received health care and treatment for a period of one year. People suffering from severe illness were transferred to the tertiary care hospital. The caregivers also suffered from diarrhea and fever occasionally.
{"title":"ASSESSMENT OF PHYSICAL HEALTH PROBLEMS ALONG WITH RISK FACTORSAND PSYCHOLOGICAL HEALTH PROBLEMS OF THE VICTIMS ATTENDING POST-DISASTER MEDICAL CARE FACILITY AT UTTARAKHAND, INDIA","authors":"Anita Paul Samanta, Ansuman Mitra","doi":"10.31674/MJMR.2021.V05I01.005","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I01.005","url":null,"abstract":"A retrospective medical record analysis was done to identify the physical problems, related risk factors, and psychological problems faced by flood affected victims of Uttarakhand. The main aim of the study is to disintegrate the information related to the impact of the disasters on people and sustainable environment, which can be prevented with appropriate preparedness and measures. A total of 2311 patients were taken care. Of these, (41.8%) were middle-aged (18–50 years), 35% were below 18 years, and 23.2% of them were above 50 years of age. 26.76% of them suffering from RTI, 25.33% from GI problems, 10.84% had dental problems, and 10.41% skin problems.7.41% of the victims had orthopedic problems, 5.75% ENT issues, 5.48% eye infections, 4.68% CVS problems. Again this is to be noted that 3.34 % of them were suffering from UTI. Data also depicted that 39.88 % of the people was suffering from acute stress disorder. Identified risk factors were unavailability of safe drinking water, food, gathering of the victims in a small or uncovered space, severe financial losses and loss of the near and dear one respectively. The victims received health care and treatment for a period of one year. People suffering from severe illness were transferred to the tertiary care hospital. The caregivers also suffered from diarrhea and fever occasionally.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"79 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83421408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.31674/MJMR.2021.V05I01.002
S. Bhattacharya, Shakya Sinha, Tanuka Ghosh, R. Tilak
The COVID-19 pandemic caused by a zoonotic virus - Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) demands knowledge about the impact of environmental factors in the epidemiology of the disease. Lower air temperature and lower humidity could be associated with increased SARS-CoV-2 transmission like other human coronaviruses (HCoVs). The higher stability of SARS-CoV-2 in lower temperature is also reinforcing this assumption. In winter, the levels of atmospheric particulate matter (PM) remains significantly high which could act as a mechanical transport vector for SARS-CoV-2 apart from its role as a pollutant that causes inflammation in the lungs and contribute to the severity of COVID-19. Moreover, inhaling small airborne droplets is also a probable transmission route for SARS-CoV-2 and this could be significant during longer indoor staying behavior in winter. Asymptomatic and pre-symptomatic cases of SARS-CoV-2 are also evident. High population density in urban areas forces more people to share common space inside houses, thus creating a possible virogenic environment. It is postulated that the changes in human behavior, such as staying relatively more time indoors, and the increased stability of SARS-CoV-2 during the winter months along with higher atmospheric PM concentration may develop a favorable situation for SARS-CoV-2 transmission.
{"title":"POSSIBLE IMPACT OF ATMOSPHERIC PARTICULATE MATTER ANDINDOORSTAYINGBEHAVIOURINWINTERONSARS-COV-2TRANSMISSION: AN EXPLORATORY REVIEW","authors":"S. Bhattacharya, Shakya Sinha, Tanuka Ghosh, R. Tilak","doi":"10.31674/MJMR.2021.V05I01.002","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I01.002","url":null,"abstract":"The COVID-19 pandemic caused by a zoonotic virus - Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) demands knowledge about the impact of environmental factors in the epidemiology of the disease. Lower air temperature and lower humidity could be associated with increased SARS-CoV-2 transmission like other human coronaviruses (HCoVs). The higher stability of SARS-CoV-2 in lower temperature is also reinforcing this assumption. In winter, the levels of atmospheric particulate matter (PM) remains significantly high which could act as a mechanical transport vector for SARS-CoV-2 apart from its role as a pollutant that causes inflammation in the lungs and contribute to the severity of COVID-19. Moreover, inhaling small airborne droplets is also a probable transmission route for SARS-CoV-2 and this could be significant during longer indoor staying behavior in winter. Asymptomatic and pre-symptomatic cases of SARS-CoV-2 are also evident. High population density in urban areas forces more people to share common space inside houses, thus creating a possible virogenic environment. It is postulated that the changes in human behavior, such as staying relatively more time indoors, and the increased stability of SARS-CoV-2 during the winter months along with higher atmospheric PM concentration may develop a favorable situation for SARS-CoV-2 transmission.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82014330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.31674/MJMR.2021.V05I01.001
I. García, Mark Gilbert S. Milallos
Vallecular cysts are benign retention cysts of the minor salivary glands and the most common site is the lingual surface of epiglottis, which causes distortion to the epiglottis when increased in size and eventually fill the vallecular that can block the laryngeal inlet causing severe respiratory distress. Although not common this is a potentially dangerous condition that causes stridor and this has been associated with sudden airway obstruction resulting to death. This is a case of a 9-day old male neonate referred from General Surgery as a direct to Operating Room case due to imperforate anus. He is full term, delivered normally via vaginal delivery with a birth weight of 3kg. Upon administration of general anesthesia, the vallecular cyst was initially identified and during the PACU stay of the patient, stridor was noted after extubation, which resulted reintubation to stabilize him. Appropriate referral was made and a confirmed diagnosis of vallecular cyst was made. Patient then underwent marsupialization of the cyst. In conclusion, the presence of vallecular cysts poses a challenge to anesthesiologists especially on incidental findings during the administration of general anesthesia. They must be familiar with the algorithms of care for patients with vallecular cysts and should have necessary skills in identifying signs of distress to avoid unfavorable circumstances and demise.
{"title":"AIRWAY MANAGEMENT IN A PATIENT WITH AN INCIDENTAL FINDINGOF VALLECULAR CYST DURING INDUCTION OF GENERAL ANESTHESIA","authors":"I. García, Mark Gilbert S. Milallos","doi":"10.31674/MJMR.2021.V05I01.001","DOIUrl":"https://doi.org/10.31674/MJMR.2021.V05I01.001","url":null,"abstract":"Vallecular cysts are benign retention cysts of the minor salivary glands and the most common site is the lingual surface of epiglottis, which causes distortion to the epiglottis when increased in size and eventually fill the vallecular that can block the laryngeal inlet causing severe respiratory distress. Although not common this is a potentially dangerous condition that causes stridor and this has been associated with sudden airway obstruction resulting to death. This is a case of a 9-day old male neonate referred from General Surgery as a direct to Operating Room case due to imperforate anus. He is full term, delivered normally via vaginal delivery with a birth weight of 3kg. Upon administration of general anesthesia, the vallecular cyst was initially identified and during the PACU stay of the patient, stridor was noted after extubation, which resulted reintubation to stabilize him. Appropriate referral was made and a confirmed diagnosis of vallecular cyst was made. Patient then underwent marsupialization of the cyst. In conclusion, the presence of vallecular cysts poses a challenge to anesthesiologists especially on incidental findings during the administration of general anesthesia. They must be familiar with the algorithms of care for patients with vallecular cysts and should have necessary skills in identifying signs of distress to avoid unfavorable circumstances and demise.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73775682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.31674/MJMR.2021.V05I01.006
Feny Wartisa, Aldo Yuliano Mas Putra
MSM (men having sex with men) is counted for almost 17% of new HIV infections in the world. It revealedof MSM prevalence with HIV infection in Indonesia increased 2.5 times since 2013. Meanwhile, HIV prevalence in West Sumatra with MSM 2018 recorded36% on risk factors. Bukittinggi, one of the biggest cities in those areas, is having the highest incidence rate (18.1%) against the population ratio on HIV positive cases. Thisstudy aims to determine the association of biological factors, a history of a breakup with female partners, peers influence, parenting styles, family father figures, history of sexual violence, history of migration, and utilization of social media on men who have sex with men incidence. This analytical study onthe mixed-method methodologyapplied a cross-sectional approach involving 456 population which recruited 69 people as a research sample. Using snowball sampling, questionnaires were mediated as data accumulation which then was analyzed using the Spearman Rho test. It verified that biological factors ( p =0.044, r =0.243) and a breaking up with women status ( p =0.000, r = -0.558) indicated of MSM incidence. On the other hand, peer relations, parenting style, lack of father's role in the family, the history of sexual violence, migrating status, and social media exertion showed no significant relation to MSM incidents. Eventually, it should embroil the parents, teachers, and related agency's role to reduce the MSM stimulation in the community, and reciprocally will decrease the chain of HIV/AIDS transmission.
MSM(男男性行为者)占全球新增艾滋病毒感染者的近17%。报告显示，自2013年以来，印尼男同性恋者感染艾滋病毒的人数增加了2.5倍。与此同时，根据风险因素，2018年西苏门答腊男同性恋者的艾滋病毒感染率为36%。武吉丁吉是这些地区最大的城市之一，与艾滋病毒阳性病例的人口比率相比，发病率最高(18.1%)。本研究旨在确定生物学因素、与女性伴侣分手史、同伴影响、养育方式、家庭父亲形象、性暴力史、移民史和社交媒体使用与男男性行为发生率的关系。本研究采用横断面方法对456个人群进行分析，共招募69人作为研究样本。采用滚雪球抽样，将问卷作为数据积累进行中介，然后使用Spearman Rho检验进行分析。经验证，生物学因素(p =0.044, r =0.243)和与女性分手状态(p =0.000, r = -0.558)是MSM发病率的指标。另一方面，同伴关系、养育方式、父亲在家庭中的角色缺失、性暴力史、移民身份和社交媒体使用与MSM事件没有显著关系。最终，应该调动家长、教师和相关机构的作用，减少社区中MSM的刺激，从而减少艾滋病毒/艾滋病的传播链。
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