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Cavernous Lymphangioma of the Digits: A Rare Cause of Macrodactyly 趾海绵状淋巴管瘤:一种罕见的大指畸形病因
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.24
J. Sapuan
MATERIALS & METHODS: An 18-month-old girl presented with a gradually enlarging bulbous swelling of the left ring and little finger since birth. Both fingers were swollen and sausage like with marked ulna deviation of the distal phalanges. The swellings were asymmetrical, soft, smooth and multilobulated extending over the dorsum of the hand from the metacarpophalangeal joints till the distal interphalangeal joints (Figure 1) and compromised the function of both digits. Radiograph showed a large soft tissue shadow with no bony involvement. MRI revealed a large subcutaneous tissue mass of the ring and little fingers with no definite margins. The mass was homogenous in consistency, hypointense in T1 and hyperintense in T2 weighted sequence indicating presence of fat. The provisonal diagnosis was macrodystrophic lipomatosa of the ulnar nerve as the bones were normal in size and the nonfatty dominance of the mass atypical of such lesion. She then underwent two debulking surgeries.
材料与方法:1例18个月大的女婴,出生后出现左无名指和小指逐渐增大的球根性肿胀。两指肿胀,呈肠状,远端指骨尺骨明显偏曲。肿胀不对称,柔软,光滑,呈多叶状,从掌指关节一直延伸到远端指间关节(图1),并损害了双指的功能。x线片显示一大片软组织影,未累及骨骼。MRI显示无名指和小指皮下组织肿块大,边缘不明确。肿块呈均匀一致性,T1呈低密度,T2呈高密度,提示存在脂肪。临时诊断为尺神经巨营养不良性脂肪瘤,因为骨骼大小正常,肿块非脂肪性占主导地位,是非典型病变。然后她接受了两次减脂手术。
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引用次数: 1
Oropharyngeal Foreign Body: Upper Airway Management Strategies in Paediatric Population 口咽异物:儿科人群上呼吸道管理策略
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.23
A. Ismail
Foreign body (FB) ingestion among children is one of the most common presenting complaint to Emergency Department. Oropharyngeal foreign body are the least common, 5-10% in all FB ingestion. However, it carries significant mortality and morbidity following complications which may arise from it. Airway obstruction is one of the complications which may present after FB ingestion. Due to the significant differences in airway anatomy and physiology of children, management
儿童异物摄入是急诊科最常见的主诉之一。口咽异物最不常见,占所有FB摄入的5-10%。然而,它有很高的死亡率和发病率,可能会引起并发症。气道阻塞是食入FB后可能出现的并发症之一。由于患儿气道解剖和生理的显著差异,处理
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引用次数: 0
The Use of Complementary and Alternative Medicine among Malaysian Chronic Kidney Disease Patients 马来西亚慢性肾病患者使用补充和替代医学
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.20
A. Gafor
Many of our chronic kidney disease (CKD) patients venture into complementary and alternative medicine (CAM) to seek a cure for the disease beyond conventional management. The objective of this study was to determine the prevalence and pattern of CAM usage; and its association with the progression of CKD in our population. This was a cross-sectional survey recruited CKD patients from Universiti Kebangsaan Malaysia Medical Centre (UKMMC). Data was collected via interview using questionnaires which explore the demographics, type and pattern of CAM use. Patients’ comorbidities and serum creatinine were extracted from the medical notes to assess the association between progression of CKD and usage of CAM. Chi-square, Independent Samples t-test, Mann-Whitney U test and logistic regression were used to evaluate for an association. Three hundred and seventy two eligible patients were recruited. The prevalence of CAM use was 29% in the past year. Younger age, higher education and higher income level were associated with significantly more usage of CAM. Natural products were the commonest type of CAM used (86.1%). The belief in the effectiveness of CAM was the main reason for its uptake and about 57.8% revealed their practice to their physician. We found that the use of CAM in Malaysian CKD patients did not influence the progression of the disease.
我们的许多慢性肾脏疾病(CKD)患者冒险进入补充和替代医学(CAM)寻求治疗疾病超越传统管理。本研究的目的是确定CAM使用的流行程度和模式;以及它与慢性肾病进展的关系。这是一项横断面调查,从马来西亚国民大学医学中心(UKMMC)招募CKD患者。数据是通过问卷调查收集的,问卷调查探讨了CAM使用的人口统计、类型和模式。从医疗记录中提取患者的合并症和血清肌酐,以评估CKD进展与CAM使用之间的关系。采用卡方检验、独立样本t检验、Mann-Whitney U检验和logistic回归对相关性进行评价。招募了372名符合条件的患者。在过去一年中,辅助生殖疗法的使用率为29%。年龄越小、教育程度越高、收入水平越高与CAM的使用显著相关。天然产物是使用最多的CAM类型(86.1%)。相信辅助医学的有效性是其采用的主要原因,约57.8%的人向医生透露了他们的做法。我们发现在马来西亚CKD患者中使用CAM并不影响疾病的进展。
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引用次数: 1
Bacteraemia in Haematopoietic Stem Cell Transplant Recipients in a Single Tertiary Referral Centre 单一三级转诊中心造血干细胞移植受者的菌血症
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.06
S. Wahid
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引用次数: 0
Vitreous Haemorrhage: A Consequence of Herpes Simplex Acute Retinal Necrosis 玻璃体出血:单纯疱疹急性视网膜坏死的结果
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.26
Sherina Quay
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引用次数: 0
Correlation of Rheumatoid Factor Serotypes and Computed Tomography Findings in Rheumatoid Arthritis Related Interstitial Lung Disease 类风湿因子血清型与类风湿关节炎相关性肺间质性疾病ct表现的相关性
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.18
R. Sakthiswary, S. Radhika, S. Sazliyana, A. Wahab
The most common extra-articular manifestation of rheumatoid arthritis (RA) is interstitial lung disease (ILD). RA related ILD (RA-ILD) is associated with significant morbidity and mortality. The main objective of this study was to determine the
类风湿性关节炎(RA)最常见的关节外表现是间质性肺疾病(ILD)。RA相关性ILD (RA-ILD)与显著的发病率和死亡率相关。本研究的主要目的是确定
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引用次数: 1
Various Ways of Continuous Intraocular Pressure Monitoring in Glaucoma Patients: A Narrative Review 青光眼患者持续眼压监测的多种方法综述
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.02
J. Hamzah
Glaucoma is a group of neurodegenerative disease linked with imbalance in
青光眼是一组神经退行性疾病,与蛋白质失衡有关
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引用次数: 0
The Effects of Annatto Tocotrienol on Body Composition and Serum Adiponectin, Leptin and Glucose Level in a Rat Model of Androgen Deficiency Induced by Buserelin 红木生育三烯醇对大鼠雄性激素缺乏模型体成分及血清脂联素、瘦素和葡萄糖水平的影响
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.15
Chin Kok-Yong
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引用次数: 1
Hidden Germ of the Immunocompromised: A Case of Fungal Orbital Cellulitis 免疫功能低下的隐性细菌:真菌性眼眶蜂窝织炎1例
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.25
Er Lay Ze
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引用次数: 0
19TH HEALTH AND MEDICAL RESEARCH WEEK "EXCELLENCE IN RESEARCH" 第十九届卫生与医学研究周“卓越研究”
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2017-12-28 DOI: 10.17576/MH.2017.s1202
N. Mokhtar
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引用次数: 0
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