Singap Med J
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Internal fixation with a plate in the management of non-union for shaft of long bones has been condemned but the review of the literature does not provide such unequivocal evidence. Also there are certain situations where it is either technically not feasible or contraindicated to do closed intramedullary nailing. This study was done to see the outcome of plate-fixation for the treatment of non-union of the shaft of long bones. ⋯ Plate fixation is useful and effective in the management of non-union, more so in situations where it is technically not feasible to do closed intramedullary nailing. The incidence of infection, success of union and time to union are comparable with other methods.
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Comparative Study
Social impact of nasopharyngeal carcinoma on Chinese households in Selangor, Malaysia.
With a five-year survival rate of 20% in 1970 and 40-45% in 1990, and highest incidence and mortality in early and middle adult years, nasopharyngeal carcinoma (NPC) may have a severe social impact on families and households. The aim of this study was to measure the social impact of NPC in the Chinese population of Selangor, Malaysia. ⋯ The illness and death caused by NPC had a major social impact on immediate families and on extended family and non-kin households as well.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of the maintenance and recovery charcateristic of sevoflurane-nitrous oxide against isoflurane-nitrous oxide anaesthesia.
To compare the maintenance and recovery characteristics of sevoflurane and isoflurane anaesthesia in Malaysian patients. ⋯ We concluded that sevoflurane is a safe alternative to isoflurane but in these short procedures, awakening time was surprisingly slower than after isoflurane.
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The Internet is an extremely powerful innovation that has and will continue to shape the healthcare industry in the years to come. Albeit a little too slowly, doctors are starting to catch onto this new wave of digital empowerment and creating niches that will enhance their ability to care for their patients and ultimately add value to their practices. The challenge is to encourage every doctor to come on board. ⋯ The Internet can therefore be exploited to provide a supra system that can draw personal medical information together from anywhere to create a virtual electronic medical record. The Internet can also be used to shape up an Internet-based healthcare delivery system. The healthcare delivery paradigm shift brought about by the Internet calls for an eHealth strategy.
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Case Reports
Clinics in diagnostic imaging (53). Hepatic portal venous gas due to mesenteric infarction.
A 43-year-old woman presented with acute abdominal pain and signs of ileus. CT scan of the abdomen showed hepatic portal venous gas. ⋯ The cause was superior mesenteric artery occlusion. The aetiology, imaging features and clinical significance of hepatic portal venous gas are discussed.