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Full-Text Articles in Medicine and Health Sciences

Comparative Analysis Of Autologous Chondrocyte Implantation And Other Treatment Modalities: A Systematic Review, Sangeetha Naveen, Noorzurani Robson Associate Prof. Dr., Tunku Kamarul Apr 2011

Comparative Analysis Of Autologous Chondrocyte Implantation And Other Treatment Modalities: A Systematic Review, Sangeetha Naveen, Noorzurani Robson Associate Prof. Dr., Tunku Kamarul

Associate Prof. Dr. Noorzurani Robson

Abstract Purpose: The purpose of this systematic review was to analyze and determine the effectiveness of Autologous Chondrocyte Implantation (ACI) when compared with other treatment modalities which includes microfracture, mosaicplasty, abrasionplasty, bone marrow derived mesenchymal stem cell (BMSC) and matrix assisted autologous chondrocyte implantation (MACI). Methods: Literature search using online databases PubMed, Scopus, National Institute for Clinical Excellence (NICE) and Cochrane Controlled Trial Register regarding all cell based therapies and other interventions for chondral lesions was explored. Data on clinical outcome and repair quality were analyzed. Duplicates and irrelevant articles were omitted. Result: Seventeen (n=17) studies were included in this …


Public Perceptions And Attitudes Toward Thalassaemia: Influencing Factors In A Multi-Racial Population, Maryanne Jin Ai Tan Maryanne Mar 2011

Public Perceptions And Attitudes Toward Thalassaemia: Influencing Factors In A Multi-Racial Population, Maryanne Jin Ai Tan Maryanne

Mary Anne Tan Jin Ai

Thalassaemia is a common public health problem in Malaysia and about 4.5 to 6% of the Malays and Chinese are carriers of this genetic disorder. The major forms of thalassaemia result in death in utero of affected foetuses (α-thalassaemia) or life-long blood transfusions for survival in β-thalassaemia. This study, the first nationwide population based survey of thalassaemia in Malaysia, aimed to determine differences in public awareness, perceptions and attitudes toward thalassaemia in the multi-racial population in Malaysia. Methods: A cross-sectional computer-assisted telephone interview survey of a representative sample of multi-racial Malaysians aged 18 years and above was conducted between July …


Prevalence And Molecular Study Of G6pd Deficiency In Malaysian Orang Asli, Farahnaz Amini Jan 2011

Prevalence And Molecular Study Of G6pd Deficiency In Malaysian Orang Asli, Farahnaz Amini

Farahnaz Amini

This study aims to define the prevalence and the molecular basis of G6PD deficiency in the Negrito tribe of the Malaysian Orang Asli. Four hundred and eighty seven consenting Negrito volunteers were screened for G6PD deficiency through the use of a fluorescent spot test. DNA from deficient individuals underwent PCR-RFLP analysis using thirteen recognized G6PD mutations. In the instances when the mutation could not be identified by PCR-RFLP, the entire coding region of the G6PD gene was subjected to DNA sequencing. In total, 9% (44/486) of the sample were found to be G6PD-deficient. However, only 25 samples were subjected to …


Disruptive Behaviors: Impact On Communication And The Bottom Line, Joshua M. Benson Jan 2011

Disruptive Behaviors: Impact On Communication And The Bottom Line, Joshua M. Benson

Joshua M Benson

The ramifications of disruptive behavior are detrimental and systemic. This article defines disruptive behaviors and identifies some stressors that cause such behavior. We will also look at what impact disruptive behaviors have on hospitals economically, the emotional toll on health-care teams, and patient safety and quality. Finally, we will discuss how to successfully address and curb disruptive behaviors.


Clinical Subjectivation: Anthropologies Of Contemporary Biomedical Training., Seth M. Holmes Phd, Md, Angela C. Jenks Phd, Scott Stonington Phd, Md Jan 2011

Clinical Subjectivation: Anthropologies Of Contemporary Biomedical Training., Seth M. Holmes Phd, Md, Angela C. Jenks Phd, Scott Stonington Phd, Md

Seth M. Holmes PhD, MD

No abstract provided.


En-Case-Ing The Patient: Disciplining Uncertainty In Medical Student Patient Presentations., Seth M. Holmes Phd, Md, Maya Ponte Phd, Md Jan 2011

En-Case-Ing The Patient: Disciplining Uncertainty In Medical Student Patient Presentations., Seth M. Holmes Phd, Md, Maya Ponte Phd, Md

Seth M. Holmes PhD, MD

The problem-oriented medical record is the widespread, standardized format for presenting and recording information about patients, which is taught to future physicians early in their medical training. Based on our participant obser- vation of medical training, we analyze the ways in which the patient presentation operates in medical training as a disciplinary technology that manages uncertainty in the clinical decision-making process. We uncover various mechanisms at work including the construction of a coherent narrative structure in which chaotic experiences are re-organized and re-interpreted to fit neatly in a linear plot with a predictable ending, the atomization of the patient as …


Structural Vulnerability And Hierarchies Of Ethnicity And Citizenship On The Farm., Seth M. Holmes Phd, Md Jan 2011

Structural Vulnerability And Hierarchies Of Ethnicity And Citizenship On The Farm., Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

Every year, the United States employs nearly two million seasonal farm laborers, approximately half of whom are migrants (Rothenberg 1998). This article utilizes one year of participant observation on a berry farm in Washington State to analyze hierarchies of ethnicity and citizenship, structural vulnerability, and health disparities in agriculture in the United States. The farm labor structure is organized along a segregated continuum from US citizen Anglo-American to US citizen Latino, undocumented mestizo Mexican to undocumented indigenous Mexican. The ethnography shows how this structure symbolically reinforces conflations of race with perceptions of civilized and modern subjects. These hierarchies produce what …