“Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. Wha... more “Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. What if this happens to you in your first clinical year? As you put your new stethoscope diaphragm to your patient’s chest, you might struggle to differentiate vesicular from bronchial breathing, stridor, wheezing, pleural friction rub, or crackles. It is hard to appreciate the variation in breathing sounds especially when you have never heard them clearly …
International journal of gynaecology and obstetrics, Oct 15, 2021
Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch ... more Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch compression suture [1]. Christopher B-Lynch and colleagues first reported this technique in 1997 [2]. Following this, other types of compression sutures, such as modified B-Lynch, Hayman, Pereira, Ouahba, Hackethal, or Cho suture, have proliferated [3, 4].
International Journal of Gynecology & Obstetrics
SynopsisHyperthyroid‐induced pulmonary hypertension in pregnancy is reversible with aggressive tr... more SynopsisHyperthyroid‐induced pulmonary hypertension in pregnancy is reversible with aggressive treatment together with close monitoring of cardiac function.
Background: Vulvar malignant melanoma (VMM) is uncommon and pose a significant management challen... more Background: Vulvar malignant melanoma (VMM) is uncommon and pose a significant management challenge. Here, we presented a case of VMM managed by surgery, chemoradiation and planned for targeted therapy. Case Report: A 70 years old woman with underlying diabetes mellitus and hypertension presented with black-coloured growth around her left vulva for two months. Initial biopsy confirmed malignant melanoma with positive staining for S100, HMB 45, and Melan A. Imaging study showed localized disease to the vulva. Result: She underwent bilateral radical vulvectomy and bilateral inguinofemoral lymph nodes dissection followed by radiotherapy. She had locoregional disease recurrence, which was subsequently managed by palliative perineal radiotherapy, chemotherapy and planned for immunotherapy. Conclusion: Vulvar malignant melanoma is a rare and aggressive tumour, with a poor overall prognosis and high recurrence rate. Adjuvant chemotherapy, radiotherapy and immunotherapy may benefit for lo...
Laparoscopic management in patients on peritoneal dialysis offers good postoperative outcome and ... more Laparoscopic management in patients on peritoneal dialysis offers good postoperative outcome and early resumption to peritoneal dialysis. This is a report of a 43-year-old woman with end-stage kidney disease on peritoneal dialysis presented with left iliac fossa pain due to a large endometrioma. Emergency diagnostic laparoscopy was performed with careful laparoscopic entry, Tenckhoff catheter care and anti-adhesive application. The patient underwent temporary hemodialysis for two weeks before full resumption to peritoneal dialysis. She was planned for GnRH analogue for three months post-operatively. In conclusion, laparoscopy is a safe and advantageous route of surgery for ovarian endometrioma in patients on peritoneal dialysis. However, mindful surgical strategies are needed to ensure the Tenckhoff catheter’s longevity and early resumption to peritoneal dialysis post-operatively.
International Journal of Gynecology & Obstetrics, 2021
Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch ... more Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch compression suture [1]. Christopher B-Lynch and colleagues first reported this technique in 1997 [2]. Following this, other types of compression sutures, such as modified B-Lynch, Hayman, Pereira, Ouahba, Hackethal, or Cho suture, have proliferated [3, 4].
“Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. Wha... more “Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. What if this happens to you in your first clinical year? As you put your new stethoscope diaphragm to your patient’s chest, you might struggle to differentiate vesicular from bronchial breathing, stridor, wheezing, pleural friction rub, or crackles. It is hard to appreciate the variation in breathing sounds especially when you have never heard them clearly …
Contemporary Issues and Development in the Global Halal Industry, 2016
Preimplantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos ... more Preimplantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos created in vitro are analyzed for well-defined genetic defects. With the advancements in science and technology, PGD can now be used to screen embryos for susceptibility and late-onset conditions, human leukocyte antigen (HLA) matching for tissue donation to an existing child, gender selection, and selecting embryos for certain traits. In Malaysia, PGD is being practiced especially in certain private fertility clinics and fertility centers. This technique, however, has raised certain ethical issues, particularly on its use to select the gender of ones’ children. Such controversy has prompted out due to the fact that there has been no clear ethical position. In view of the controversial phenomenon, this research attempts to explore the position of the uses of PGD from the ethical aspect with special reference to Islamic perspectives. The study will be conducted using qualitative research in which data are collected through library research. It is hopeful that the finding of this paper can provide the basic guideline to the authoritative bodies and policy makers in developing the legal provision of PGD by taking into consideration certain principles laid down by Islam.
Contemporary Issues and Development in the Global Halal Industry, 2016
Pre-implantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos... more Pre-implantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos created in vitro are analysed for well-defined genetic defects; only those free from the defects are replaced into the womb. The ability to screen for a variety of characteristics has led to disagreement over what conditions are acceptable for screening. From its emergence, PGD has been opposed by a variety of parties and groups who advocate several grounds and reasons. The disagreement focuses especially on the new uses of PGD to screen embryos for susceptibility and late-onset conditions, for HLA-matching for tissue donation to an existing child, and for gender selection. This paper first describes the current and potential future uses of PGD and addresses some ethical issues which have arisen from this technique. It further analyses the position of this technique from the halal perspective. The finding of this study demonstrates that PGD is an acceptable technique, but with certain restrictions and conditions.
“Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. Wha... more “Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. What if this happens to you in your first clinical year? As you put your new stethoscope diaphragm to your patient’s chest, you might struggle to differentiate vesicular from bronchial breathing, stridor, wheezing, pleural friction rub, or crackles. It is hard to appreciate the variation in breathing sounds especially when you have never heard them clearly …
International journal of gynaecology and obstetrics, Oct 15, 2021
Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch ... more Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch compression suture [1]. Christopher B-Lynch and colleagues first reported this technique in 1997 [2]. Following this, other types of compression sutures, such as modified B-Lynch, Hayman, Pereira, Ouahba, Hackethal, or Cho suture, have proliferated [3, 4].
International Journal of Gynecology & Obstetrics
SynopsisHyperthyroid‐induced pulmonary hypertension in pregnancy is reversible with aggressive tr... more SynopsisHyperthyroid‐induced pulmonary hypertension in pregnancy is reversible with aggressive treatment together with close monitoring of cardiac function.
Background: Vulvar malignant melanoma (VMM) is uncommon and pose a significant management challen... more Background: Vulvar malignant melanoma (VMM) is uncommon and pose a significant management challenge. Here, we presented a case of VMM managed by surgery, chemoradiation and planned for targeted therapy. Case Report: A 70 years old woman with underlying diabetes mellitus and hypertension presented with black-coloured growth around her left vulva for two months. Initial biopsy confirmed malignant melanoma with positive staining for S100, HMB 45, and Melan A. Imaging study showed localized disease to the vulva. Result: She underwent bilateral radical vulvectomy and bilateral inguinofemoral lymph nodes dissection followed by radiotherapy. She had locoregional disease recurrence, which was subsequently managed by palliative perineal radiotherapy, chemotherapy and planned for immunotherapy. Conclusion: Vulvar malignant melanoma is a rare and aggressive tumour, with a poor overall prognosis and high recurrence rate. Adjuvant chemotherapy, radiotherapy and immunotherapy may benefit for lo...
Laparoscopic management in patients on peritoneal dialysis offers good postoperative outcome and ... more Laparoscopic management in patients on peritoneal dialysis offers good postoperative outcome and early resumption to peritoneal dialysis. This is a report of a 43-year-old woman with end-stage kidney disease on peritoneal dialysis presented with left iliac fossa pain due to a large endometrioma. Emergency diagnostic laparoscopy was performed with careful laparoscopic entry, Tenckhoff catheter care and anti-adhesive application. The patient underwent temporary hemodialysis for two weeks before full resumption to peritoneal dialysis. She was planned for GnRH analogue for three months post-operatively. In conclusion, laparoscopy is a safe and advantageous route of surgery for ovarian endometrioma in patients on peritoneal dialysis. However, mindful surgical strategies are needed to ensure the Tenckhoff catheter’s longevity and early resumption to peritoneal dialysis post-operatively.
International Journal of Gynecology & Obstetrics, 2021
Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch ... more Treatment methods for managing uterine atony include uterine compression sutures such as B-Lynch compression suture [1]. Christopher B-Lynch and colleagues first reported this technique in 1997 [2]. Following this, other types of compression sutures, such as modified B-Lynch, Hayman, Pereira, Ouahba, Hackethal, or Cho suture, have proliferated [3, 4].
“Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. Wha... more “Can you auscultate this man’s lung?” A doctor points at you in the early morning ward round. What if this happens to you in your first clinical year? As you put your new stethoscope diaphragm to your patient’s chest, you might struggle to differentiate vesicular from bronchial breathing, stridor, wheezing, pleural friction rub, or crackles. It is hard to appreciate the variation in breathing sounds especially when you have never heard them clearly …
Contemporary Issues and Development in the Global Halal Industry, 2016
Preimplantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos ... more Preimplantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos created in vitro are analyzed for well-defined genetic defects. With the advancements in science and technology, PGD can now be used to screen embryos for susceptibility and late-onset conditions, human leukocyte antigen (HLA) matching for tissue donation to an existing child, gender selection, and selecting embryos for certain traits. In Malaysia, PGD is being practiced especially in certain private fertility clinics and fertility centers. This technique, however, has raised certain ethical issues, particularly on its use to select the gender of ones’ children. Such controversy has prompted out due to the fact that there has been no clear ethical position. In view of the controversial phenomenon, this research attempts to explore the position of the uses of PGD from the ethical aspect with special reference to Islamic perspectives. The study will be conducted using qualitative research in which data are collected through library research. It is hopeful that the finding of this paper can provide the basic guideline to the authoritative bodies and policy makers in developing the legal provision of PGD by taking into consideration certain principles laid down by Islam.
Contemporary Issues and Development in the Global Halal Industry, 2016
Pre-implantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos... more Pre-implantation genetic diagnosis (PGD) is an early form of prenatal diagnosis, in which embryos created in vitro are analysed for well-defined genetic defects; only those free from the defects are replaced into the womb. The ability to screen for a variety of characteristics has led to disagreement over what conditions are acceptable for screening. From its emergence, PGD has been opposed by a variety of parties and groups who advocate several grounds and reasons. The disagreement focuses especially on the new uses of PGD to screen embryos for susceptibility and late-onset conditions, for HLA-matching for tissue donation to an existing child, and for gender selection. This paper first describes the current and potential future uses of PGD and addresses some ethical issues which have arisen from this technique. It further analyses the position of this technique from the halal perspective. The finding of this study demonstrates that PGD is an acceptable technique, but with certain restrictions and conditions.
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Papers by DR FATHI RAMLY