43 research outputs found

    Intraoperative hypothermia in patients undergoing Total knee arthroplasty: A cross-sectional study from a developing country

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    Background: Intraoperative hypothermia is associated with various risk factors, morbidity, and mortality in patients undergoing total knee arthroplasty (TKA), increasing the emotional and financial burden on patients. This study aimed to identify risk factors of intraoperative hypothermia in patients undergoing TKA.Materials and methods: All adult patients (⩾18 years) who underwent TKA from January 2016 to December 2017 at a tertiary-care hospital in Pakistan were included in this retrospective, cross-sectional study. Temperature \u3c 36 °C was defined as hypothermia.Results: The study included 286 patients (77.6% female) with a mean age of 61.4 ± 10.4 years. The overall proportion of intraoperative hypothermia was 26.6%. Of the total patients, 66.1% underwent bilateral TKA whereas 33.9% underwent unilateral TKA. 73.8% of the patients were ASA Level 2. Only 13.3% of patients had postoperative hypothermia.Conclusion: Intraoperative hypothermia was significantly associated with age, bilateral procedure, ASA level and postoperative hypothermia in patients undergoing TKA. The surgeon and the operative team should be aware of the risk factors and the adverse outcomes associated with intraoperative hypothermia, especially in resource constrained settings to plan preventive strategies.Trial registration: This study was retrospectively registered on ClinicalTrials.gov on 3rd October 2020. The registration ID is NCT04575246

    A Potentially Disastrous Life -Threatening Complication of Emergency Tube Thoracostomy in A Simple Case of Spontaneous Pneumothorax

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    Emergency tube thoracostomy carries risks of infective and technical complications. The aseptic technique is essential to prevent infections, while blunt dissection method can minimise the associated technical complications. Preparation and adherence to protocols as well as appropriate knowledge and skills, however, are of utmost importance to reduce risks of complications. Physicians must have adequate knowledge of anatomy and the procedure to ensure for accurate site tube placement without any complication. This case illustrates how a failure to appropriately use the instrument resulted in a displaced scalpel blade inside the thoracic cavity. It caused an unnecessary thoracotomy for blade retrieval. The mishap escalated a simple procedure to the potentially disastrous life-threatening event

    Donut Master / Ahmad Zulhilmi Abd Malek ...[et al.]

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    Today, bakers still use the traditional way to make the mini donuts. Hence the company aim to facilitate the production of doughnut and this machine can increase the production of mini doughnuts. This machine has many molds to produce large amount of doughnut and also a few different types of mold. This makes the mini doughnuts look more interesting, hence attracting the customer's attention to buy it. Currently, there is no factory that produces machines like ours. This product are suitable for bakers who want to have abnormalities in the production of donuts in their bakery, the machine is also suitable for housewives who want to make their own donuts at home as this machine is portable. We are highly confident that our market can be easily developed and spread in Malaysia. To make it more attractive and interesting, we decided to make some innovation by implying our creativity and modern element in our mini doughnut maker machine

    Teachers perception on the usage of English language among students in SMK Taman Desaminium / Arif Aiman Asrol... [et al.]

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    This research paper is to find out and measure Teachers perception on the usage of English Language among students in SMK Taman Desaminium. In order for us to chalk out the usage of English Language among students in SMK Taman Desaminium, a questionnaire was prepared under the guidance of counselor and was given to the informants which is the teachers. Students were refusing to speak English due their own inferiority complex and due to foreign language anxiety. The purpose of this study is to provide the necessary spark that are needed for the society to realist that the culture need to change in order for us to promote the usage of English especially among students in high school. It is hoped that this study will serve as a guideline for the community in the future
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