MASH Journal Volume 8 Issue I

March 2023
Tuberculoma In A Healthcare Worker
Teo Kye Vonn, Nur Adlina, Ng Tyng Sam

Tuberculosis (TB) is an endemic and a public health concern around the world. It commonly affects the lungs, however it can affect other organs, which known as extrapulmonary tuberculosis. Extrapulmonary TB occurs in around 10-15% of all TB cases. Central nervous system (CNS) TB is one of the severe types of extrapulmonary TB, accounts for around 1% of TB cases. It resulted from Mycobacterium tuberculosis (MTB) spread via hematogenous to intracranial. Tuberculoma is around 0.2% of all biopsies brain masses.

Keningau Weave Technique: A modification Of The Japanese “Himawari” Method For Comminuted Patella Fixation
Eyrique G, Jeremy SV, Vickneshan S, Amir R, Looi C

Severely comminuted patella fractures deemed unsalvageable have traditionally been treated with patellectomies. This procedure significantly reduces the mechanical advantage the patella provides to the quadriceps for knee extension resulting in significant morbidity. The ‘Himawari Method’ developed in Japan has significantly reduced the need to resort to patellectomies. However, this procedure requires the use of expensive locking sleeves to be successful. The modified technique illustrated here excluded the need for the locking sleeves by weaving cerclage wires around multiple longitudinal k-wires creating an anterior cage over the patella. With the addition of a tension relieving wire, the efficacy of the modified procedure as the patient achieved fracture union with full range of motion at 12 weeks can be demonstrated. Outcome evaluated utilizing the patellar-femoral instability scorings, Favourable Kujala patellar instability scores & Oxford knee score were noted a year post-intervention.

A Brief Review of the Evolutionary Thought and Etiology of the Stomach Disorders with Prevention
Ashraful Kabir

The stomach of animals plays a significant role throughout life. After taking food, the nutrients of those foods maintain all biological processes. The stomach is a reservoir for storing food for several hours. If digestion within the stomach hampers, the entire body will undergo many ailments. Evolutionary changes in the stomach of various animals (herbivores, carnivores, and omnivores) to understand the quality or nature of the stomach based on their food. Based on some articles, oral communication, and an effective questionnaire proved that in a northern region of Bangladesh (Saidpur town under Nilphamari District), out of 60 families, 85% of family members were affected by acidity problems where 37% of college students (17-19 years) due to their excess taking of oily and spicy foods. On the other hand, their regular food intake showed 80% acidic, 7.5% neutral, and 12.5% alkaline food.

A Review of the Genetic Link Between Overweight and Extreme Obesity
Ashraful Kabir

In the present context of the world, obesity is increasing and creating life-threatening diseases in the human body. Everybody whether they are children or adults needs to be more conscious of this issue. Obesity comes from being overweight is nothing but the imbalance of energy within the body. Lots of published articles on the internet prove that obesity either genetic or acquired possible to overcome through diet and exercise according to the guidelines of such experts. Since morbid obesity (obese III) is rare in the world and in few cases, they need to attach surgery. When we take improper food in our usual daily foods, our bodily metabolic functions could be hampered, and finally first overweight then obesity persists. Nutrients of healthy food and physical activities those will burn extra calories are a must for maintaining a healthy life.