Publications by authors named "Julina Md Noor"
Article Synopsis
- Ketamine is being tested as an alternative pain management option for acute long bone fractures due to concerns about side effects limiting its use alongside traditional morphine treatment.
- In a study involving 58 patients, those receiving low-dose ketamine showed significantly greater pain reduction compared to those receiving morphine alone within the first 60 minutes post-treatment.
- While ketamine was effective, it did lead to a higher incidence of dizziness among patients, warranting further evaluation of its safety profile.
Objectives: To evaluate the association between ultrasound assessment of gallbladder wall thickness (GBWT) among severe dengue patients and dengue patients with warning signs to their clinical outcomes.
Methods: A prospective, cross-sectional study involving adult dengue patients presented to our emergency department between March until September 2018. The patients were classified based on WHO classification.
Background: During the COVID-19 pandemic, many countries instituted closure of borders from international and local travels. Stranded citizens appeal to their governments to embark on citizen repatriation missions. Between February and April 2020, the Government of Malaysia directed repatriation of its citizens from China, Iran, Italy and Indonesia.
View Article and Find Full Text PDFManaging the difficult airway presents a great challenge to anaesthesiologists and emergency physicians. Although there are many methods and scoring systems available to predict and anticipate difficult airway, the dictum in emergency airway is to always expect the unexpected. We have encountered a novel simple method of improving laryngoscopic view in difficult airway.
View Article and Find Full Text PDFBackground: Traumatic pneumopericardium is rare and usually results from blunt injury. Diagnosis through clinical and chest X-ray is often difficult. Ultrasound findings of A-line artifacts in the cardiac window may suggest pneumopericardium.
View Article and Find Full Text PDFBackground: Increasing incidence of dengue cases in Malaysia over the last few years has been paralleled by increased deaths. Mortality prediction models will therefore be useful in clinical management. The aim of this study is to identify factors at diagnosis of severe dengue that predicts mortality and assess predictive models based on these identified factors.
View Article and Find Full Text PDFUrsodeoxycholic acid protects cardiomyocytes against cobalt chloride induced hypoxia by regulating transcriptional mediator of cells stress hypoxia inducible factor 1α and p53 protein.
Cell Biochem Funct
October 2017
Article Synopsis
- UDCA activates several cell signaling pathways in hepatocytes, showing potential cardioprotection against hypoxia-reoxygenation injury in heart cells (cardiomyocytes).
- The study investigates if UDCA protects cardiomyocytes under hypoxia by regulating factors like HIF-1α, p53, intracellular calcium, and S1P-Gα-coupled-receptor.
- Results indicate that UDCA improves cell viability and other functions despite not fully relying on Gα-coupled protein pathways, suggesting its cardioprotective effects are linked to pathways similar to those activated by S1P agonists.
Background: In out of hospital cardiac arrest (OHCA), the prognostic influence of conversion to shockable rhythms during resuscitation for initially non-shockable rhythms remains unknown. This study aimed to assess the relationship between initial and subsequent shockable rhythm and post-arrest survival and neurological outcomes after OHCA.
Methodology: This was a retrospective analysis of all OHCA cases collected from the Pan-Asian Resuscitation Outcomes Study (PAROS) registry in 7 countries in Asia between 2009 and 2012.