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        Management of Andersson Lesion in Ankylosing Spondylitis Using the Posterior-Only Approach: A Case Series of 18 Patients

        Ismail Shaik,Shekhar Yeshwant Bhojraj,Gautam Prasad,Premik Bhupendra Nagad,Priyank Mangaldas Patel,Aaditya Dattatreya Kashikar,Nishant Kumar 대한척추외과학회 2018 Asian Spine Journal Vol.12 No.6

        Study Design: This retrospective study was conducted including 18 patients who underwent posterior-only stabilization and fusion procedure for pseudoarthrosis in the ankylosed spine from October 2007 to May 2015. Purpose: This study aimed to describe the treatment outcomes in 18 patients with Andersson lesion (AL) who were managed using the posterior-only approach. Literature Review: AL is an unstable, localized, vertebral, or discovertebral lesion of the spine. It is observed in patients with ankylosing spondylitis. The exact etiology of this disorder remains unclear, and the treatment guidelines are not clearly described. Methods: We analyzed 18 patients with AL who were treated with posterior long segment spinal fusion without any anterior interbody grafting or posterior osteotomy. Pre- and postoperative radiography, computed tomography, and recent follow-up images were examined. The pre- and postoperative Visual Analog Scale score and the Oswestry Disability Index score were evaluated for all patients. Whiteclouds’ outcome analysis criteria were applied at the follow-up. Moreover, at study completion, patient feedback was collected; all the patients were asked to provide their opinion regarding the surgery and were asked whether they would recommend this procedure to other patients and them self undergo the same procedure again if required. Results: The most common site was the thoracolumbar junction. The symptom duration ranged from 1 month to 10 years preoperatively. Most patients experienced fusion by the end of 1 year, and the fusion mass could be observed as early as 4 months. Pseudoarthrosis void of up to 2.5 cm was noted to be healed in subsequent imaging. In addition, clinically, the patients reported good symptomatic relief. No patient required revision surgery. Whiteclouds’ outcome analysis score at the latest follow-up revealed goodto- excellent outcomes in all patients. Conclusions: ALs can be treated using the posterior-only approach with long segment fixation and posterior spinal fusion. This is a safe, simple, and quick procedure that prevents the morbidity of anterior surgery.

      • KCI등재

        Hemorrhagic Cardiac Tamponade: Rare Complication of Radiofrequency Ablation of Hepatocellular Carcinoma

        Kok Beng Loh,Shaik Ismail Bux,Basri Johan Jeet Abdullah,Raja Amin Raja Mokhtar,Rosmawati Mohamed 대한영상의학회 2012 Korean Journal of Radiology Vol.13 No.5

        Local treatment for hepatocellular carcinoma (HCC) has been widely used in clinical practice due to its minimal invasiveness and high rate of cure. Percutaneous radiofrequency ablation (RFA) is widely used because its treatment effectiveness. However, some serious complications can arise from percutaneous RFA. We present here a rare case of hemorrhagic cardiac tamponade secondary to an anterior cardiac vein (right marginal vein) injury during RFA for treatment of HCC.

      • KCI등재

        Sandstorm Appearance of Pulmonary Alveolar Microlithiasis Incidentally Detected in a Young, Asymptomatic Male

        Li Shyan Ch’ng,Shaik Ismail Bux,Chong Kin Liam,Nazarina Abdul Rahman,Choon Yan Ho 대한영상의학회 2013 Korean Journal of Radiology Vol.14 No.5

        Pulmonary alveolar microlithiasis (PAM) is a rare chronic disease with paucity of symptoms in contrast to the imaging findings. We present a case of a 24-year-old Malay man having an incidental abnormal pre-employment chest radiograph of dense micronodular opacities giving the classical “sandstorm” appearance. High-resolution computed tomography of the lungs showed microcalcifications with subpleural cystic changes. Open lung biopsy showed calcospherites within the alveolar spaces. The radiological and histopathological findings were characteristic of PAM.

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        Identifying Reading Strategies to Teach Literal, Reorganisation and Inferential Comprehension Questions to ESL Students

        Muhammad Javed,Lin Siew Eng,Abdul Rashid Mohamed,Shaik Abdul Malik Mohamed Ismail 아시아영어교육학회 2016 The Journal of Asia TEFL Vol.13 No.3

        Reading strategies assist English as a Second Language (ESL) teachers to teach reading comprehension effectively to ESL students in developing their reading comprehension abilities. This study aimed at identifying reading strategies used by teachers that help them teach literal, reorganisation and inferential comprehension questions to ESL students. The target population was the ESL teachers teaching at the secondary school level in Penang, Malaysia. The ESL teachers from ten secondary schools who were teaching English to Form Four students were selected through convenient sampling. A questionnaire consisting of reading strategies that help ESL teachers teach literal, reorganisation and inferential comprehension questions developed by the researchers was used to collect data. The data were analysed through descriptive statistics to determine the frequency of reading strategies used by the ESL teachers. The findings, based on the quantitative analysis of data, revealed that the ESL teachers use different reading strategies for teaching literal and reorganisation comprehension questions but a small repertoire of reading strategies was employed for teaching inferential comprehension questions. Therefore, the researchers suggested a productive means of reading strategies to employ for teaching reading comprehension, particularly for teaching inferential comprehension questions in order to enhance ESL students’ higher order thinking skills and reading comprehension abilities.

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