Adrian Yu-Teik Goh

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OBJECTIVE To critically evaluate the literature on surgical treatment options for nasal septal perforations and to analyse the outcomes of these treatment options. DESIGN A systematic review of studies of nasal septal perforation closure using surgical intervention, published from January 1975 to March 2006. DATA SOURCES Forty-nine papers were(More)
Abstract Objective. Lack of direct access to tertiary pediatric intensive care services in rural hospitals may be associated with poorer outcome among critically ill children. Inter-hospital transport by non-specialized teams may also lead to increased morbidity and even mortality. We therefore studied the outcome of children with different accessibility to(More)
Objectives: To evaluate the appropriateness of emergency referrals for inter-hospital transfers by local physicians in hospitals without intensive care facilities to a regional tertiary paediatric intensive care unit (PICU). Design: A prospective, descriptive study in a tertiary PICU and hospitals without paediatric intensive care facilities in and around(More)
three PICUs in Kuala Lumpur comparing 827 non-specialized transports with 877 inhospital transfers, the differences in standardized mortality ratio (SMR) (1.86 vs 1.57, rate ratio 1.18, 95% CI 0.96–1.46) and adjusted odds ratio of mortality (adjusted for PRISM, length of stay and age) of 1.26 times compared with in-hospital transfers (95% CI 0.96–1.66) were(More)
Kingdom is such that critically ill children are managed in PICUs, and admitted to local ICUs only for the period of stabilization prior to transfer. As our institution is the main referral centre for district hospitals without paediatric intensive care facilities in the North Thames region, it would be appropriate to conclude that the decision to refer(More)
We describe cerebral salt wasting syndrome (CSWS) in a 5-year-old female child with Down syndrome who had acute myelopathy secondary to chronic atlantoaxial subluxation and fracture dislocation of the odontoid process. The patient developed hyponatraemia associated with excessive urine output and elevated urine sodium concentration following her injury. An(More)
BACKGROUND Acute hearing loss is a distressing albeit rare occurrence in pregnancy. Due to its infrequent presentation, little is known of its cause, and the best management is unclear. OBJECTIVE To present a summary of current knowledge regarding sudden hearing loss in pregnancy and its management, by reviewing the published literature. DATA SOURCES(More)
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