exudates and Hand-Injuries

Topics: Cross-Sectional Studies; Disability Evaluation; Female; Hand Injuries; Humans; Malaysia; Male; Middle Aged; Reproducibility of Results; Surveys and Questionnaires; Translations

In a previous study consensus was sought from Malaysian occupational therapists of occupation-based intervention (OBI) that was perceived as a means and an end. Occupation as a means refers to occupational and purposeful tasks as a therapeutic agent while occupation as an end refers to occupation as an outcome of intervention. The purpose of this follow-up study was to describe the occupational therapists' experiences of providing OBI in hand injury rehabilitation in Malaysia.. Sixteen occupational therapists with more than five years of experience in hand rehabilitation were individually interviewed on their experiences of using OBI in practice. Data were thematically analysed using interpretative phenomenological analysis.. Definition of "Occupation as a means", and "Occupation as an end" was broadened after data analysis of interviews to include two new themes: "Rewarding yet challenging" and "Making OBI a reality". Occupational therapists had positive experiences with OBI and perceived that occupation as a means and an end can be merged into a single therapy session when the occupational therapists use an occupation that is therapeutic.. Although occupation as a means and as an end have different purposes, when the ultimate goal is to enhance the clients' maximum level of functioning both can be used for successful rehabilitation of hand injuries.

Topics: Activities of Daily Living; Adult; Female; Follow-Up Studies; Hand Injuries; Humans; Malaysia; Male; Middle Aged; Occupational Therapy; Patient-Centered Care; Qualitative Research

The paradise tree snake, Chrysopelea paradisi, is a rear-fanged colubrid. Like other members of the genus Chrysopelea, it is able to glide through the air, and thus, is commonly known as a "flying snake." There are few documented effects of its bite on humans.. A 16-year-old military college student presented to the Emergency Department (ED) of an urban teaching hospital 2 h after being bitten by C. paradisi. There were multiple bite marks and the patient reported moderate pain on the left index finger. There was no evidence of significant local or systemic envenomation. A transient prolonged coagulation profile and raised creatine kinase level were noted.. The full effects of a bite from C. paradisi remain uncharacterized. This case featured only mild local effect. After the administration of first aid, non-sedating analgesia, anti-tetanus toxoid injection, and broad-spectrum antibiotic coverage, a short stay in the ED observation ward with regular monitoring of vital signs and serial wound inspection are recommended. More effort is required to increase awareness of the prevention and management of snakebite with equal emphasis on conservation of wildlife and their natural habitat.

Topics: Adolescent; Animals; Colubridae; Hand Injuries; Humans; Malaysia; Male; Snake Bites; Snake Venoms

Topics: Adolescent; Adult; Amputation, Traumatic; Anesthesia, Conduction; Brachial Plexus; Bupivacaine; Female; Hand Injuries; Humans; Lidocaine; Malaysia; Male; Replantation

Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Female; Fractures, Bone; Hand Injuries; Humans; Infant; Infant, Newborn; Leg Injuries; Malaysia; Male; Middle Aged