ORCID Profile
0000-0001-8471-8383
Current Organisation
Raja Isteri Pengiran Anak Saleha Hospital
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Publisher: Elsevier BV
Date: 03-2023
Publisher: Hindawi Limited
Date: 20-04-2021
DOI: 10.1155/2021/8828145
Abstract: Brunei Darussalam commenced its living-related renal transplant program in 2013, with subsequent attainment of independent local capacity and proficiency in 2019. The preliminary outcome from the program has already begun to shape the national nephrology landscape with a 36% increment in transplant rate and mitigation of commercialized transplantations. The blueprint for the program was first laid out in 2010 and thereupon executed in four phases. The first phase involved the gathering of evidence to support the establishment of the national program, through researches investigating feasibility, public opinion, quality of life, graft survival, and cost-effectiveness. The second phase focused on laying the foundation of the program through grooming of local expertise, implementation of legal-ethical frameworks, religious legitimization, and propagation of awareness. The third phase worked on facilitating experiential exposure and strengthening local infrastructure through the upgrading of facilities and the introduction of subsidiary services. The fourth phase was implemented in Brunei in 2013 when foreign personnel worked together with the local team to perform the transplants. Between 2013 and 2019, ten kidney transplants were performed, with two being done in 2018 and three in 2019. We hope to inspire other similar countries to develop their own self-sustainable and independent local program.
Publisher: SAGE Publications
Date: 2018
Abstract: Ortner’s syndrome or cardiovocal syndrome is a rare condition and refers to the association between cardiovascular conditions, usually cardiac enlargement from mitral stenosis, and recurrent laryngeal nerve palsy. We reported an interesting case of a patient with end-stage renal disease on regular dialysis who developed both Ortner’s syndrome and dysphagia aortica as a result of an aortic arch aneurysm. The aneurysm underwent a rapid increase in size, likely as a result of Staphylococcus aureus infection (mycotic aneurysm) from an internal jugular dialysis catheter. This case highlighted the importance of cardiovascular conditions as rarer causes of dysphonia and dysphagia, particularly with the existence of an extrinsic infective source.
Publisher: Elsevier BV
Date: 04-2021
Publisher: Wiley
Date: 10-2020
DOI: 10.1111/NEP.13763
Publisher: Wiley
Date: 10-2020
DOI: 10.1111/NEP.13785
Publisher: Elsevier BV
Date: 12-2021
Publisher: Medknow
Date: 2020
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-2021
Publisher: Elsevier BV
Date: 03-2023
Publisher: Elsevier BV
Date: 02-2022
Publisher: Springer Science and Business Media LLC
Date: 06-04-2023
DOI: 10.7759/CUREUS.37230
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-12-2022
Abstract: Peritoneoscopic and laparoscopic peritoneal dialysis catheter insertions are complementary to each other, and each has its niche in a successful peritoneal dialysis program. Future studies need to use standardized definitions to enable comparisons across jurisdictions, and this study is the first to do so. Brunei Darussalam introduced peritoneoscopic insertion of peritoneal dialysis catheter (PDC) as a new method in 2014. The aim of this study was to compare outcomes of PDC insertion technique in the country, using proposed standardized definitions of outcomes. This study used retrospective analysis of all PDCs inserted from January 1, 2015, to December 31, 2020, in the country. Outcomes of both peritoneoscopic and laparoscopic insertion methods were analyzed. Four main categories of outcomes were assessed—( 1 ) operative-related outcomes, ( 2 ) infective outcomes, ( 3 ) mechanical outcomes, and ( 4 ) time on peritoneal dialysis (PD) therapy. During the study period, 145 PDCs were inserted: 49 (33.8%) were by peritoneoscopy and 96 (66.2%) by laparoscopy. The median time on PD therapy was 54.2 months. Those with a higher body mass index and history of previous abdominal or pelvic surgery were more likely to undergo laparoscopic method. There was no significant difference in overall infective and mechanical outcomes between the two methods. There was however significantly more postoperative pain observed in the peritoneoscopic group than in the laparoscopic group (8.2% versus 1.0%, P = 0.045). During the study period, there were 49 dropouts to hemodialysis, about half were due to infection. However, there was no statistically significant difference observed in time on PD therapy between the two groups (hazard ratio 0.87 in laparoscopic group compared with peritoneoscopic group, 95% confidence interval, 0.49 to 1.54 P =0.636). Peritoneoscopic and laparoscopic PD catheter insertions are both complementary to each other in our local setting. This study has enabled us to scrutinize our PD program, regarding our PDC insertion experience, with the aim to sustain PD growth in the country.
Publisher: Wiley
Date: 28-10-2020
DOI: 10.1111/NEP.13804
Publisher: S. Karger AG
Date: 2014
DOI: 10.1159/000356759
Abstract: A middle-aged Indian woman with knee pain had consumed ayurvedic medicine (Ostolief and Arthrella tablets) daily for 6 months. She presented to the respiratory clinic with worsening dyspnea, cough and weight loss of 2 months' duration. She was a homemaker, never-smoker and did not keep birds. Physical examination detected fine end-inspiratory crackles. There was no clubbing of the fingers, joint deformity or swelling, skin lesion or enlarged cervical lymphadenopathy. High-resolution computed tomography showed diffuse centrilobular nodules with ground-glass attenuation. Restrictive ventilatory defect (FVC 44% predicted, FEV sub /sub /FVC ratio 93%) was observed on spirometry, and the autoimmune screen was negative. Bronchoalveolar lavage fluid revealed lymphocytosis with an increased CD4/CD8 (T helper:T suppressor) ratio. Cultures for bacteria, mycobacteria, fungi, viruses and i Pneumocystis carinii /i were negative. Alveolitis with infiltration of interstitium by lymphocytes and peribronchiolar noncaseating granulomas were observed on bronchoscopic lung biopsy. A diagnosis of hypersensitivity pneumonitis as a result of ayurvedic medicine was made. She was advised to stop the offending medicine high-dose steroids and bactrim prophylaxis were commenced and tapered over 3 months with good response and radiological resolution. She was followed for 1 year without relapse.
Location: United Kingdom of Great Britain and Northern Ireland
Location: Brunei Darussalam
No related grants have been discovered for Chiao Yuen Lim.