https://www.um.edu.mt/library/oar/handle/123456789/11225 2026-04-05T01:43:54Z https://www.um.edu.mt/library/oar/handle/123456789/11414 Title: Syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and posterior cerebral artery ischaemic event : two uncommon complications following posterior fossa decompression Authors: Mifsud, Simon; Schembri, Emma Louise; Zrinzo, Antoine Abstract: Neurosurgical procedures in cases of Type 1 Arnold Chiari Malformation (ACM) may result in a wide spectrum of complications. We report a case of a sixty-four year lady who underwent an elective posterior fossa decompression for Type 1 ACM. The procedure was complicated by syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and an ischaemic cerebrovascular event affecting the posterior cerebral artery. The association of these complications with the procedure is rarely described in the literature. In spite of the poor prognosis associated with such complications, the patient made a relatively quick and uneventful recovery. 2016-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/11413 Title: An unusual case of intertrigo in an adult caused by purely cutaneous Langerhans cell histiocytosis Authors: Boffa, Michael J.; Betts, Alexandra; Gatt, Alexander Abstract: We report a case of persistent intertrigo in an adult, eventually diagnosed as cutaneous Langerhans cell histiocytosis (LCH). It is known that LCH has a predilection for intertriginous areas, however purely cutaneous disease as in our case, is uncommon and usually other systems are affected. Following the report, literature of similar cases is reviewed to determine possible outcomes and to decide on the best possible treatment options. 2016-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/11412 Title: A unique case of esophageal perforation caused by prickly pears Authors: Borg Xuereb, Hermann K.; Malaguti, Stefan Abstract: This is a report of a previously healthy 20-year-old male presenting with the sensation of a foreign object being stuck in the throat and difficulty speaking after the ingestion of 2 prickly pears. Tests were performed, confirming an esophageal perforation which was managed medically. The patient was discharged after 7 days in hospital with no complications. 2016-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/11354 Title: A review of diabetic patients’ knowledge in a high prevalent European country : Malta Authors: Cuschieri, Sarah; Borg, Daniel; Pace, Sean; Camilleri, Francesca Abstract: Education is the first milestone in the care pathway of all diabetic patients. The aim of this study was to assess the educational knowledge and awareness among a diabetic patient cohort and compare this knowledge to a previously conducted study. Acquiring information on diabetes knowledge is essential for both clinicians and policy makers. Interviews using validated questionnaires covering various aspects of diabetes knowledge were conducted among a diabetic cohort between August and September of 2014 at the state hospital in Malta. The majority exhibited correct knowledge on diabetes and related complications. Knowledge levels appeared to have improved and were influenced by gender, type of diabetes and length of diabetes awareness. We conclude that educational approaches should be targeted towards every diabetic individual and should start immediately after diagnosis. This would lead to improved self-care, with a reduction in diabetic complications and a decrease in health-care expenditure. 2016-01-01T00:00:00Z