https://www.um.edu.mt/library/oar/handle/123456789/39636 2026-04-04T20:42:05Z https://www.um.edu.mt/library/oar/handle/123456789/1199 Title: Use of Propolis chemical and Asian tiger mosquito bites : case report and review Authors: Muscat, Michelle Abstract: Propolis is a substance of variable composition which incorporates resins derived from plants and beeswax. It varies depending on the geographic location and local flora such as plant and bee species. Propolis possesses several attributes such as immune enhancement, antimicrobial, antioxidant, analgesic as well as reported anti-tumour effects.1,2 Several research efforts have focused on studying the chemical composition of propolis.3-7 The diverse biological activity probably relates in part to the significant changes in extract constituents. Propolis has been popularized in the past as a natural remedy but significant possible pharmaceutical use is envisaged. This brief review details a case of how multiple annoying localized allergic skin reactions secondary to Asian tiger mosquito bites were soothed and resolved very rapidly with the application of Propolis. 2013-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/1198 Title: Panhypopituitarism : a rare cause of neonatal cholestatic jaundice Authors: Vella, Cecil; Gauci, Bettina; Torpiano, John G. Abstract: Although not uncommon, neonatal cholestatic jaundice is usually caused by congenital anatomical defects of the biliary tree or intrinsic liver pathology. We describe a case of persistent cholestatic jaundice in a six week old female infant caused by panhypopituitarism. To our knowledge this is the first report of hypopituitarism presenting with cholestatic jaundice in Malta. Prolonged obstructive jaundice in the neonatal period should be urgently investigated until a cause is found. 2013-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/1197 Title: Foam sclerotherapy : the Maltese experience Authors: Parnis, Juanita; Cannataci, Christine; Umana, Etimbuk; Cassar, Kevin Abstract: Objectives: To describe demographics and outcomes of a new sclerotherapy service – Foam sclerotherapy (FS), for venous disease at Mater Dei Hospital, Malta Methods: The data of a consecutive series of patients undergoing FS were prospectively entered into a database and the results analysed. Medical notes of patients were also reviewed. Patients underwent detailed venous duplex scanning before and after each intervention and at follow-up visits. Results: 121 patients underwent a total of 204 FS procedures between November 2008 and October 2011. 22% were male and 78% of the procedures were done in female patients. 151 (74%) of procedures were done in patients above the age of 50 years. 74(37%) interventions were for recurrent varicose veins and 113(55%) for chronic venous insufficiency (CEAP4-6). 77 (38%) patients had active or healed venous ulceration as the indication for treatment. 83% of ulcers healed after foam sclerotherapy during the follow up period. 88.3% (143/162) of veins treated were completely occluded while 11.7% (19/162) were partially occluded. In the majority (64%) only one treatment session was required. One patient sustained an anaphylactic reaction to the sclerosant. No deep vein thromboses, cardiovascular events, pulmonary embolism or other major complications were reported. Skin staining was reported in 21.5% of cases. Conclusions: Foam sclerotherapy is a safe and cheap treatment modality resulting in high rates of venous ulcer healing and successful venous occlusion and a very low complication rate. The success rate of foam sclerotherapy in Malta is comparable to that reported in the literature. 2013-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/1196 Title: Carotid endarterectomy : the Maltese experience Authors: Caruana, Luana; Cassar, Kevin Abstract: Introduction: Carotid endarterectomy significantly reduces the risk of cerebrovascular events in both symptomatic and asymptomatic patients with significant carotid stenosis. The recent American Heart Association/American College of Cardiology guidelines advise that carotid endarterectomy is only beneficial when the perioperative stroke or mortality rate is below 6%. The aim of this study was to review the results of carotid endarterectomy performed in Malta by one vascular surgeon. Methods: All patients undergoing carotid endarterectomy between July 2007 and June 2011 were included in the study. Data was entered prospectively into a vascular database. Retrospective review of the case notes of all patients undergoing carotid endarterectomy was also performed. Demographics of the patient cohort as well as information about perioperative mortality, cerebrovascular events, cardiac events as well as any other complications were recorded. Information was also collected about any deaths and cerebrovascular events during the follow up period. Results: 51 patients underwent carotid endarterectomy during the study period. 94% were symptomatic (65% CVA; 15% TIA; 10% amaurosis fugax; 4% TIA and amaurosis) and 6% asymptomatic. 46% had an internal carotid artery stenosis of 90% or more while the rest had a stenosis of 70% or more. 31% of patients also had significant contralateral carotid stenosis or occlusion. There was one postoperative mortality (1.9%) and one patient sustained a postoperative lacunar stroke (1.9%). There were no cranial nerve injuries and no bleeding requiring return to theatre. The combined perioperative mortality and stroke rate in this cohort was 3.9%. Conclusions: The combined perioperative mortality and stroke rate in this sutdy is better than that reported in the major randomised controlled trials. The perioperative death and stroke rate is well below the threshold level advised by the AHA/ACC. 2013-01-01T00:00:00Z