DOCSLIB.ORG

CHAPTER 5 |Surgical SERVICES in MALAYSIAN HOSPITALS

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
CHAPTER 5 |Surgical SERVICES in MALAYSIAN HOSPITALS NATIONAL HEALTHCARE ESTABLISHMENTS & WORKFORCE STATISTICS 2010 HOSPITALS CHAPTER 5 | SURGICAL SERVICES IN MALAYSIAN HOSPITALS Harjit S1, Gunn AKB2, Abdul JA3, Mohamed YAB4, Tahrani PK5*, Faizah A5* Jiffre D6, Nik ANA7, Clement ET8, Tan WJ9, Nik MSNY10, Jasiah Z11, Chuah JA12, Azali HY13, Khairun NM14, Patimah A15. 1. Hospital Selayang 2. Hospital Sultanah Aminah, Johor Bahru 3. Hospital Sultanah Zahirah, Kuala Terengganu 4. Hospital Tengku Ampuan Rahimah, Klang 5. Clinical Research Centre, Ministry of Health 6. Hospital Tengku Ampuan Afzan, Kuantan 7. Sarawak General Hospital 8. Hospital Tuanku Fauziah, Kangar 9. Hospital Pulau Pinang 10. Hospital Raja Perempuan Zainab II, Kota Bharu 11. Hospital Tuanku Jaafar, Seremban 12. Hospital Queen Elizabeth, Kota Kinabalu 13. Hospital Melaka 14. Hospital Sultanah Bahiyah, Alor Setar 15. Medical Development Division, Ministry of Health. * Corresponding author. Summary: The distribution of general surgery services in Malaysia was inequitable and uneven. There were 167 hospitals with general surgical services in 2010. The general surgeon to population ratio in Malaysia for 2010 was 0.06 per 10,000 population, far below that of developed countries. The distribution of the general surgeons was fairly uniform between the public and private sector. The urbanised west coast states of Peninsular Malaysia had the highest concentration of surgical services provided by private hospitals. However, in the distribution of surgical services, public hospitals were somewhat more uniform throughout the country. The nature of surgical procedures undertaken showed a significant variation, with public hospitals performing the highest numbers of emergency surgeries (for example, appendicectomies and trauma-related laparotomies) and private hospitals mainly performing elective surgeries (for example, cholecystectomies and thyroidectomies). In terms of surgical approach, surgeons at private hospitals performed more laparoscopic cholecystectomies and laparoscopic appendicectomies when compared to surgeons working at public hospitals. Overview Surgery is an essential component of basic health care and is currently considered an integral part of primary health care. It provides an effective way of dealing with various clinical conditions such as injuries, acute infections, tumours and malignancies, various congenital defects and deformities. General surgical services in this survey includes the specialty of general surgery and its various subspecialties of breast and endocrine, upper gastrointestinal, colorectal, vascular, hepatobiliary, trauma and cardiothoracic surgeries. This survey was undertaken in all Ministry of Health, university and private hospitals in Malaysia, with general surgical services being provided by resident or visiting general surgeons. In addition, hospitals with visiting surgeons were only included if elective surgery was performed in their establishments. Facilities One hundred and sixty seven hospitals providing general surgical services in Malaysia; 60 from the public sector, including 3 university hospitals, and 107 from the private sector. The response rate to this survey was 100% from public hospitals and 66 % from private hospitals. This study revealed that on average 0.06 hospitals per 10,000 population provided general surgical services. The surgical services were most concentrated in Wilayah Persekutuan Kuala Lumpur (WPKL) (0.13 per 10,000 population), followed by Pulau Pinang (0.10 per 10,000 population), Negeri Sembilan (0.08 per 10,000 population) and Perak (0.06 per 10,000 population) respectively. These states also had the highest concentration of private hospitals providing surgical services. The ratio of surgical services in the other states ranged from 0.03 to 0.06 hospitals per 10,000 population with Sabah having the lowest concentration of surgical services (0.03 per 10,000 population) (Table 5.1). There were a total of 901 operating rooms in Malaysia, 529 (59%) in public hospitals and 372 (41%) in private hospitals. The overall distribution of operating rooms in Malaysia was 0.32 per 10,000 population with widely disparate distribution of operating rooms between Pulau Pinang, WPKL, Melaka, Selangor and Putrajaya compared to Sabah, Sarawak and Perlis. This disparity was partly due to the operation rooms contributed by the higher concentration of private hospitals in the urbanised west coast states of Peninsular Malaysia. This survey also revealed that at least 15% of the operation rooms in the country were non functional. This was probably due to the lack of human resources and/or infrastructural defects and deficiencies. Most of the public hospitals had at least one dedicated trauma/emergency operation theatre. However, there was an overall lack of dedicated surgical high dependency beds in most hospitals in the country (Table 5.2). Surgical Services in Malaysian Hospitals 5 59 NATIONAL HEALTHCARE ESTABLISHMENTS & WORKFORCE STATISTICS 2010 HOSPITALS Activities Elective Operating Hours The elective operating hours were better defined in the public hospitals as opposed to the private hospital where there was no distinct separation of elective and emergency operating hours. Thus, reporting of elective operating hours was strictly confined to the public hospitals. The average elective operating hours was 4.78 hours per surgeon per week. There was significant variation (ranging from 2.21 to 13.60 hours per surgeon per week) in the number of elective operating hours throughout the country. This variation was due principally to the differing numbers of surgeons (including subspecialty trainees) sharing the available operating time and also hinges on the availability of anaesthesiologists. Hospitals with higher numbers of trainees had a correspondingly lower ratio of operating hours per surgeon. In some states, both local anaesthesia (LA) and general anaesthesia (GA) cases were being reported, thus, giving higher ratios of elective operating hours. To overcome such reporting disparity, future data collection should strictly define this variable as elective operating hours under general or regional anaesthesia and should exclude elective operating hours under local anaesthesia (Table 5.3). General Surgery Operations The data on some common general surgical procedures performed in the country were also collected in order to assess the distribution of general surgery workload. In 2010, a total of 33,935 appendicectomy operations were performed in the country, 18,536 (54.6%) in public and 15,399 (45.4%) in private. Twenty percent of these appendicectomies were performed laparoscopically; a majority of which were done in the private hospitals. The low numbers of such operations performed in Sabah and Sarawak may not be truly reflective of the situation as data was only collected from those hospitals that had resident or visiting surgeons while it excluded data from non specialist public hospitals where most of the emergency and minor elective surgeries were undertaken by medical officers (Table 5.4). In 2010, a total of 2,343 laparotomies were performed for trauma. A majority of these operations were performed in public hospitals (1,631 in public and 712 in private hospitals) (Table 5.5). A total of 3,566 mastectomies were reported in 2010 and a majority of these were performed in the three tertiary breast centres; Hospital Putrajaya (n=130), Hospital Kuala Lumpur (n=296) and University Malaya Medical Centre (n=195) (Table 5.5). An average of 1 mastectomy performed per 10,000 population in Malaysia was low when compared to the European Community Health Indicators (ECHI) data that reported 5 mastectomies per 10,000 population1. This gap may be due to the differences in incidence rates of breast cancer in Europe and Malaysia. A total of 14,120 inguinal hernia operations were reported in 2010. These were almost equally distributed in the public and private hospitals (Table 5.6). Only 1,215 (8.6%) of the inguinal hernia repairs were performed laparoscopically, giving a ratio of 5 cases per 10,000 population, which was much less than in European countries that reported 23 cases per 10,000 populations1. A total of 9,909 cholecystectomies were performed in 2010, 2,924 in public and 6,985 in private, of which 7,601 (76.7%) were performed laparoscopically in the private hospitals (Table 5.7). ECHI data reveal almost 10 times more cholecystectomies being performed laparoscopically, giving an average ratio of 26 cases per 10,000 population1, compared to Malaysia where only 3 cases per 10,000 population were undertaken laparoscopically. In 2010, a total of 5,114 thyrodectomies were reported in Malaysia, of which 1,882 (36.8%) were performed in public hospitals and 3,232 (63.2%) were performed in private hospitals Based on this survey, it is apparent that the majority of emergency surgeries (appendicectomies and trauma related laparatomies) were performed in the public healthcare system while most elective surgical procedures (cholecystectomies and thyroidectomies) were performed in the private hospitals. There were a total of 1,969 cases of post operative mortality reported in this survey. The majority (88%) of it occurred following emergency surgeries. The post operative mortality rate for elective surgery in 2010 was 0.08 per 10,000 population (Table 5.8). General Surgery Workforce For the year 2010, there were 539 general surgeons in the country. Of these, 302 (56%) served in the public and 237 (44%) in the private hospitals (Table 5.9). The general surgeon to population ratio in Malaysia
Load more

Recommended publications
  • Abstracts of the 16Th Annual Scientific Meeting of the College Of
    Malaysian J Pathol 2018; 40(1) : 83 – 102 The 16th Annual Scientific Meeting of the College of Pathologists, Academy of Medicine of Malaysia was held at the Royale Chulan Seremban Hotel, in Seremban, Negeri Sembilan on 12th- 13th October 2017. Abstracts of paper (poster) presented are as follows: AP-01. A palatal swelling transpires out as a nasal B-cell NHL- a case report Sunil Pazhayanur Venkateswaran1, Rafiq Abdul Karim Vasiwala2 Department of Pathology1 and ENT2, International Medical University, Kuala Lumpur, Malaysia Introduction: Primary sinonasal Non-Hodgkin’s Lymphoma’s (NHLs) is a rare condition, which emulates the presentation of a benign inflammatory disease. It is challenging to distinguish morphologically as well as radiologically sinonasal lymphomas from other malignant neoplasms. Case Report: We report a 37-year-old male patient who was presented with nasal obstruction, rhinorrhoea, bloody discharge/epistaxis, post nasal drip, facial swelling, orbital symptoms and fever. Endoscopic examination and CT scan of the paranasal sinuses with adequate amount of biopsy tissue is required for a definitive diagnosis. Considering this, endoscopic sinus surgery was performed to eradicate the disease as well as obtain a definite histological diagnosis. The mass was histologically proven as a Nasal diffuse large B-cell lymphoma(DLBCL) and confirmed by immunohistochemistry. Immunohistochemically, the cells were strongly positive for CD20, CD79a, BCL2, BCL6 and MUM1.CD10 was focally positive. Ki-67 index was <99%. After confirmation of the histological diagnosis, chemotherapy was started and with the first cycle, the patient improved with resolution of the facial swelling as well as pain and visual defects. Conclusion: The diagnosis of a sinonasal lymphoma is a challenge for otorhinologists.
    [Show full text]
  • Selective Screening for Gestational Diabetes in Malaysia
    Ganeshan Muniswaran1, H Suharjono1, SA Soelar2, SD Karalasingam2, R Jeganathan3 Sarawak General Hospital, 1-Sarawak General Hospital, Kuching, Sarawak, Malaysia Jalan Hospital, 93586, Kuching, Sarawak 2- Clinical Research Centre, Kuala Lumpur, Malaysia Hp. No: 0125871220 3- Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia Email: [email protected] INTRODUCTION Gestational Diabetes is common in Malaysia and has significant maternal and fetal implications. Active intervention has shown to improve pregnancy outcomes. Pregnancy is an opportunistic time for screening as the future implications of Diabetes can be significant. An ideal screening tool should not be based on complications of the disease or following an adverse event. Despite recommendations for universal screening in a high risk population, Malaysia has opted for selective screening, due to concerns with cost and resources. The objective is to review the effectiveness of the current practice of selective screening for GDM in Malaysia. METHODOLOGY This is a retrospective cohort study. The study period was from 1st January 2011 till 31st December 2012 and 22, 044 patients with GDM were analyzed. Specific variables were extracted from the National Obstetric Registry of Malaysia from all the participating hospitals, with a total 260,959 patients. RESULTS The incidence of GDM is 8.4%. Majority of these patients were identified following GDM complications such as fetal macrosomia, polyhydramnios or increased weight gain. GESTATIONAL DIABETES CRUDE OR VARIABLE YES NO (SIMPLE
    [Show full text]
  • The Provider-Based Evaluation (Probe) 2014 Preliminary Report
    The Provider-Based Evaluation (ProBE) 2014 Preliminary Report I. Background of ProBE 2014 The Provider-Based Evaluation (ProBE), continuation of the formerly known Malaysia Government Portals and Websites Assessment (MGPWA), has been concluded for the assessment year of 2014. As mandated by the Government of Malaysia via the Flagship Coordination Committee (FCC) Meeting chaired by the Secretary General of Malaysia, MDeC hereby announces the result of ProBE 2014. Effective Date and Implementation The assessment year for ProBE 2014 has commenced on the 1 st of July 2014 following the announcement of the criteria and its methodology to all agencies. A total of 1086 Government websites from twenty four Ministries and thirteen states were identified for assessment. Methodology In line with the continuous and heightened effort from the Government to enhance delivery of services to the citizens, significant advancements were introduced to the criteria and methodology of assessment for ProBE 2014 exercise. The year 2014 spearheaded the introduction and implementation of self-assessment methodology where all agencies were required to assess their own websites based on the prescribed ProBE criteria. The key features of the methodology are as follows: ● Agencies are required to conduct assessment of their respective websites throughout the year; ● Parents agencies played a vital role in monitoring as well as approving their agencies to be able to conduct the self-assessment; ● During the self-assessment process, each agency is required to record
    [Show full text]
  • Auditor General's Report 2015
    AUDITOR GENERAL’S REPORT 2015 NATIONAL AUDIT DEPARTMENT MALAYSIA GOVERNMENT’S FINANCIAL STATEMENT, FINANCIAL MANAGEMENT No. 15, Level 1-5 FOR THE YEAR 2015 AND ACTIVITIES OF THE Persiaran Perdana, Presint 2 Pusat Pentadbiran Kerajaan Persekutuan FEDERAL MINISTRIES/DEPARTMENTS AND 62518 Putrajaya MANAGEMENT OF THE GOVERNMENT’S COMPANIES www.audit.gov.my SERIES 1 NATIONAL AUDIT DEPARTMENT MALAYSIA WJHS00124 Cover.indd 1 WJHS00124 T.page.indd 11 5/13/165/13/16 3:354:18 PMPM SYNOPSIS AUDITOR GENERAL’S REPORT FOR THE YEAR 2015 THE AUDIT OF THE FEDERAL GOVERNMENT’S FINANCIAL STATEMENT, FINANCIAL MANAGEMENT, ACTIVITIES OF THE FEDERAL MINISTRIES/DEPARTMENTS AND MANAGEMENT OF THE GOVERNMENT COMPANIES NATIONAL AUDIT DEPARTMENT MALAYSIA i WJHS00124 T.page.indd 1 5/13/16 2:53 PM CONTENTS iii WJHS00124 T.page.indd 2 5/13/16 2:53 PM CONTENTS iii WJHS00124 T.page.indd 3 5/13/16 2:53 PM CONTENTS PAGE CONTENTS v SECTION I THE FEDERAL GOVERNMENT’S FINANCIAL STATEMENT AND FINANCIAL MANAGEMENT OF THE FEDERAL MINISTRIES/DEPARTMENTS PREFACE 5 SYNOPSIS 13 PART I CERTIFICATION OF THE FEDERAL GOVERNMENT‟S FINANCIAL STATEMENT FOR THE YEAR ENDED 31ST DECEMBER 2015 1. Certification Of The Federal Government‟s Financial Statement For The Year Ended 31st December 2015 15 PART II FINANCIAL MANAGEMENT OF THE FEDERAL GOVERNMENT 2. Overall Financial Management Performance 15 3. Financial Management Of The Federal Ministries And Departments 16 4. Public Accounts Committee Meeting 17 CONCLUSION 19 v WJHS00124 T.page.indd 4 5/13/16 2:53 PM CONTENTS PAGE CONTENTS v SECTION I THE FEDERAL GOVERNMENT’S FINANCIAL STATEMENT AND FINANCIAL MANAGEMENT OF THE FEDERAL MINISTRIES/DEPARTMENTS PREFACE 5 SYNOPSIS 13 PART I CERTIFICATION OF THE FEDERAL GOVERNMENT‟S FINANCIAL STATEMENT FOR THE YEAR ENDED 31ST DECEMBER 2015 1.
    [Show full text]
  • Malaysia Health System Review Health Systems in Transition Vol
    Health Systems in Transition Vol. 2 No. 1 2012 Vol. in Transition Health Systems Health Systems in Transition Vol. 3 No.1 2013 Malaysia Health System Review The Asia Pacific Observatory on Health Review Malaysia Health System Systems and Policies is a collaborative partnership which supports and promotes evidence-based health policy making in the Asia Pacific Region. Based in WHO’s Regional Office for the Western Pacific it brings together governments, international agencies, foundations, civil society and the research community with the aim of linking systematic and scientific analysis of health systems in the Asia Pacific Region with the decision- makers who shape policy and practice. Asia Pacific Observatory on Health Systems and Policies Health Systems in Transition Vol. 3 No. 1 2013 Malaysia Health System Review Written by: Safurah Jaafar, Ministry of Health, Malaysia Kamaliah Mohd Noh, Ministry of Health, Malaysia Khairiyah Abdul Muttalib, Ministry of Health, Malaysia Nour Hanah Othman, Ministry of Health, Malaysia Judith Healy, Australian National University, Australia Other authors: Kalsom Maskon, Ministry of Health, Malaysia Abdul Rahim Abdullah, Ministry of Health, Malaysia Jameela Zainuddin, Ministry of Health, Malaysia Azman Abu Bakar, Ministry of Health, Malaysia Sameerah Shaikh Abd Rahman, Ministry of Health, Malaysia Fatanah Ismail, Ministry of Health, Malaysia Chew Yoke Yuen, Ministry of Health, Malaysia Nooraini Baba, Ministry of Health, Malaysia Zakiah Mohd Said, Ministry of Health, Malaysia Edited by: Judith Healy, Australian National University, Australia WHO Library Cataloguing in Publication Data Malaysia health system review. (Health Systems in Transition, Vol. 2 No. 1 2012) 1. Delivery of healthcare. 2. Health care economics and organization.
    [Show full text]
  • Malaysian Statistics on Medicines 2009 & 2010
    MALAYSIAN STATISTICS ON MEDICINES 2009 & 2010 Edited by: Siti Fauziah A., Kamarudin A., Nik Nor Aklima N.O. With contributions from: Faridah Aryani MY., Fatimah AR., Sivasampu S., Rosliza L., Rosaida M.S., Kiew K.K., Tee H.P., Ooi B.P., Ooi E.T., Ghan S.L., Sugendiren S., Ang S.Y., Muhammad Radzi A.H. , Masni M., Muhammad Yazid J., Nurkhodrulnada M.L., Letchumanan G.R.R., Fuziah M.Z., Yong S.L., Mohamed Noor R., Daphne G., Chang K.M., Tan S.M., Sinari S., Lim Y.S., Tan H.J., Goh A.S., Wong S.P., Fong AYY., Zoriah A, Omar I., Amin AN., Lim CTY, Feisul Idzwan M., Azahari R., Khoo E.M., Bavanandan S., Sani Y., Wan Azman W.A., Yusoff M.R., Kasim S., Kong S.H., Haarathi C., Nirmala J., Sim K.H., Azura M.A., Suganthi T., Chan L.C., Choon S.E., Chang S.Y., Roshidah B., Ravindran J., Nik Mohd Nasri N.I, Wan Hamilton W.H., Zaridah S., Maisarah A.H., Rohan Malek J., Selvalingam S., Lei C.M., Hazimah H., Zanariah H., Hong Y.H.J., Chan Y.Y., Lin S.N., Sim L.H., Leong K.N., Norhayati N.H.S, Sameerah S.A.R, Rahela A.K., Yuzlina M.Y., Hafizah ZA ., Myat SK., Wan Nazuha W.R, Lim YS,Wong H.S., Rosnawati Y., Ong S.G., Mohd. Shahrir M.S., Hussein H., Mary S.C., Marzida M., Choo Y. M., Nadia A.R., Sapiah S., Mohd. Sufian A., Tan R.Y.L., Norsima Nazifah S., Nurul Faezah M.Y., Raymond A.A., Md.
    [Show full text]
  • T Study on JICA's Technical Cooperation to Malaysia Volume 2
    ~ t Study on JICA's Technical Cooperation to Malaysia Volume 2 J l 1 1 1 .s·~ ·. l JICAJ l l l l l Asset Study on JICA's Technical Cooperation to Malaysia I Volume 2 I J Final Report J J J J ~~~i, :C'<"' "'~ ."' ~,.., ,v~',;;/;} ,"'~,_;•A 0 f•0w,\" " ' r ,E Researc lit ·."·', ~\\ < 't'-.. -~!St "'": ~»v,;,s:"', ~< J Plannjng~ Econ~~C2 nsultan_1s PE Research 5dn Bhd J 1338 Jalan 5525/2, Taman Mewah 47301 Petaling Jaya, 5elangor Darul Ehsan, Malaysia J www.peresearch.com.my November 2009 J J I [ I -] l f' [l [ 8 [l u L: IJ ( ~ :J 0 0 0 0 0 0 c c L u u 1 1 Asset Study on JlCA's Technical Cooperation to Malaysia: Volume 2 l Table of Content l ACRONYMS ............................................................................................................................... Ill INTRODUCTION ........................................................................................................................... 1 1 1. AGRICULTURE, FORESTRY AND FISHERIES ...................................................................... 1-1 1.1 Ministry of Agriculture and Agro-Based Industry .......... .... ........................ .. ...... .. .. 1-1 l 1.1.1 Department of Agriculture (DOA) ................ ............................... ................. 1-3 1.1.2 Department of Fisheries (DOF) ...... .... ............................. ................ .......... 1-11 1.1.3 Department of Veterinary Services (DVS) .... .. ..... ............................... .. .. .. 1-18 l 1.1.4 Veterinary Research Institute (VRI) .... .... .. ...............................................
    [Show full text]
  • Conjoint Ophthalmology Scientific Conference (COSC 2017)
    Artwork for the 7th Conjoint Ophthalmology Scientific Conference (COSC 2017) Logo COSC 2017 (designed by Dr Aliff Irwan Cheong) The logo symbolizes: 1. “C” represents as the whole eye, and its fluidic and wave like angle shape, exhibit the conference main theme “Angles and Curves”. The inferior tail of the “C” crosses and twist towards the word 2017 represents the conference aim in achieving advancement in Ophthalmology especially in Malaysia. 2. “O” represents the cornea and pupil – exhibit the specialty of interest : Glaucoma & Cornea. 3. “7” signify in RED is a hallmark of conference by COSC 2017. 4. BLUE – Theme color for conference and shown with the year its being held 5. BLACK – Second theme color for conference and shown in the other structure of interest Front Cover Artwork (designed by Dr Tan Li Mun) 1. Image of Cornea and Kuala Lumpur City Centre (KLCC) - Signifies the theme of our conjoint "Angles and Curves" and the location of our event held in Kuala Lumpur 2. Image of Pupil and Iris on the background - Signifies the other parts of anterior segment of the eye. ii Foreword The 7th Conjoint Ophthalmology Scientific Conference (COSC 2017) was held on 15-17 September 2017 at the Pullman Kuala Lumpur Bangsar, Kuala Lumpur. These Scientific Conferences have been held by the Malaysian Universities Conjoint Committee of Ophthalmology every year since 2011, and the theme for this year‟s meeting was „Angles and Curves - New Perspectives on Glaucoma and Cornea Management‟. The programme consisted of workshops, lectures and case discussions conducted by expert international and local speakers, and updated participants on latest developments in the two exciting fields.
    [Show full text]
  • Prevalence of Chronic Kidney Disease and Its Associated Factors in Malaysia
    Saminathan et al. BMC Nephrology (2020) 21:344 https://doi.org/10.1186/s12882-020-01966-8 RESEARCH ARTICLE Open Access Prevalence of chronic kidney disease and its associated factors in Malaysia; findings from a nationwide population-based cross- sectional study Thamil Arasu Saminathan1* , Lai Seong Hooi2, Muhammad Fadhli Mohd Yusoff1, Loke Meng Ong3, Sunita Bavanandan4, Wan Shakira Rodzlan Hasani1, Esther Zhao Zhi Tan5, Irene Wong6, Halizah Mat Rifin1, Tania Gayle Robert1, Hasimah Ismail1, Norazizah Ibrahim Wong1, Ghazali Ahmad4, Rashidah Ambak1, Fatimah Othman1, Hamizatul Akmal Abd Hamid1 and Tahir Aris1 Abstract Background: The prevalence of chronic kidney disease (CKD) in Malaysia was 9.07% in 2011. We aim to determine the current CKD prevalence in Malaysia and its associated risk factors. Methods: A population-based study was conducted on a total of 890 respondents who were representative of the adult population in Malaysia, i.e., aged ≥18 years old. Respondents were randomly selected using a stratified cluster method. The estimated glomerular filtration rate (eGFR) was estimated from calibrated serum creatinine using the CKD-EPI equation. CKD was defined as eGFR < 60 ml/min/1.73m2 or the presence of persistent albuminuria if eGFR ≥60 ml/min/1.73m2. Results: Our study shows that the prevalence of CKD in Malaysia was 15.48% (95% CI: 12.30, 19.31) in 2018, an increase compared to the year 2011 when the prevalence of CKD was 9.07%. An estimated 3.85% had stage 1 CKD, 4.82% had stage 2 CKD, and 6.48% had stage 3 CKD, while 0.33% had stage 4–5 CKD.
    [Show full text]
  • CRM-Bulletin-Issue-07
    By Clinical Research Malaysia ISSUE of Clinical Research and Therapy 07 DRIVERS OF CHANGE IN ENDOCRINOLOGY Research Personality: Putrajaya Hospital – Dr. Zanariah Hussein Malaysia’s Endocrine Centre Consultant Endocrinologist and Physician Hospital Putrajaya Working with CRM to move Malaysia forward When passion drives research: Pragmatic approach to cluster Greentown Health Clinic randomized trials ABOUT CLINICAL RESEARCH MALAYSIA Clinical Research Malaysia (CRM) is a non-prot company wholly owned by the Government of Malaysia’s Ministry of Health. CRM was established in June 2012 to position Malaysia as a preferred global destination for industry-sponsored research (ISR) and to function as an enabler and facilitator to the industry and medical fraternity. By working with other stakeholders, CRM strives to improve the local ecosystem to support growth in ISR, facilitate the needs and requirements of industry players, grow the pool of capable investigators, support staff and trial sites, and improve their capabilities and capacities to conduct ISR. With the Ministry of Health’s backing and clear knowledge of the local research environment, CRM is able to provide sponsors (primarily from the pharmaceutical, biotech and medical device industries) and contract research organizations (CRO) with an extensive range of services that includes feasibility studies, investigator selection, placement and development of study coordinators, management of trial budget, review of clinical trial agreements and updates on local laws, guidelines and regulations. CRM also undertakes marketing and promotional activities to build industry awareness about the opportunities for ISR in Malaysia, and create public and patient awareness of clinical trials. 1 CONTENTS From the CEO’s desk 3 Malaysia’s ISR Statistics (Jan– Oct ’15) 4 Medical Research and Ethics Committee (MREC) Updates 6 Research Personality Dr.
    [Show full text]
  • Malaysian Journal of Pharmacy Vol.4 Issue 1, July 2018 ______
    Vol. 2 Issue 2. August 2016 Vol.4 Issue 1. July 2018 MALAYSIANMALAYSIAN JOURNALJOURNALof ofPHARMACY PHARMACY Supplement: Proceedingsofthe9th National Pharmacy R&D In this issue:Conference 2016 Serial Drama: Seven Steps to Avoid Falling Foul of Falsified Medicines Directive (FMD) Management of Mild Valproic Acid Toxicity with Hemodialysis – A Case Report Stability of Extemporaneously Compounded Chloral Hydrate Oral Solution Supplement Proceedings of the 10th National Pharmacy R&D Conference 2018 APublicationoftheMalaysianPharmaceuticalSociety EDITORIAL BOARD A Publication of the Malaysian Pharmaceutical Society Malaysian Journal of Pharmacy Vol.4 Issue 1, July 2018 ___________________________________________________________________ The Official Journal of the Malaysian Pharmaceutical Society Editor-in-Chief: Assoc. Prof. Dr. Asrul Akmal Shafie Managing Editor: Mr. Ho Rhu Yann International Advisory Board: Assoc. Prof. Dr. Chua Siew Siang Prof. Dr. Mohd Baidi Bahari Associate Editors: Mr. Lam Kai Kun Prof. Dr. Mohamed Azmi Ahmad Hassali Assoc. Prof. Dr. Mohamad Haniki Nik Mohamed Ms. Syireen Alwi Prof. P T Thomas Dr. Wong Tin Wui Assoc. Prof. Dr. Vikneswaran a/l Murugaiyah Prof. Dr. Yuen Kah Hay Publisher: Malaysian Pharmaceutical Society 16-2 Jalan OP 1/5, 1-Puchong Business Park Off Jalan Puchong 47160 Puchong Malaysia Tel: 6-03-80791861 Fax: 6-03-80700388 Homepage: www.mps.org.my Email: [email protected] The Malaysian Journal of Pharmacy is a publication of the Malaysian Pharmaceutical Society. Enquiries are to be directed to the publisher at the above address. The Publisher reserves copy- right and renewal on all published materials, and such material may not be reproduced in any form without the written permission of the Publisher.
    [Show full text]
  • List of Atm As at December 2019
    LIST OF ATM AS AT DECEMBER 2019 NO STATE LOCATION ADDRESS 1 FEDERAL TERRITORY AEON AU 2 Setiawangsa ATM 1 AEON AU2 Setiawangsa Shopping Centre (G17), 6 Jalan Taman Setiawangsa (Jalan 37/56), AU2 Bandar Baru Ampang, Mukim Ulu Kelang, 54200 Kuala Lumpur. 2 FEDERAL TERRITORY AEON AU 2 Setiawangsa ATM 2 AEON AU2 Setiawangsa Shopping Centre (G72), 6 Jalan Taman Setiawangsa (Jalan 37/56), AU2 Bandar Baru Ampang, Mukim Ulu Kelang, 54200 Kuala Lumpur. 3 FEDERAL TERRITORY AEON BIG Kepong ATM 1 Carrefour Shopping Centre Kepong, No 2 Jalan Metro Perdana, Taman Usahawan Kepong 52100 Kuala Lumpur. 4 FEDERAL TERRITORY AEON BIG Wangsa Maju ATM 1 No.6, Jalan 8/27A, Wangsa Maju, 53300 Kuala Lumpur. 5 FEDERAL TERRITORY AEON BIG Wangsa Maju ATM 2 No.6, Jalan 8/27A, Wangsa Maju, 53300 Kuala Lumpur. 6 FEDERAL TERRITORY Akademi Etiqa Bangunan Dato Zainal Akademi Etiqa, Bangunan Dato Zainal, 23 Jalan Melaka, 50100 Kuala ATM 1 Lumpur. 7 FEDERAL TERRITORY Alam Damai ATM 1 Alam Damai Branch, No 15 Jalan DP 5/1 B, Bandar Damai Perdana 56000 Cheras, Kuala Lumpur. 8 FEDERAL TERRITORY Alam Damai ATM 4 Alam Damai Branch, No 15 Jalan DP 5/1 B, Bandar Damai Perdana 56000 Cheras, Kuala Lumpur. 9 FEDERAL TERRITORY Alpha Angle ATM 1 Ground Floor, Alpha Angle Shopping Centre, Section 2, Bandar Baru Wangsa Maju, 53300 Kuala Lumpur. 10 FEDERAL TERRITORY APIIT University ATM 1 Asia Pacific Institute of Info Tech (APIIT), Technlogy Park Malaysia, 57000 Kuala Lumpur. 11 FEDERAL TERRITORY Bandar Sri Permaisuri ATM 1 Bandar Sri Permaisuri Branch, No 59 Ground, 1st & 2nd Floor, Jalan Sri Permaisuri 8, Bandar Sri Permaisuri, 56000 Kuala Lumpur.
    [Show full text]