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Risk Factors Associated with Necrotising Enterocolitis in Very Low Birth Weight Infants in Malaysian Neonatal Intensive Care Units
O riginal A rticle Singapore Med J 2012; 53(12) : 826 Risk factors associated with necrotising enterocolitis in very low birth weight infants in Malaysian neonatal intensive care units Nem-Yun Boo1, MRCP, FRCPCH, Irene Guat Sim Cheah2, MRCP, FRCPCH; Malaysian National Neonatal Registry Introduction This study aimed to identify the risk factors associated with necrotising enterocolitis (NEC) in very low birth weight (VLBW; weight < 1,501 g) infants in Malaysian neonatal intensive care units (NICUs). Methods This was a retrospective study based on data collected in a standardised format for all VLBW infants born in 2007 (n = 3,601) and admitted to 31 NICUs in Malaysian public hospitals. A diagnosis of NEC was made based on clinical, radiological and/or histopathological evidence of stage II or III, according to Bell’s criteria. Logistic regression analysis was performed to determine the significant risk factors associated with NEC. ResuLts 222 (6.2%) infants developed NEC (stage II, n = 197; stage III, n = 25). 69 (31.3%) infants died (stage II, n = 58; stage III, n = 11). The significant risk factors associated with NEC were: maternal age (adjusted odds ratio [OR] 1.024, 95% confidence interval [CI] 1.003–1.046; p = 0.027), intrapartum antibiotics (OR 0.639, 95% CI 0.421–0.971; p = 0.036), birth weight (OR 0.999, 95% CI 0.998–0.999; p < 0.001), surfactant therapy (OR 1.590, 95% CI 1.170– 2.161; p = 0.003), congenital pneumonia (OR 2.00, 95% CI 1.405–2.848; p < 0.001) and indomethacin therapy for the closure of patent ductus arteriosus (PDA) (OR 1.821, 95% CI 1.349–2.431; p = 0.001). -
Covid-19) Situation in Malaysia
PRESS STATEMENT MINISTRY OF HEALTH MALAYSIA UPDATES ON THE CORONAVIRUS DISEASE 2019 (COVID-19) SITUATION IN MALAYSIA Current Status of Confirmed COVID-19 Cases Who Have Recovered 30 April 2020 – The Ministry of Health (MOH) would like to inform that 84 cases have fully recovered and discharged well today. Cumulatively, 4,171 confirmed COVID-19 cases have fully recovered and discharged well (69.5% of total cumulative cases). Current Situation of COVID-19 in Malaysia 30 April 2020, 12 pm – A total of 57 additional confirmed COVID-19 cases were reported to the National Crisis Preparedness and Response Centre (CPRC) MOH today. Cumulatively there are now 6,002 confirmed COVID-19 cases in Malaysia. Therefore, there are currently 1,729 active and infective COVID-19 cases. They have been isolated and provided treatment. Of these 57 additional cases reported today, 25 are imported cases. The remaining 32 cases are due to local transmission. Currently, 36 confirmed COVID-19 cases are receiving treatment in intensive care units (ICU), and of these, 14 cases are on ventilation support. Regretfully, two (2) additional COVID-19 deaths were reported to the National CPRC MOH today. Cumulatively, there are now 102 COVID-19 deaths in Malaysia (1.7% of total cumulative cases): 1. Death #101: Case 4,657 is a 64 year-old Malaysian man with a history of haematological cancer. He was a close contact to a confirmed COVID-19 case (Case 4,476; from the Bali PUI cluster). He was admitted into Tengku Ampuan Afzan Hospital, Pahang on 12 April 2020 and was pronounced dead on 29 April 2020 at 4.14 pm. -
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. -
Chapter 2 Developing Health Service Hub in ASEAN and Asia Region
Chapter 2 Developing Health Service Hub in ASEAN and Asia Region Country Report on Healthcare Service Industry in Malaysia Maznah Dahlui University of Malaya Norlaili Abdul Aziz Cyberjaya University College of Medical Science March 2012 This chapter should be cited as Dahlui, M. and N. A. Aziz (2012), ‘Developing Health Service Hub in ASEAN and Asia Region Country Report on Healthcare Service Industry in Malaysia’ in Tullao, T. S. and H. H. Lim (eds.), Developing ASEAN Economic Community (AEC) into A Global Services Hub, ERIA Research Project Report 2011-1, Jakarta: ERIA, pp.65-110. CHAPTER 2 Developing Health Service Hub in ASEAN and Asia Region Country Report on Healthcare Service Industry in Malaysia MAZNAH DAHLUI University of Malaya, Kuala Lumpur, Malaysia. NORLAILI ABDUL AZIZ Cyberjaya University College of Medical Science, Malaysia. The health status of Malaysians has been comparable to some developed country, with her successful dual healthcare system and equal shares of healthcare financing. The government pro-industry orientation has boosted up the tourist industry in general and health tourist industry specifically, which has shown tremendous achievements since the last decade. Malaysia is the preferred destinations for medical tourism nowadays, given the low exchange rates, highly qualified medical specialist, high technology medical devices, international credentialed safety and quality services, and the comparable medical cost around the regions. Her multi ethnics, various respectable cultures, beautiful country with peaceful and politically stable environment, good climate around the year, friendly and English speaking population are among other factors that have made Malaysia popularly visited for health reasons. The market attracts not only the people from neighboring countries like Indonesia and Singapore, but also from Japan. -
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. -
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. -
ID 536 Need for Resilience Healthcare Facilities Management
Proceedings of the 2nd African International Conference on Industrial Engineering and Operations Management Harare, Zimbabwe, December 7-10, 2020 Need for Resilience Healthcare Facilities Management (RHFM) In Malaysia’s Public Hospitals. A Critical Literature Review Noralfishah Sulaiman, Sheikh Kamran Abid, Umber Nazir, Nur Putri Najwa Mahmud, Siti Kursiah Kamalia Abdul Latib, Haridzah Fathini Muhammad Hafidz KANZU Research: Resilient Built Environment (RBE), Faculty of Technology Management & Business, Universiti Tun Hussein Onn Malaysia (UTHM), 86400, Johor, Malaysia. [email protected] , [email protected] , [email protected] , [email protected] , [email protected] , [email protected] , Ahmed Farhan Roslan Construction Research Institute of Malaysia (CREAM) [email protected] Norbaya Ab Rahim Department of Estate Management, Faculty of Architecture, Planning & Surveying, Universiti of Teknologi Mara (UiTM) [email protected] Abstract In Malaysia, over the year’s disasters has affected buildings and infrastructure including healthcare facilities severely. The past events should provide a valuable lesson for future preparedness and planning in healthcare facilities whether from natural, man-made or both disasters. However, recent hospital disaster shows that more in-depth effort should be emphasized in hospitals of Malaysia. Therefore, to ensure that hospitals and health facilities can withstand emergencies and disasters, resilience strategies has been examined to highlight the importance of assessing risks and preparing for them. In this study, a different toolkits of health care facility management were identified. The research is based on published literature review and past research to achieve the objective. Through the identification and integration of the factors and Resilience Healthcare Facilities Management (RHFM) toolkit was identified to highlight the health care management in the hospital public sector. -
ASEAN Federation of Endocrine Societies
Journal of the JournalASEAN of the Federation of ASEANEndocrine Federation Societies of EndocrineVolume No. 36 Special EditionSocieties | ISSN 2308-118x (Online) Event ID: CPDE25340 20 Points Vol. 32 No. 2 November 2017 | ISSN 0857-1074 | eISSN 2308-118x VIRTUAL 30th July to 1st August 2021 www.memsmac.org The Journal of the ASEAN Federation of Endocrine Societies (JAFES) is an open-access, peer-reviewed, English language, medical and health science journal that is published two times a year by the ASEAN Federation of Endocrine Societies (AFES). Its editorial policies are aligned with the policies of the International Committtee of Medical Journal Editors (www.icmje.org). JAFES welcomes manuscripts on all aspects of endocrinology and metabolism in the form of original articles, reviewU Narticles,RAVELLING case reports, feature articles T HE I NTRICACIES IN E NDOCRINOLOGY (clinical practice guidelines, clinical case seminars, clinical practice guidelines, book reviews, et cetera), editorials, letters to the Editor, brief communications and special announcements. Authors may include members and non-members of the AFES. Authors are required to accomplish, sign and submit scanned copies of the JAFES Author Form consisting of:Messages (1) Authorship Certification, that the manuscript has been read and approved by all authors, and that the requirements for authorship have been met by each Organisingauthor; (2) the Author Declaration & Scientific, that the article Committee represents original material that is not being considered for publication or has not been published or accepted for publication elsewhere; (3) the Statement of Copyright Transfer [accepted manuscripts become the permanent property of the JAFES and are licensed Listwith an ofAttribution Faculty-Share Alike-Non-Commercial Creative Commons License. -
Hospitals Report-110411.Indd
NATIONAL HEALTHCARE ESTABLISHMENTS & WORKFORCE STATISTICS 2008-2009 HOSPITALSAAPPENDIPPENDIX1X PARTICIPANTS OF THE NatiONAL Healthcare EstaBLISHMENTS SURVEY 2008-2009 PUBLIC HOSPITALS Public Hospitals (Perlis) 1. Hospital Tuanku Fauziah Public Hospitals (Kedah) 1 Baling Hospital 2 Hospital Sultan Abdul Halim, Sungai Petani 3 Hospital Jitra 4 Hospital Yan 5 Hospital Kuala Nerang 6 Sik Hospital 7 Hospital Kulim 8 Sultanah Bahiyah Hospital, Alor Setar 9 Hospital Langkawi Public Hospitals (Penang) 1 Hospital Balik Pulau 2 Hospital Pulau Pinang 3 Hospital Bukit Mertajam 4 Hospital Seberang Jaya 5 Hospital Kepala Batas 6 Sungai Bakap Hospital Public Hospitals (Perak) 1 Hospital Bahagia, Ulu Kinta 2 Hospital Seri Manjung 3 Hospital Batu Gajah 4 Hospital Slim River 5 Hospital Changkat Melintang 6 Hospital Sungai Siput 7 Hospital Gerik 8 Hospital Taiping 9 Hospital Kampar 10 Hospital Tapah 11 Hospital Kuala Kangsar 12 Hospital Teluk Intan 13 Hospital Parit Buntar 14 Raja Permaisuri Bainun Hospital, Ipoh 15 Hospital Selama Public Hospitals (Selangor) 1 Hospital Ampang 2 Hospital Sungai Buloh 3 Hospital Banting 4 Hospital Tanjong Karang 5 Hospital Kajang 6 Hospital Tengku Ampuan Jemaah 7 Hospital Selayang 8 Hospital Tengku Ampuan Rahimah 9 Hospital Serdang Public Hospitals (Selangor) 1 Hospital Putrajaya Public Hospitals (WP Kuala Lumpur) 1 Hospital Kuala Lumpur 2 Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM) 3 Institute of Respiratory Medicine 4 University Malaya Medical Centre (UMMC) Public Hospitals (Negri Sembilan) 1 Hospital Jelebu -
SOALAN LAZIM PENYAKIT NOVEL CORONAVIRUS (COVID-19) 15 November 2020
SOALAN LAZIM PENYAKIT NOVEL CORONAVIRUS (COVID-19) 15 November 2020 Soalan 1: Apakah coronavirus? Coronavirus adalah satu keluarga besar virus yang menyebabkan jangkitan saluran pernafasan seperti Severe Acute Respiratory Syndrome (SARS) dan Middle East Respiratory Syndrome-related Coronavirus (MERS-CoV). Coronavirus terbaharu dan menjadi pandemik di seluruh dunia kini dikenali sebagai Novel Coronavirus 2019 (COVID-19). COVID-19 telah mula dikesan di negara China dengan kes pertama disahkan pada 7 Januari 2020 di Wuhan, Hubei, China. Dalam tempoh tiga (3) minggu seterusnya, kes-kes disahkan di Thailand, Nepal, Amerika Syarikat, Korea Selatan, Singapura, Perancis, Vietnam, Malaysia, Australia, Canada, Cambodia, Sri Lanka dan Jerman. Kes pertama di Malaysia disahkan pada 25 Januari 2020. Sehingga kini, penyakit COVID- 19 masih lagi menular di Malaysia. Sejak 20 September 2020, Malaysia sudah memasuki permulaan gelombang ketiga COVID-19 susulan peningkatan mendadak kes jangkitan virus COVID-19. Kementerian Kesihatan Malaysia dan pihak berkuasa terus menjalankan program dan aktiviti kawalan dan pencegahan bagi membendung wabak COVID-19 di Malaysia. Soalan 2: Bagaimanakah novel coronavirus 2019 (COVID-19) merebak? Cara penularan novel coronavirus COVID-19 daripada individu kepada individu yang lain adalah melalui titisan dari hidung atau mulut yang tersebar apabila seseorang yang dijangkiti COVID-19 batuk atau bersin. Titisan ini melekat pada objek dan permukaan di sekelilingnya. Orang lain yang menyentuh objek atau permukaan ini mempunyai risiko mendapat jangkitan COVID-19 apabila beliau menyentuh mata, hidung atau 1 mulutnya selepas menyentuh permukaan/objek yang tercemar. Seseorang itu juga boleh dijangkiti COVID-19 jika mereka berada dekat dengan pesakit COVID-19 yang batuk, bersin atau bercakap dalam jarak yang dekat. -
Privatisation of Water, Sanitation & Environment-Related Services In
PRIVATISATION OF WATER, SANITATION & ENVIRONMENT-RELATED SERVICES IN MALAYSIA Japan International Cooperation Agency (JICA) Malaysia Office 1999 JICA...A Study of Privatisation in Malaysia TABLE OF CONTENTS EXECUTIVE SUMMARY.....................................................................................IX CHAPTER 1 A STUDY OF PRIVATISATION IN MALAYSIA: INTRODUCTION................... 1-1 1.1 INTRODUCTION........................................................................................... 1-1 1.2 OBJECTIVES AND SCOPE OF WORK OF THE STUDY ........................................ 1-3 1.3 METHODOLOGY ADOPTED ........................................................................... 1-4 1.4 LITERATURE REVIEW .................................................................................. 1-4 1.5 SCHEDULE OF WORK AND TASKS ................................................................ 1-8 CHAPTER 2 PRIVATISATION IN MALAYSIA: CONCEPT, POLICY AND PRACTISE ........ 2-1 2.1 INTRODUCTION............................................................................................ 2-1 2.2 THE CONCEPT ............................................................................................ 2-2 2.3 THE RATIONALE .......................................................................................... 2-2 2.4 FUTURE DIRECTION..................................................................................... 2-3 2.5 PRIVATISATION POLICY AND PLAN ................................................................. 2-3 2.5.1 Privatisation -
A Randomized Controlled Trial Comparing Peginterferon-Α-2A
A randomized controlled trial comparing peginterferon-α-2a versus observation after stopping tyrosine kinase inhibitor in chronic myeloid leukemia patients with deep molecular response for at least two years Jew Win Kuan ( [email protected] ) Universiti Malaysia Sarawak https://orcid.org/0000-0003-1686-5570 Kian Meng Chang Ampang Hospital Chin Lee Phan Ampang Hospital Shu Ping Wong Ampang Hospital Soo Min Lim Hospital Sultanah Aminah See Guan Toh Hospital Sultanah Aminah Weng Khean Loh Ampang Hospital Habiba Nazeera Begum Ampang Hospital Siong Leng Hon Ampang Hospital Si Yuan Ng Ampang Hospital Su Kien Chiang Hospital Pulau Pinang Alvin Jung Mau Chai Sibu Hospital: Hospital Sibu Kar Ying Yong Miri Hospital: Hospital Miri Hock Gin Teo Sibu Hospital: Hospital Sibu Page 1/20 Andy Sing Ong Tang Miri Hospital: Hospital Miri Gilbert Wilfred Queen Elizabeth Hospital Yong Khee Guan Hospital Melaka Lily Lee Lee Wong Queen Elizabeth College Ching Tiong Ko Sarawak General Hospital: Hospital Umum Sarawak Research article Keywords: chronic myeloid leukemia, BCR-ABL1, tyrosine kinase inhibitor, treatment free remission, interferon Posted Date: October 21st, 2020 DOI: https://doi.org/10.21203/rs.3.rs-92583/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 2/20 Abstract Background: Interferon (IFN) is a logical possibility to increase treatment free remission (TFR) rate in chronic myeloid leukemia (CML). We conducted the rst randomized controlled trial comparing the use of pegIFN versus observation in CML patients attempting TFR. Methods: Adult CML patients with stable deep molecular response for ≥ 2 years with ≥2 readings of MR4.5 were randomized into two arms -- subcutaneous pegIFN-α-2a starting at 180µg weekly for a year, followed by observation, or observation.