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  1. Fulltext Septic induced abortion -- a report of 100 cases in Sarawak
    Teo MYK, Tiong TH, Teo B
    Med J Malaysia, 1982 Dec;37(4):322-5.
    PMID: 7167083
    Over a 28 month period in the Sarawak General Hospital, Kuching, there were 100 'confirmed' septic induced abortions and 75 'suspect' cases. Socio-demographic characteristics are studied. Seventy-five percent of induced abortions used some kind of foreign body per vaginam. Forty-one percent are in the age group of 20-25 years and the housewife together with the unemployed form 57 percent of the whole group. There were 2 maternal mortalities.
  2. Inflammation of the external ear in acute chikungunya infection: Experience from the outbreak in Johor Bahru, Malaysia, 2008
    Javelle E, Tiong TH, Leparc-Goffart I, Savini H, Simon F
    J Clin Virol, 2014 Apr;59(4):270-3.
    PMID: 24556566 DOI: 10.1016/j.jcv.2014.01.011
    The re-emerging invalidating chikungunya disease has recently extended to temperate areas. Other alphaviruses can also present with febrile arthalgias. Dengue virus transmitted by the same species of mosquitoes may cocirculate, leading to dual infections and concurrent epidemics. Although these diseases share similar clinical features, their prognoses considerably differ. Prominent and prolonged articular disorders are more consistent with chikungunya virus, whereas haemorrhages make the gravity of dengue infection. Specific symptoms are required, especially when diagnostic tests are not available or performable at a large scale. Indeed, early clinical suspicion of a vector-borne disease is crucial to isolate the first cases in the course of an outbreak, and discrimination between arboviruses help to optimal management of patients. No specific chikungunya clinical sign has been yet reported. We highlight here the high prevalence (about 25%) of acute ear redness in infected people during the 2008 chikungunya outbreak in Jahor Bahru in Malaysia. Nine consenting patients are more precisely described. Ear chondritis could be sensitive diagnostic criterion of the acute stage of chikungunya, every physician - even in occidental non endemic areas - should be aware of.
  3. International Collaboration on Palliative Care Development Between ASCO and the Land of Hornbills
    Wong YY, Chiew AZJ, Eaton V, Ferris FD, Kremzier M, Lim BL, et al.
    JCO Glob Oncol, 2023 Jan;9:e2200351.
    PMID: 36630666 DOI: 10.1200/GO.22.00351
    PURPOSE: Palliative care in Sarawak is mainly provided by health care professionals with limited formal training in palliative care. Therefore, in 2020, collaborative work between Sarawak General Hospital, University Malaysia Sarawak, and ASCO began. This study reports on the outcome of this collaboration.

    METHODS: The collaboration was initiated with the first ASCO Palliative Care e-course, Train the Trainer program, International Development and Education Award-Palliative Care and translation of ASCO Palliative Care Interdisciplinary Curriculum resources.

    RESULTS: This collaboration has resulted in the change of practice of palliative care among the oncology team of Sarawak General Hospital.

    CONCLUSION: It encourages more timely palliative care referrals to ensure that patients with complex physical, psychosocial, and spiritual needs have the necessary input and support from the palliative care team throughout the course of patients' illnesses.

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