Displaying publications 61 - 80 of 2929 in total

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  1. The Kuala Lumpur Hospital Achalasia Series. [Abstract]
    Ganesananthan S, Kew ST, Ngau YY, Melvin R
    Med J Malaysia, 2002;57 Suppl D:FP4-3.
    Matched MeSH terms: Hospitals, General
  2. Fulltext Data set and model code on the optimal operating state of a negative emission polygeneration system
    Aviso KB, Tan RR, Foo DCY, Lee JY, Ubando AT
    Data Brief, 2020 Apr;29:105140.
    PMID: 32083153 DOI: 10.1016/j.dib.2020.105140
    This article contains the data set and model code for the negative emission polygeneration system described in Tan et al. (2019). The data was generated utilizing an optimization model implemented in LINGO 18.0 and includes information on the operating state of each process unit in the system. The maximum annual profit of the system was determined at different carbon footprint targets. The data set and model code can be utilized for further analysis on the interdependence between the process units of this polygeneration system, its operational and environmental performance, and the potential impact of integrating new process units into the network.
    Matched MeSH terms: Hospitals, Private
  3. A historical review of the general hospital, Singapore
    MacGregor RB
    Malayan Medical Journal, 1933;8:1-12.
    Matched MeSH terms: Hospitals
  4. Spinal cord degenerations due to faulty diets
    Pallister RA
    Malayan Medical Journal, 1936;11:109-111.
    Matched MeSH terms: Hospitals
  5. A case of congenital megacolon treated by lumbar sympathectomy
    Chitty EC
    Journal of the Malaya Branch of the British Medical Association, 1939;3:102-3.
    Matched MeSH terms: Hospitals
  6. Summary of autopsy conducted at Tan Teck Seng Hospital, October to Deceber, 1904
    Finlayson GA
    Journal of the Malaya Branch of the British Medical Association, 1904.
    Matched MeSH terms: Hospitals
  7. An unusual case of typhoid fever
    Douglas ASM, Norris VH
    Malayan Medical Journal, 1927;2:43-4.
    Matched MeSH terms: Hospitals, General
  8. An analysis of 90 cases of typhoid fever
    Lowson JMA
    Malayan Medical Journal, 1935;10:7-9.
    Matched MeSH terms: Hospitals
  9. Complete cleft palate closure: new technique, new timing
    Rahoma AH
    JUMMEC, 2002;7:107-113.
    Cleft palate has been recorded for many cenhuies. Until the 16th century attempts at closure were by covering or filling the clefts using artificial materials. By the 18th century sutures were used to close the palate after cauterization. By the 19th century lateral relaxing incisions were used to close the cleft at mid line. In 1861 Von Langenbeck (9,22) introduced his technique for dosing the palate. Veau(9) recommended his technique to elongate the palate and to narrow the velopharyngeal space. Many specialties are involved in rectifying this problem. They comprise maxillofacial, orthodontic. ENT surgeons, as well as speech therapists.(9) However, none of these methods succeeded to provide a satisfactory solution for the problem of complete deft palate. In this study, 618 cases of cleft palate of varying degrees were operated during the period from January 1992 to July 2001. From these 618 cases, 48 cases (7.07%) had complete cleft lip and palate. Only 18 cases (37.5%) had bilateral complete cleft lip and palate, and 30 cases (62.5%), had unilateral complete deft lip and palate. The results of the corrective surgical procedures were very promising. In this series of 618 cases only six cases developed residual fistula. The used technique was simple and similar to the Von Langenbeck technique but differs in some steps. The timing of the surgical intervention was a very important factor which influenced the outcome of the closure. KEYWORDS; New technique and tinling for treating complete cleft palate.
    Matched MeSH terms: Hospitals
  10. Fulltext Clinical presentation of dengue in a general hospital in Bangladesh
    Nashir Uddin Ahmed, Mohd Yusof Hj Ibrahim, Than Myint1, Khandaker Abu Talha, Farhana Selina, Khin Maung Ohn @ Arif
    Borneo Journal of Medical Sciences, 2016;10(2):60-66.
    MyJurnal
    Dengue is one of the commonest viral diseases of Africa and tropical Asia. This disease is characterized by headache, fever, generalized body pain, severe malaise and back pain. The uncomplicated Dengue which is also named the classical dengue fever usually begins 3-8 days after biting of an infected mosquito. This is a cross sectional study on clinical presentation of Dengue in a general hospital in Bangladesh. The total number of patients was 198. The study period was 6 months (July 2004 to December 2004). All the patients who were admitted in the ‘Dengue ward’ and diagnosed as Dengue by serological test were included in this study. The aim of this study was to evaluate the common clinical presentations of Dengue in a General hospital in Bangladesh. The aim and objective was to compare the clinical presentations of Dengue in Bangladesh patients with those of other international studies. Most of the patients were male (3.7 :1) in sex and young adult(s) in age (80.3%). Fever and severe backache were the commonest clinical features. Nearly two-third (74%) patients presented with hemorrhagic features. Gum bleeding (20.2%) was the commonest bleeding feature. The result of this study showed a similarity with that of other international studies.
    Matched MeSH terms: Hospitals
  11. Fulltext A clinical study of oral mucosal changes adjacent to amalgam restorations
    Lee, A.T., Lai, L.W., Goh, Y.C., Chan, S.W., Siar, C.H.
    Ann Dent, 2017;24(1):10-18.
    MyJurnal
    Amalgam has been widely used in dentistry and its components may cause some oral mucosal changes (OMC), commonly presenting as oral lichenoid lesions (OLLs), acute or generalized sensitivity reaction or amalgam tattoo. Our objective was to determine the demographic and clinical profile of patients with and without OMC adjacent to their amalgam restorations (AR) and to evaluate the prevalence and types of AR-related OMC and associated clinical parameters. Materials and methods: In this retrospective crosssectional study, 83 outpatients attending the Primary Dental Care Unit at the Faculty of Dentistry, University Malaya were examined for the presence of AR-related OMC. The study period was from early to mid July 2016. Firstly, patients’ personal details (age, gender, medical status, social habits) were analyzed and history of AR (the age, condition and number of restorations) was determined. Clinical examination of patient’s oral cavity was carried out to detect any AR-related OMC. The data collected was analyzed using SPSS 12.0.1 Result: Approximately 14.6 % patients had OMC. OLLs and amalgam tattoo made up 1.2% and 13.4% respectively. Females (8.4%) had higher predilection and Chinese were more commonly affected (8.4%). Social habits were not associated with OMC. Certain systemic diseases, age (p=0.005) and duration of amalgam (p=0.007) in the oral cavity were significant risk factors for OMC. Conclusions: Present findings suggest that AR-related OMC is uncommon. Three key parameters namely systemic diseases, patient’s age and duration of AR were identified as significant risk factors predisposing to the development of OMCs.
    Matched MeSH terms: Hospitals, University
  12. Fulltext Defining factors in hospital admissions during COVID-19 using LSTM-FCA explainable model
    Md Saleh NI, Ab Ghani H, Jilani Z
    Artif Intell Med, 2022 Oct;132:102394.
    PMID: 36207072 DOI: 10.1016/j.artmed.2022.102394
    Outbreaks of the COVID-19 pandemic caused by the SARS-CoV-2 infection that started in Wuhan, China, have quickly spread worldwide. The current situation has contributed to a dynamic rate of hospital admissions. Global efforts by Artificial Intelligence (AI) and Machine Learning (ML) communities to develop solutions to assist COVID-19-related research have escalated ever since. However, despite overwhelming efforts from the AI and ML community, many machine learning-based AI systems have been designed as black boxes. This paper proposes a model that utilizes Formal Concept Analysis (FCA) to explain a machine learning technique called Long-short Term Memory (LSTM) on a dataset of hospital admissions due to COVID-19 in the United Kingdom. This paper intends to increase the transparency of decision-making in the era of ML by using the proposed LSTM-FCA explainable model. Both LSTM and FCA are able to evaluate the data and explain the model to make the results more understandable and interpretable. The results and discussions are helpful and may lead to new research to optimize the use of ML in various real-world applications and to contain the disease.
    Matched MeSH terms: Hospitals
  13. Predicting acute myocardial infarction (AMI) 30-days mortality: Using standardised mortality ratio (SMR) as the hospital performance measure
    Kamarulariffin Kamarudin M, Tan Jen Ai C, Lisa Zaharan N, Yahya A
    Int J Med Inform, 2022 Dec;168:104865.
    PMID: 36334465 DOI: 10.1016/j.ijmedinf.2022.104865
    BACKGROUND: A standardised mortality ratio (SMR) is the hospital observed mortality divided by its predicted mortality and has been used as an indicator to monitor hospital performance.

    OBJECTIVES: This study developed a model that predicted 30-day mortality for acute myocardial infarction (AMI) and compared the SMR among 41 Malaysian public hospitals using statistical process control charts.

    METHODS & RESULTS: Data from referral centres and specialist hospitals with cardiology services were analysed. Both referral centres and specialist hospitals had comparable mortality, except for Hospitals A and B, which the study considered outliers. Two-thirds of the remaining hospitals had an SMR of above one (SMR 1.05-1.51), but the indices were still within the expected variations.

    CONCLUSION: The SMR coupled with a funnel plot and variable life adjusted display (VLAD) can identify hospitals with potentially higher than expected mortality rates.

    Matched MeSH terms: Hospitals, Public
  14. Fulltext Modeling aerosol transmission of SARS-CoV-2 from human-exhaled particles in a hospital ward
    Saw LH, Leo BF, Nor NSM, Yip CW, Ibrahim N, Hamid HHA, et al.
    Environ Sci Pollut Res Int, 2021 Oct;28(38):53478-53492.
    PMID: 34036501 DOI: 10.1007/s11356-021-14519-9
    The COVID-19 pandemic has plunged the world into uncharted territory, leaving people feeling helpless in the face of an invisible threat of unknown duration that could adversely impact the national economic growths. According to the World Health Organization (WHO), the SARS-CoV-2 spreads primarily through droplets of saliva or discharge from the mouth or nose when an infected person coughs or sneezes. However, the transmission of the SARS-CoV-2 through aerosols remains unclear. In this study, computational fluid dynamic (CFD) is used to complement the investigation of the SARS-CoV-2 transmission through aerosol. The Lagrangian particle tracking method was used to analyze the dispersion of the exhaled particles from a SARS-CoV-2-positive patient under different exhale activities and different flow rates of chilled (cooling) air supply. Air sampling of the SARS-CoV-2 patient ward was conducted for 48-h measurement intervals to collect the indoor air sample for particulate with diameter less than 2.5 μm. Then, the reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR) was conducted to analyze the collected air sample. The simulation demonstrated that the aerosol transmission of the SARS-CoV-2 virus in an enclosed room (such as a hospital ward) is highly possible.
    Matched MeSH terms: Hospitals
  15. Characteristics of electroencephalogram changes and correlation with seizures in hospitalised patients
    Satar SNA, Mogan S, Jaafar WPN, Maghalingam S, Affendi FAR, Ng CF, et al.
    Med J Malaysia, 2023 Mar;78(2):149-154.
    PMID: 36988523
    INTRODUCTION: Electroencephalogram (EEG) is an important investigational tool that is widely used in the hospital settings for numerous indications. The aim was to determine factors associated with abnormal EEG and its clinical correlations in hospitalised patients.

    MATERIALS AND METHODS: Patients with at least one EEG recording were recruited. The EEG and clinical data were collated.

    RESULTS: Two hundred and fifty patients underwent EEG and 154 (61.6%) were found to have abnormal EEG. The abnormal changes consist of theta activity (79,31.6%), delta activity (20, 8%), focal discharges (41,16.4%) and generalised discharges (14, 5.6%). Older patients had 3.481 higher risk for EEG abnormalities, p=0.001. Patients who had focal seizures had 2.240 higher risk of having EEG abnormalities, p<0.001. Low protein level was a risk for EEG abnormalities, p=0.003.

    CONCLUSION: This study emphasised that an abnormal EEG remains a useful tool in determining the likelihood for seizures in a hospital setting. The risk factors for EEG abnormality in hospitalised patients were age, focal seizures and low protein level. The EEG may have an important role as part of the workup in hospitalised patients to aid the clinician to tailor their management in a holistic manner.

    Matched MeSH terms: Hospitals
  16. Racial differences in hospitalization rates among navy enlisted men
    Hoiberg A, Berard SP, Ernst J
    Public Health Rep, 1981;96(2):121-7.
    PMID: 7208795
    Similarities and differences in hospitalization rates among five racial groups serving in the Navy during a 3-year period (1973-75) were examined, and the differences in terms of sociological and occupational factors were evaluated. Overall annual hospitalization rates per 10,000 men were blacks, 1,413; whites, 1,109; American Indians, 923; Asian-Americans, 683; and Malaysians (Filipinos), 508.Explanations for the low Malaysian hospitalization rate included selection of the fittest for service, age and job experience, and a low percentage of assignments to physically arduous occupations. Although blacks had the highest rates for many medical conditions, their rates for injuries, respiratory diseases, and infective disorders were comparable with those for whites. Blacks had the highest rates for several non-life-threatening conditions that required surgical procedures; this finding suggested that the Navy Medical Department had filled a longstanding need for corrective treatment.Although the results of this study should be useful to military medical planners responsible for the health care of all naval personnel, the authors conclude that detailed longitudinal studies are needed to establish more clearly the underlying biological and sociological factors associated with racial differences in morbidity.
    Matched MeSH terms: Hospitals, Military*; Hospitals, Public*
  17. Characteristics of Malaysian systemic lupus erythematosus (SLE) patients seen in a public and private hospital. [Abstract]
    Yeap SS, Das Gupta E, Gun SC
    Int J Rheum Dis, 2010;13:121.
    DOI: 10.1111/j.1756-185X.2010.01502.x
    BACKGROUND: In Malaysia, patients have a choice of attending a public (fully subsidised bygovernment) hospital (PUBH) or a private (fee-paying) hospital (PRIH) for their healthcare.The aim of this study was to, firstly, provide an overview of the characteristics of MalaysianSLE patients attending rheumatology clinics, and secondly, to ascertain if there were any dif-ferences between patients attending PUBH and PRIH.
    METHODS:A standardised questionnaire was administered to all SLE patients attendingrheumatology clinics in a PRIH in Selangor state and a PUBH in Negeri Sembilan state dur-ing the months of September to December 2009.
    RESULTS:One hundred and thirty patients were included in the study. There were 55(42.3%) patients from PRIH and 75 (57.7%) from PUBH. 93.8% were female. 61.5% wereChinese, 29.2% Malay and 7.7% Indians. The majority of patients completed secondaryschooling (46.9%) with significantly less PUBH patients going onto higher education(P = 0.001). 53.8% were in fulltime employment with 37.7% housewives/unemployed.There were significantly more unemployed patients in PUBH (45.3%) versus PRIH (27.2%)(P = 0.05). 33.8% of patients were single, 60.8% married and 3.8% divorced. Average ageat SLE diagnosis was 29.8510.17 years. At diagnosis, the most common presenting symp-tom was related to the mucocutaneous system 70.8%, followed by joints 55.3%, haemato-logical 46.9% and renal 23.1%. Significantly more patients had renal involvement atdiagnosis in PUBH (33.3%) versus PRIH (9.1%) (P = 0.001). At the time of survey, therewere 12 (9.2%) patients in remission. Of those still symptomatic, 48.5% related to themucocutaneous system, 32.3% joints, 27.7% haematological, 22.3% renal, with significantlymore current renal disease in PUBH (30.7%) versus PRIH (10.9%) (P = 0.008). The mostfrequently prescribed drug was prednisolone in 83.1% of patients, followed by hydroxychlo-roquine 68.5% and azathioprine 23.1%. Only 64.8% of patients on prednisolone were onbone protective agents. More patients in PRIH were on prednisolone (90.9%) versus PUBH(77.3%) (P = 0.04), but more patients were on activated vitamin D in PUBH (72%) versusPRIH (29.1%) (P < 0.001).
    CONCLUSION:The demographics and clinical characteristics of SLE patients attending PUBHand PRIH are significantly different. This has important implications when considering edu-cational and treatment strategies
    Matched MeSH terms: Hospitals, Public; Hospitals, Private
  18. Fulltext Factors influencing the recovery of stroke patients in Kuala Lumpur. [Faktor-faktor yang mempengaruhi pemulihan pesakit strok di Kuala Lumpur]
    Nurul Aini, H.M., Aniza, I., Hazlina, M.M.
    Malaysian Journal of Public Health Medicine, 2007;7(2):53-58.
    MyJurnal
    Stroke is among the main cause of death and loss of work capability in Malaysia. Government hospitals statistic shows drastic increase of stroke cases and deaths resulting from it. Hospital Kuala Lumpur's statistic recorded about 30% to 35% fatality in cases of stroke. The study was carried out to identify the level of stroke recovery and its associated factors. The study was carried out at University Kebangsaan Malaysia Medical Center (UKMMC), Hospital Kuala Lumpur (HKL) and National Stroke Association of Malaysia (NASAM). The sampling method was universal sampling and respondents were interviewed using guided questionnaire. The stroke recovery was studied to identify the relationshiP with social support, age, coping, stroke severity and lifestyle. The response rate of this study was 50.3%. A total of 47.0% ofstroke patient received high stroke recovery. Among five factors studied, three factors have shown the significant relationship with stroke recovery; coping style OR 0.293 (95% Confidence Interval (CI), 0.129·0.668, P "0.004); lifestyle, OR 0.347 (95% Confidence Interval (CI), 0.154· 0.782, p" 0.01) dan social support OR 0.291 (95% Confidence Interval (CI), 0.128· 0.664, P"0.004), Establish significant relationshiP of stroke recovery with three studied factors which were social support, coping style and lifestyle. Most of the stroke patients in this study are retirees and housewives. These three factors are required further attention to ensure stroke patients recover.
    Key words: Recovery, stroke, social support, coping, lifestyle
    Matched MeSH terms: Hospitals, General; Hospitals, University
  19. Gombak Hospital
    Pike D
    Nurs Times, 1968 Nov 8;64(45):1519-21.
    PMID: 5723625
    Matched MeSH terms: Hospitals*
  20. MODERN DESIGN BLENDS WITH MALAYSIAN SETTING IN KUALA LUMPUR HOSPITAL
    JOYCE D
    Hospitals, 1965 Sep 16;39:80-1 PASSIM.
    PMID: 14343561
    Matched MeSH terms: Hospital Design and Construction*; Hospital Planning*; Hospitals*
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