Citation: Clinical Practice Guideline: Management of Diabetes in Pregnancy. Putrajaya: Ministry of Health, Malaysia; 2017
Quick Reference: http://www.acadmed.org.my/view_file.cfm?fileid=869
Training Manual: http://www.acadmed.org.my/view_file.cfm?fileid=904
Keywords: CPG
Citation:
Clinical Practice Guidelines: Management of Breast Cancer, Third Edition. Putrajaya: Ministry of Health, Malaysia; 2019
Quick reference: http://www.acadmed.org.my/view_file.cfm?fileid=462
Training manual: http://www.acadmed.org.my/view_file.cfm?fileid=410
Patient information leaflet: http://www.acadmed.org.my/view_file.cfm?fileid=549
Older versions: Second Edition (2010); First Edition (2002)
Keywords: CPG
Landfills are a potential threat to human health and the environment, especially from the detrimental and toxic heavy metals. This study focuses on the assessment of heavy metals contamination in leachate and surface soils from different landfills in Malaysia. Maximum quality rating scale (QRS) values of As (787) and Cr (552) denotes progressive deterioration of leachate contamination in landfill. The impacted soils showed high heavy metal concentrations especially at non-sanitary unlined landfills, as compared to background values, and natural soil nearby the landfills. In addition, to examine the environmental impacts of the landfill area (soil) in more detail, specific indexes; geo-accumulation index (Igeo), pollution index (PI) and integrated pollution index (IPI) were determined. Maximum As (3.122) and Cd (2.633) for Igeo and As (34.037) and Cd (20.881) for PI revealed that the soil samples in non-sanitary landfills were moderate to strongly polluted. The difference in range of IPI values for sanitary (0.294-0.322) and non-sanitary landfill soils (1.263-1.956) confirmed advanced decline of the soil quality in non-sanitary landfills. Arsenic concentrations were found to be statistically significant (ANOVA) for leachate and impacted soil in landfills investigated. It is also important to realize that rise in metal contents in landfill environments were not only caused by anthropogenic sources such as from the waste disposed, but also some other factors such as redox conditions, anoxic environments, pH, oxidation state of metals and microbial activities. Those conditions will actively promotes leaching of metals from waste and also natural soils in the landfill.
Kajian tinjauan secara korelasi ini bertujuan untuk menentukan hubungan antara gaya pembelajaran dan motivasi intrinsik dalam mata pelajaran sejarah. Seramai 521 orang murid Tingkatan Empat dari sekolah menengah harian di sebuah negeri di utara Semenanjung Malaysia yang dipilih melalui teknik persampelan rawak mudah terlibat sebagai sampel kajian dalam kajian ini. Instrumen kajian ini merupakan soal selidik Perceptual Learning Style Preferences Questionnaire dan Instrinsic Motivation Inventory yang diadaptasi dan disahkan oleh pakar penilai serta mempunyai nilai kebolehpercayaan yang baik. Data kajian ini dianalisis secara statistik inferensi iaitu ujian korelasi Pearson. Dapatan kajian ini menunjukkan bahawa terdapat hubungan yang linear positif yang amat tinggi secara signifikan antara gaya pembelajaran dan motivasi intrinsik, di samping keenam-enam jenis gaya pembelajaran tersebut juga menunjukkan terdapat hubungan linear positif yang tinggi secara signifikan dengan motivasi intrinsik. Kajian ini memberi implikasi bahawa gaya pembelajaran dan motivasi intrinsik merupakan elemen penting yang perlu ditekankan dalam proses pengajaran dan pembelajaran sejarah.
The conjoint 17thAsian and Oceanian Myology Centre (AOMC) and 28thMalaysian Society of Neurosciences (MSN) Annual Scientific Meeting, held in Hotel Istana, Kuala Lumpur, Malaysia from 27 to 29 July 2018, was a great success to gather all neurosciences professionals locally and in the Asian-Oceanian region to share the latest updates in Neurology and specifically Myology. This congress attracted 516 local participants and 167 international delegates from 14 countries
OBJECTIVE: Clinical management of dengue relies on careful monitoring of fluid balance combined with judicious intravenous (IV) fluid therapy. However, in patients with significant vascular leakage, IV fluids may aggravate serosal fluid accumulation and result in respiratory distress.
METHODS: Trained physicians followed suspected dengue cases prospectively at seven hospitals across Asia and Latin America, using a comprehensive case report form that included daily clinical assessment and detailed documentation of parenteral fluid therapy. Applying Cox regression, we evaluated risk factors for the development of shock or respiratory distress with fluid accumulation.
RESULTS: Most confirmed dengue patients (1524/1734, 88%) never experienced dengue shock syndrome (DSS). Among those with DSS, 176/210 (84%) had fluid accumulation, and in the majority (83%), this was detectable clinically. Among all cases with clinically detectable fluid accumulation, 179/447 (40%) were diagnosed with shock or respiratory distress. The risk for respiratory distress with fluid accumulation increased significantly as the infused volume over the preceding 24 h increased (hazard ratio 1.18 per 10 ml/kg increase; P < 0.001). Longer duration of IV therapy, use of a fluid bolus in the preceding 24 h, female gender and poor nutrition also constituted independent risk factors.
CONCLUSIONS: Shock and respiratory distress are relatively rare manifestations of dengue, but some evidence of fluid accumulation is seen in around 50% of cases. IV fluids play a crucial role in management, but they must be administered with caution. Clinically and/or radiologically detectable fluid accumulations have potential as intermediate severity endpoints for therapeutic intervention trials and/or pathogenesis studies.
KEYWORDS: IV fluid therapy; clinical spectrum; dengue; espectro clínico; fluidothérapie IV; fuga vascular; fuite vasculaire; prospectif; prospective; prospectivo; spectre clinique; terapia IV de fluidos; vascular leakage
To describe a prospective laboratory-based surveillance of Candida species that were collected from different anatomical sites of patients admitted to the University of Malaya Medical Centre, Malaysia, from the year 2000 to 2013.
The bacterium Dyella sp. strain C9 was isolated from North Selangor Peat Swamp Forest, Malaysia, and studied using whole-genome sequencing. The putative genes involved in biogeochemical processes were annotated, and the genome sequence is publicly available in the NCBI database.
We sequenced four severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) genomes from Malaysia during the second wave of infection and found unique mutations which suggest local evolution. Circulating Malaysian strains represent introductions from different countries, particularly during the first wave of infection. Genome sequencing is important for understanding local epidemiology.
Rice tungro disease was discovered in Malaysia in the 1930s. The first and only genome of Rice tungro bacilliform virus (RTBV) isolated from rice in Malaysia was sequenced in 1999. After nearly two decades, here, we present the complete genome sequence of an RTBV isolate in rice from Seberang Perai, Malaysia.
Pararhodobacter-like strain CCB-MM2 is a halophilic alphaproteobacterium isolated from estuarine sediment collected from Matang Mangrove Forest in Malaysia. Here, we present the draft genome sequence of CCB-MM2 and provide insights into its physiological roles and metabolic potential.
Basal stem rot (BSR) disease on Elaeis guineens is known to be caused by members of the pathogenic fungal genus Ganoderma, especially the species Ganoderma boninense This species affects oil palm plantation in Sabah, Malaysia. The genome sequence (52.28 Mbp) will add to the representation of this genus, especially in regard to BSR disease.
Pembelajaran Sejarah dengan sumber dokumen teks di sekolah menengah atas telah dikaji. Tiga sumber dokumen teks dengan tajuk, “Perjuangan Mat Salleh menentang pendudukan British di Sabah”, dianalisis menggunakan Model Pemikiran Sejarah. Kajian ini menggunakan pendekatan kualitatif dengan reka bentuk kajian kes kolektif. Empat belas pelajar dari 2 buah sekolah menengah kebangsaan harian di Sabah menjadi sampel kajian. Kaedah pengumpulan data kualitatif adalah melalui kaedah pemerhatian, temu bual kumpulan berfokus dan analisis dokumen. Didapati semua pelajar dapat membina Kemahiran Pemikiran Sejarah (KPS) dengan elemen meneroka bukti. Analisis data menunjukkan pelajar-pelajar membina elemen meneroka bukti dengan; mengemukakan pelbagai pendapat tentang penulis dokumen teks berdasarkan bukti, meneroka kebenaran bukti sejarah seperti sejarawan, mengenalpasti lokasi dan tempat perjuangan pemimpin tempatan, serta mempelajari peristiwa sejarah tempatan dengan pengesahan bukti sejarah.
This study looks at the impact on program management on social interaction in outdoor education programs at Sabah Co-Curriculum Center. This quantitative study uses questionnaire instruments. A total of 113 respondents were involved in the west coast of Sabah. The findings show that mean scores for program management and social interaction levels are high. While the correlation results showed a significant but modest positive relationship (r = 0.469 , k
Blast is the most common biotic stress leading to the reduction of rice yield in many rice-growing areas of the world, including Malaysia. Improvement of blast resistance of rice varieties cultivated in blast endemic areas is one of the most important objectives of rice breeding programs. In this study, the marker-assisted backcrossing strategy was applied to improve the blast resistance of the most popular Malaysian rice variety MR219 by introgressing blast resistance genes from the Pongsu Seribu 2 variety. Two blast resistance genes, Pi-b and Pi-kh, were pyramided into MR219. Foreground selection coupled with stringent phenotypic selection identified 15 plants homozygous for the Pi-b and Pi-kh genes, and background selection revealed more than 95% genome recovery of MR219 in advanced blast resistant lines. Phenotypic screening against blast disease indicated that advanced homozygous blast resistant lines were strongly resistant against pathotype P7.2 in the blast disease endemic areas. The morphological, yield, grain quality, and yield-contributing characteristics were significantly similar to those of MR219. The newly developed blast resistant improved lines will retain the high adoptability of MR219 by farmers. The present results will also play an important role in sustaining the rice production of Malaysia.
In 1994 Corner published five new species within the genus Psathyrella, all having been collected on the Malay Peninsula between 1929 and 1930. Three of these species belong to the genus Hebeloma and with their vinaceous colored lamellae and spore print, when fresh, they belong to H. sect. Porphyrospora. Of these three species, only one, P. flavidifolia, was validly published and thus we herewith recombine it as H. flavidifolium. The other two species, P. splendens and P. verrucispora, are synonyms of H. parvisporum and H. lactariolens, respectively. We also describe a new Malayan species, H. radicans, which also belongs to H. sect. Porphyrospora. These findings confirm the western Pacific Rim as a diversity hotspot for H. sect. Porphyrospora. The records described within this paper, represent the first recognition that the genus Hebeloma, and indeed that members of the ectomycorrhizal Hymenogastraceae, are present on the Malay Peninsula.
The Malaysian Association of Medical Physics (MAMP) was set up in the year 2000 to promote and further develop the field that was relatively new in Malaysia. The article briefly summarises key developments in medical physics since the first discovery of x-rays in 1895. The resulted rapid progress in the field was also highlighted and related to the pace of development in Malaysia. Key activities organised by MAMP were also addressed. The international practices related to the field and the profession were highlighted and compared to the current status in Malaysia. Although the field has progressed well in the country, there are several gaps identified to further improve the field and the profession in Malaysia.