MyMedR

Fulltext Parliament and Publications: The Hospitals of Kedah

Hospital (Lond 1886), 1910 Oct 29;49(1266):148.

The annual report of the adviser to the Kedah Government for the year 1327 A. H. (January 23, 1909, to January 12, 1910) contains some information concerning the four hospitals in the State. The total number of admissions to the hospitals during the year was 2,238, as against 2,626 in the preceding year; and there were 133 deaths, as against 261 in the preceding year. The total number of out-patients treated during the year was 24,773. This is the first report written since the transfer of the State of Kedah from the Suzerainty of Siam to that of Great Britain. " Straits Settlements" (Kedah and Perlis). Cd. 5389. Price 9d

Matched MeSH terms: Hospitals

Chinese Maternity Hospital, Kuala Lumpur. Medical officer's report for the year 1929

Malayan Medical Journal, 1930;5:48-9.

Matched MeSH terms: Hospitals

Hospitals in Malaya

Malayan Medical Journal, 1929;4:106-7.

Matched MeSH terms: Hospitals

THE UNIVERSITY OF MALAYA MEDICAL CENTRE

HOLLINSHEAD WH

Med J Malaysia, 1963 Dec;18:103-6.

PMID: 14117277

Matched MeSH terms: Hospitals*

Fulltext The sustainability of lean implementations at the hospitals of Ministry of Health Malaysia: A study protocol

Lum KY, Binti Indera Putera KAS, Krishnan M, Binti Libasin Z, Binti Abdullah NNR, Binti Saman Saimy IS

PLoS One, 2023;18(11):e0294055.

PMID: 37956122 DOI: 10.1371/journal.pone.0294055

INTRODUCTION: In Malaysia, lean was initiated in 2012 as part of an effort to reduce waiting time at the Ministry of Health (MOH) hospitals. As of now, there are 52 public hospitals that have officially implemented lean. However, little is known whether lean is sustained within the hospitals and the critical success factors (CSFs) affecting sustainability. Therefore, this study protocol aims to fill the gap by (i) identifying the critical success factors [CSFs] for lean sustainability in the MOH, (ii) developing a validated framework to support hospitals in sustaining lean, (iii) the framework will be adapted into a checklist to measure the level of lean sustainability (iv) interviewing hospitals with the lowest and highest level of lean sustainability to further explore the barriers and boosters in sustaining lean.

METHODS AND ANALYSIS: This study will employ a mixed-method approach and will be conducted in three phases. The first phase involves a combination of scoping review and interviews with key informants to identify the CSFs known to affect lean sustainability at the MOH hospitals and present them in a validated framework. In the second phase, the framework will be adapted into a checklist to measure the level of lean sustainability in the MOH hospitals. The findings will be used to select the hospital with the lowest and highest level of lean sustainability for an interview in the third phase.

DISCUSSION: The lean sustainability framework will be able to provide more relevant guidance on how to increase the likelihood of lean sustainability and serve as a validated measurement tool for MOH hospitals. In addition, this study will be able to outline the differences in the contributing factors between health organizations that showed a high level of lean sustainability compared to those struggling to sustain.

Matched MeSH terms: Hospitals, Public*

Fulltext A new formulation of Gamma Delta Tocotrienol has superior bioavailability compared to existing Tocotrienol-Rich Fraction in healthy human subjects

Meganathan P, Jabir RS, Fuang HG, Bhoo-Pathy N, Choudhury RB, Taib NA, et al.

Sci Rep, 2015;5:13550.

PMID: 26323969 DOI: 10.1038/srep13550

Gamma and delta tocotrienols are isomers of Vitamin E with established potency in pre-clinical anti-cancer research. This single-dose, randomized, crossover study aimed to compare the safety and bioavailability of a new formulation of Gamma Delta Tocotrienol (GDT) in comparison with the existing Tocotrienol-rich Fraction (TRF) in terms of gamma and delta isomers in healthy volunteers. Subjects were given either two 300 mg GDT (450 mg γ-T3 and 150 mg δ-T3) capsules or four 200 mg TRF (451.2 mg γ-T3 &102.72 mg δ-T3) capsules and blood samples were taken at several time points over 24 hours. Plasma tocotrienol concentrations were determined using HPLC method. The 90% CI for gamma and delta tocotrienols for the ratio of log-transformation of GDT/TRF for Cmax and AUC0-∞ (values were anti-logged and expressed as a percentage) were beyond the bioequivalence limits (106.21-195.46, 154.11-195.93 and 52.35-99.66, 74.82-89.44 respectively). The Wilcoxon Signed Rank Test for Tmax did not show any significant difference between GDT and TRF for both isomers (p > 0.05). No adverse events were reported during the entire period of study. GDT was found not bioequivalent to TRF, in terms of AUC and Cmax. Gamma tocotrienol in GDT showed superior bioavailability whilst delta tocotrienol showed less bioavailability compared to TRF.

Study site: Clinical examination ward, Universiti Malaya Medical Centre UMMC, Malaysia.

Matched MeSH terms: Hospitals, University

Post-graduate study in London

Macalister GH

Malayan Medical Journal, 1928;3:67-8.

Matched MeSH terms: Hospitals

Up-regulation of genes involved in the insulin signalling pathway (IGF1, PTEN and IGFBP1) in the endometrium may link polycystic ovarian syndrome and endometrial cancer

Shafiee MN, Seedhouse C, Mongan N, Chapman C, Deen S, Abu J, et al.

Mol Cell Endocrinol, 2016 Mar 15;424:94-101.

PMID: 26802879 DOI: 10.1016/j.mce.2016.01.019

Endometrial cancer (EC) is the most common gynaecological cancer amongst women in the UK. Although previous studies have found that women with polycystic ovary syndrome (PCOS) have at least a three-fold increase in endometrial cancer (EC) risk compared to women without PCOS, the precise molecular mechanisms which link between PCOS and EC remain unclear. It has been suggested that insulin resistance may contribute to the increased risk of EC in PCOS. The specific expression of genes related to the insulin-signalling pathway including the IGF system in the endometrium of women with PCOS has however never been measured and compared to that in women with EC without PCOS and control women without EC or PCOS. .

Study site: University teaching hospital in the United Kingdom

Matched MeSH terms: Hospitals, University

Fulltext Kualiti perkhidmatan kesihatan awam yang diterima oleh buruh asing: kajian kes di Lembah Klang

Normah Awang Noh, Haris Abdul Wahab, Siti Hajar Abu Bakar Ah

Jurnal Sains Kesihatan Malaysia, 2014;12(1):47-56.

MyJurnal

Kualiti merupakan elemen terpenting dalam proses pengeluaran atau perkhidmatan yang dihasilkan oleh sesebuah organisasi kepada pelanggan. Kualiti perkhidmatan merujuk kepada ukuran bagaimana sesuatu perkhidmatan yang disampaikan sepadan dengan jangkaan pengguna. Kajian ini bertujuan untuk mengenal pasti kualiti perkhidmatan kesihatan awam yang dapat diakses oleh buruh asing. Pengukuran kualiti perkhidmatan kesihatan dalam kajian ini dapat dibahagikan kepada tiga aspek iaitu keadaan perkhidmatan kesihatan, tempoh masa menunggu dan layanan kakitangan hospital terhadap buruh asing. Dapatan kajian menunjukkan sebilangan besar buruh asing berpuas hati dengan kualiti perkhidmatan kesihatan yang diterima oleh mereka.

Matched MeSH terms: Hospitals

[Nursing report from Southeast Asia. Malaysia. Queen Elizabeth Hospital]

Hamahata H

Kangogaku Zasshi, 1970 Jun;34(6):86-9.

PMID: 4987759

Matched MeSH terms: Hospitals

Fulltext Effect of psychiatric clinical postings on attitudes among student nurses at Hospital Raja Perempuan Zainab II Kota Bharu, Kelantan

Norida Muhammad, Chan, Siok Gim

The Malaysian Journal of Nursing, 2017;8(3):3-10.

MyJurnal

Nurses play a key role in caring for the mentally ill and in rehabilitating them after an episode of illness. The nurses' attitude towards a patient is generally considered to be one of the basic factors contributing to the administration of total therapeutic nursing care. The purpose of this study was to examine whether attitudes towards mental patients improve after psychiatric attachment as well as the relationship between attitudes to psychiatry and intention to pursue psychiatry as a career. The study was conducted on sixty nursing students of fifth semester at the Kolej Kejururawatan Kubang Kerian, Kelantan who are doing their psychiatric postings in Hospital Raja Perempuan Zainab II, Kota Bharu. The sampling technique for this study was convenient sampling. The instrument used for this study surveyed questionnaire developed by Brenda Happell (Happell, 2008). This quasi-experimental study measured changes in students' attitudes and satisfaction with clinical experience following a placement in mental health nursing. The questionnaire was administered to the nursing students on the first and last day of their psychiatric clinical placement session. The findings suggested that clinical experience during psychiatric clinical posting can positively influence attitudes, preparedness for practice and the popularity of mental health nursing. Satisfaction with clinical experience was also high. The findings of this study suggest that clinical postings had positive effects on nursing students' attitudes towards psychiatric patients and confidence in this field of practice.

Study site: Hospital Raja Perempuan Zainab II, Kota Bharu

Matched MeSH terms: Hospitals

The story of the Central Mental Hospital, Tanjong Rambutan, Federated Malay States

Samuels W

Journal of Mental Science, 1926;72:39-49.

Extract: In 1910 I was holding the appointment of Medical Officer and Magistrate at Anguilla in the St. Kits presidency of the Leeward Islands, British West Indies, when the Administrator one day handed me a cable, asking if I would accept the Medical Superintendency of the “Central Lunatic Asylum,” Tanjong Rambutan, Perak, Federated Malay States. Fortunately the cable explained that Tanjong Rambutan was in the Federated Malay States, as neither he nor I had the slightest idea where it was.

Matched MeSH terms: Hospitals, Psychiatric

Hospital progress in Singapore

Malayan Medical Journal, 1933;8:69-70.

Matched MeSH terms: Hospitals

Fulltext Overestimation of Weekend and Off-hour Effect in a Public Hospital in Malaysia

Cheah WK, Choy MP, Ramananthan GRL

Med J Malaysia, 2013;68(1):89-90.

PMID: 23466780

Matched MeSH terms: Hospitals, Public*

Scott GW

Malayan Medical Journal, 1926;1:2-3.

Matched MeSH terms: Hospitals

Fulltext Validation of the Kessler's psychological distress scale (K10 & K6) in a Malaysian population

Tiong, Xun Ting, Nur Sara Shahira Abdullah, Mohamad Adam Bujang, Fatin Ellisya Sapri, Selvasingam Ratnasingam, Chong, Kok Joon, et al.

ASEAN Journal of Psychiatry, 2018;19(1):0-0.

MyJurnal

Objective: A quick assessment tool for screening individuals with depression or anxiety is pertinent in mental-health set up. This study aims to validate the K10 and the K6 to screen patients with non-specific
psychological distress in a Malaysian population.

Methods: Translation of the questionnaire was done from English to Malay. Face validity was conducted on patients, and a pilot study was performed to assess the reliability of the K10 questionnaire. Fieldwork was conducted to determine the reliability and validity of the K10 questionnaire based on convenience sampling of healthy individuals and patients diagnosed with psychiatric illness. Malay version for K10 was administered to healthy participants (group without psychological distress) and patients on psychiatric clinic follow up (psychological distress). Data collection was done between August 2016 and September 2016.

Result: A total of 94 subjects were recruited in the study, of which 32 formed the case group. The Cronbach’s alpha coefficients for K10
were 0.837(control) and 0.885 (case), as for K6 were 0.716 (control) and 0.859 (case). The total score of the
K10 and the K6 clearly differentiated between the control and case groups (p

Study site: Sarawak General Hospital

Matched MeSH terms: Hospitals

Some remarks on asylum practice in Singapore

Ellis WG

Br Med J, 1901;2:613-5.

Matched MeSH terms: Hospitals, Psychiatric

Fulltext Implication of the prevalence of needlestick injuries in a general hospital in Malaysia and its risk in clinical practice

Lee LK, Hassim IN

Environ Health Prev Med, 2005 Jan;10(1):33-41.

PMID: 21432161 DOI: 10.1265/ehpm.10.33

OBJECTIVES: To determine the prevalence of cases and episodes of needlestick injury among three groups of health care workers in the past one-year, the level of knowledge on blood-borne diseases and universal precautions and the practice of universal precautions. Other factors associated with the occurrence of needlestick injuries and the reporting of needlestick injuries were also analysed.

METHODS: A cross-sectional study was conducted in May 2003 to study the needlestick injuries among 285 health care workers (doctors, nurses, medical students) in a public teaching hospital in Negeri Sembilan, Malaysia.

RESULTS: The prevalence of needlestick injuries among the respondents was 24.6% involving 71 cases i.e. 48.0% among doctors, 22.4% among medical students, and 18.7% among nurses and the difference was statistically significant (p<0.001). There were a total of 174 episodes of needlestick injury. Prevalence of episode of needlestick injuries was highest among doctors (146%), followed by nurses (50.7%) and medical students (29.4%). Cases of needlestick injuries attained lower scores on practice of universal precautions compared to non-cases (p<0.001). About 59% of cases of needlestick injury did not report their injuries.

CONCLUSIONS: The study showed that needlestick injuries pose a high risk to health care workers and it is underreported most of the time. Many needlestick injuries can be prevented by strictly following the practice of universal precautions.

Study site: Hospital Tunku Ja'afar, Seremban

Matched MeSH terms: Hospitals, Teaching

Some notes on the ambulatory treatment of ulcers

Diamond DCE

Malayan Medical Journal, 1933;8:196-8.

Matched MeSH terms: Hospitals

Two fatal cases of kala-azar admitted to the Penang General Hospital, in whom Leishman-Donovan bodies were found

Freer GD

Journal of the Malaya Branch of the British Medical Association, 1904.

Matched MeSH terms: Hospitals

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