4.Pattern of lupus nephritis in Malaysia.
B Norella Kong ; I K Cheong ; S m Chong ; A B Suleiman ; Z Morad ; I Lajin ; M Segasothy
The Medical journal of Malaysia 1988;43(3):200-5
7.THE IMPORTANCE OF LEPTOSPIROSIS IN MALAYA.
The Medical Journal of Malaysia 1964;18():164-171
9.Optimal size selection of laryngeal mask airway in Malaysian female adult population.
Rao AS ; Yew AE ; Inbasegaran K
The Medical Journal of Malaysia 2003;58(5):717-722
BACKGROUND: The summary of various studies done looking at size selection of the laryngeal mask airway (LMA) in adults is that, selection based on sex is appropriate, and that both sizes 4 or 5 are adequate for adult females. However, in our local population these sizes may be too large especially the size 5 for adult females. OBJECTIVE: To determine the optimal size of LMA in Malaysian female adults. METHOD: 135 ASA 1 or 2 adult female patients coming for elective surgery, requiring general anaesthesia suitable for LMA insertion were randomised into 3 groups to receive either a size 3, 4 or 5 LMA. Optimal size of the LMA was assessed based on 4 parameters, the number of attempts at placement, the oropharyngeal leak pressure (OLP), fibre optic score and the percentage of the vocal cords seen. RESULTS: The 3 groups were demographically similar. There was no difference in the 3 groups in terms of number of attempts of placement, OLP and fibre-optic score. The percentage of vocal cords seen with the size 3 LMA was significantly less than for the size 4 and size 5 (p = 0.009). For the size 5 LMA group in 10/45 patients, the size 5 LMA was too big making it incorrectly positioned after successful insertion and in another 3/45 patients it was difficult to pass the size 5 LMA past the open mouth during insertion. There were no such problems with the size 3 or 4 LMA groups. CONCLUSION: The optimal size of LMA for the female Malaysian adult is size 4.
Laryngeal Masks/*standards
;
Malaysia
10.Primary Health Care Reform in 1CARE for 1 Malaysia
International Journal of Public Health Research 2011;-(Special issue):50-56
Primary health care is an approach to health and a spectrum of services beyond the traditional health care system while primary care is just one element within PHC that focuses on health care services. The present status of PHC in Malaysia and the strides it has made in uplifting the health status of the nation is described. The challenges that the Malaysia health system are facing have necessitated a review of the structure of the whole health system and reforms in PHC will ensue in due course. The concept of 1Care, the proposed re-structuring of the
health system, is discussed with emphasis on the reform in the PHC delivery system. The reforms are aimed at addressing three main concerns on seamless integration of care especially for the management of chronic diseases, ensuring universal coverage and responsiveness of the health system in the face of increasing client expectations and patient safety. The opportunity for macro reform to improve the health of Malaysians by developing a
sustainable and high performing health care system
is being seized by the Ministry of Health in 1Care.
The micro reforms are discussed as regards to increasing access to services, development of primary health care teams to deliver comprehensive PHC, the application of ICT, the renewed emphasis on health promotion & prevention activities and a renewed focus on community empowerment and
participation. Support in terms of human resource, governance & funding models, capacity building in monitoring & evaluation as well as change management to affect the reforms are identified. The paper concludes with lessons learnt from other countries and the importance of systemic reform for a well functioning health delivery system.
Primary Health Care
;
Malaysia
Result Analysis
Print
Save
E-mail