A pilot test was conducted in Pantai Dalam, Kuala Lumpur among 30 children of 10-18 years old to examine their views about the marketing strategies employed in our local anti-smoking campaign. The study showed that the marketing strategies used were less effective because its fail to prevent smoking habit among children. The causes that lead to the campaign in efficiency are posters and pictures of critical illness used in the campaign failed to give significant impact to children about the ill-hazard of smoking (60%), children easy-access to cigarette (66%), and lack of cooperation from all sectors of society in supporting the campaign (77%). Marketing strategy of anti-smoking campaign in terms of product, price, accessibility, promotion, social policy and community partner ships need to be improved and given equal emphasis to ensure the effectiveness of a comprehensive campaign

PURPOSE: Patients with secondary hyperparathyroidism are at high risk for developing postoperative hypocalcemia. However, there are limited data regarding predictors of postoperative hypocalcemia in renal failure patient with secondary hyperparathyroidism. This study aimed to determine the clinical presentations of renal hyperparathyroidism and the predictors of early postoperative hypocalcemia after total parathyroidectomy. METHODS: Data of patients with renal hyperparathyroidism who underwent total parathyroidectomy between January 2007 to December 2014 were reviewed retrospectively. Patients were divided into 2 cohort groups according to their serum calcium levels within 24 hours of parathyroidectomy: the hypocalcemia group (calcium levels of 2 mmol/L or less), and the normocalcemia group (calcium levels more than 2 mmol/L). With the use of multivariable logistic regression analyses, the predictors of early postoperative hypocalcemia after total parathyroidectomy in patients with renal hyperparathyroidism were investigated. RESULTS: Among 68 patients, 56 patients (82.4%) were symptomatic preoperatively. Fifty patients (73.5%) presented with bone pain and 14 patients (20.6%) had muscle weakness. Early postoperative hypocalcemia occurred in 25 patients (36.8%). Preoperative alkaline phosphatase level was the predictor of early postoperative hypocalcemia (adjusted odds ratio, 1.004; 95% confidence interval, 1.001–1.006; P = 0.002). CONCLUSION Results from our study show that most of the patients with renal hyperparathyroidism were symptomatic preoperatively and the most common clinical presentations were bone pain and muscle weakness. The significant predictor of early postoperative hypocalcemia after total parathyroidectomy was the preoperative alkaline phosphatase levels.