1.Outcome of Neonatal Hyperbilirubinemia in a Tertiary Care Hospital in Bangladesh
Choudhury Habibur Rasul ; Md Abul Hasan ; Farhana Yasmin
Malaysian Journal of Medical Sciences 2010;17(2):40-44
Background: Kernicterus occurs in infants around the world. This study examined the
outcomes of various treatments for neonatal hyperbilirubinemia (NH) used in the Khulna Medical
College Hospital in Bangladesh.
Methods: All of the jaundiced newborns in the neonatal ward between 2005 and 2008
were included in the study. Total serum bilirubin and fractional levels were measured in all cases,
regardless of the degree of jaundice. NH was classified as mild, moderate or severe depending on the
bilirubin level; mild NH was treated with a sunbath, moderate NH was treated with phototherapy,
and severe NH was treated with exchange transfusion.
Results: Of 1981 neonates, 426 (22%) were diagnosed with NH. Physiological jaundice
(26.7%) was most common, followed by the jaundice of prematurity (20.9%). Haemolytic jaundice
was primarily caused by ABO incompatibility (11.3%) and Rh incompatibility (5.4%). Exchange
transfusion (ET) was performed in 22 patients; four (18.2%) died as a result of hazards that could
have been avoided with skilled monitoring. Twelve (2.8%) individuals with jaundice died. Kernicterus
developed in nine (2.1%) children, four of whom survived with neurological sequelae.
Conclusion: ABO incompatibility is twice as common as Rh incompatibility. The majority of
kernicterus patients died in the acute phase.
2.Family Support and Self-Motivation Influence Dietary Compliance and Glycaemic Control among Type 2 Diabetes Mellitus Outpatients
Suzana Shahar ; Nik Nur Izzati Nik Mohd Fakhruddin ; Khor Jia Hui ; Nurul Farhana Syazreen Suhaimi ; Nurul Yasmin Farhah Zulkepli ; Rosdiizwan Roslan ; Wong Ee Siew ; Norhayati Ibrahim
Malaysian Journal of Health Sciences 2016;14(2):39-47
Diabetes Mellitus is a disease due to reduced insulin sensitivity and secretion in the body which associated with obesity and hypertension. This study aimed to determine the influence of family support and self-motivation towards dietary compliance and glycaemic control among Type 2 Diabetes Mellitus (T2DM) outpatients. This cross-sectional study involved 35 subjects selected from Universiti Kebangsaan Malaysia Medical Centre (UKMMC) in Cheras and Ampangan Health Clinic in Seremban. Anthropometric measurements and fasting blood glucose have been obtained. Face-to-face interview session was done to obtain socio-demographic and diet intake. Further, dietary compliance, social support and self-motivation were assessed using Summary Diabetes Self Care Activities (SDSCA), Diabetes Social Support Questionnaire Family version (DSSQ-Fa) and Treatment Self-Regulation Questionnaire (TSRQ), respectively. Only 8.6% of subjects complied with dietary counselling. Fasting blood glucose for both men (7.93 ± 1.99 mmol/L) and women (8.77 ± 3.08 mmol/L) were higher than normal range. Self-motivation (r = 0.358, p < 0.05) and family support (r = 0.460, p < 0.01) significantly correlated with dietary compliance. Self-motivation and family support are important factors which can increase compliance towards dietary counseling. Further investigation should be carried out to determine factors that may influence dietary compliance and family support towards achieving desirable glycaemic control among T2DM patients.
Diabetes Mellitus