Introduction: The prevalence of cataract surgeries ranges from 7 to 12 million cases in 2000, 20 million in 2010 and an estimation of 32 million cataract surgeries annually by the year 2020 worldwide (WHO, 2015). Traditionally, the healthcare providers were only able to give health education before the patient is discharged from the healthcare setting while follow-up can only be done when the patient comes for their follow-up. But most of the patients will remain confused or had forgotten about the post-operative care even after receiving a comprehensive discharge preparation. However, with the advancement of technologies in this modern era, nurse-led telephone follow-up can be considered as a tool to assist healthcare providers in the follow-up care in Malaysia. On the same note, a private eye specialist organisation with centres throughout Malaysia, had taken the initiative to provide telephone follow-up service for their patients with three main objectives namely, to provide pre- and post-education on cataract surgery, to detect early post cataract surgery complications as well as to minimise anxiety among their patients. However, till date no patient feedback regarding the service was conducted. Objective: The research objective for this study was to determine patient’s level of satisfaction with the nurse-led telephone follow-up after cataract surgery at a private eye specialist centre in Penang. Method: A cross sectional quantitative descriptive study design was used to study ninety post cataract patients in a private hospital, Penang through universal sampling method. A validated self-developed questionnaire based on the three main objectives of the telephone follow-up service was used for this study. Results Overall, the level of patient’s satisfaction with nurse-led telephone follow-up after cataract surgery at a private eye specialist centre in Penang was high (49.9±4.85) especially for the health education provided (4.18 ±0.21) followed by the effort to detect early complications (4.16 ±0.12) and to minimise patients’ anxiety level (4.16 ±0.12).
Patients

Alpha (α) thalassaemia is the most common inherited disorder in Malaysia. The clinical severity is dependant on the number of α genes involved. Full blood count (FBC) and haemoglobin (Hb) analysis using either gel electrophoresis, high performance liquid chromatography (HPLC) or capillary zone electrophoresis (CE) are unable to detect definitively alpha thalassaemia carriers. Definitive diagnosis of α-thalassaemias requires molecular analysis and methods of detecting both common deletional and non-deletional molecular abnormailities are easily performed in any laboratory involved in molecular diagnostics. We carried out a retrospective analysis of 1623 cases referred to our laboratory in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) for the diagnosis of α-thalassaemia during the period October 2001 to December 2012. We examined the frequency of different types of alpha gene abnormalities and their haematologic features. Molecular diagnosis was made using a combination of multiplex polymerase reaction (PCR) and real time PCR to detect deletional and non-deletional alpha genes relevant to southeast Asian population. Genetic analysis confirmed the diagnosis of α-thalassaemias in 736 cases. Majority of the cases were Chinese (53.1%) followed by Malays (44.2%), and Indians (2.7%). The most common gene abnormality was αα/--SEA (64.0%) followed by αα/-α3.7 (19.8%), -α3.7 /--SEA (6.9%), αα/ααCS (3.0%), --SEA/--SEA (1.2%), -α3.7/-α3.7 (1.1%), αα/-α4.2 (0.7%), -α4.2/--SEA (0.7%), -α3.7/-α4.2 (0.5%), ααCS/-- SEA (0.4%), ααCS/ααCd59 (0.4%), ααCS/ααCS (0.4%), -α3.7/ααCd59 (0.3%), αα/ααCd59 (0.1%), αα Cd59/ ααIVS I-1 (0.1%), -α3.7/ααCS (0.1%) and --SEA /ααCd59 (0.1%). This data indicates that the molecular abnormalities of α-thalassaemia in the Malaysian population is heterogenous. Although α-gene deletion is the most common cause, non-deletional α-gene abnormalities are not uncommon and at least 3 different mutations exist. Establishment of rapid and easy molecular techniques is important for definitive diagnosis of alpha thalassaemia, an important prerequisite for genetic counselling to prevent its deleterious complications.
Thalassemia ; Patients

Background: Health related internet usage is common among patients globally. The literature review showed no local study regarding health- related internet usage in the Philippines hence investigation of internet use for medical information in the outpatient department was done Objective: To describe the health-related internet usage; its prevalence, reasons & experience on use, perceived effects and sources of medical information in the Outpatient Department of a tertiary Hospital. Method: A single center, observational, sectional study utilizing a modified 33-item self- administered questionnaire about Health-related Internet usage of patients consulting at the service outpatient department of De La Salle University Medical Center, Dasmariñas City, Cavite, Philippines fromSeptember-October 2020. 381 eligible participants were included in the study based on the computed sample size. The data were reported as frequencies and percentage distribution. Results: Majority of the participants belongs to the 26-35 years old group (32.02%) and most were Females (69%). Most used the Internet in general (88%) and Health-related internet usage was high among these users (78.42%). Despite the high internet usage, majority stated that the primary source of medical information was Doctors (76.25%). Commercial websites such as (Google & Yahoo) were the most commonly used during health- related searches (40.49%) and most searches were about their medical condition (36.22%). Most of the participants stated that sometimes they trust information from the internet (58.63%) and find it useful (68%). Forty five percent stated that medical information obtained from the internet were applied without consulting a doctor and subsequently, many does not disclose this information during medical consultation with a doctor (64%). Participants stated that their primary reason for Health-related internet use was personal knowledge about medical condition (57%). Also, most of the participants believed that Health-related searches do not have an effect on their medical condition (62%) and relationship with their doctor (61%). Conclusion The study clearly indicated that Health- related Internet Usage was a common practice in the outpatient department. Although, majority of the patients stated that their Doctors were the primary source of medical information, many individuals still do not divulge medical information obtained from the internet hence physicians should regularly inquire regarding health-related internet usage and educate regarding erroneous online medical information to correct misperception that may affect their health. Lastly, due to the overwhelming use of the internet among patients, health institutions and practitioners may develop mobile friendly applications to render sufficient medical service and provide holistic care to patients especially in this time of pandemic.
Outpatients ; Patients

Introduction: Globally, the number of people who die from road crashes continues to rise, reaching a high of 1.35 million in 2016. Due to this continued increase in fatalities and injuries within the road transport system, especially in low- and middle-income countries, 2011 to 2020 was declared by the United Nations General Assembly in 2010 as the Decade of Action for Road Safety. Objectives: This study looked into the epidemiology of road crashes and injuries in Metro Manila over ten years, from 2008-2017, from data gathered at the Department of Surgery of the Philippine General Hospital (PGH). Method: A retrospective review of patients’ clinical records was conducted to describe the epidemiology of road crash cases in the Trauma Division, Department of Surgery of the PGH. Clinical records of the road crash patients admitted to the division over the ten years, January 1, 2008, to December 31, 2017, were extracted from the Integrated Surgical Information System (ISIS). Results: A total of 422 patients were admitted to the PGH Department of Surgery and recorded in the ISIS database, from 2008 to 2017, who suffered from road crashes in Metro Manila. Most of these patients (80.8%) were male. The mean age of patients was 32.4 years. The highest number of admissions (27.5%) and road crash deaths (6.9%) were in 2016; the highest number was from the city of Manila (26.7%), and most happened at nighttime (61.8%) between 6:00 PM and 5:59 AM. Throughout the years, motorcycle (52.8%) was the vehicle type involved. Among patients with helmet use information, 65.4% were not wearing helmets, 91.2% had a history of alcohol intake. The majority incurred multiple injuries (82.7%), with the external region (53.8%) as the most common. Patients who sustained injuries to their head and neck region were five times more likely to die and six times more likely to have an unchanged patient outcome than those who did not have these injuries. Patients who had a GCS of 8 and below or those who had severe brain injuries were eight times more likely to die and six times more likely to have an unchanged patient outcome. Conclusion This study looked into the epidemiology of road crash cases admitted to the Surgery Department of the PGH. Road crash injuries and deaths remain a growing concern among the citizens of Metro Manila. It is hoped that the results of this study will provide policymakers with an objective and data-driven perspective on road crashes.
Accidents ; Patients

Acute kidney injury (AKI) in the perioperative period has serious implications, being with a more complicated hospital course and associated cost implications. Identii cation of risk factors, close monitoring of renal function, and early adoption of both preventive measures and treatments remain important considerations for those taking care of perioperative patients who are likely to develop AKI. The aim of this study is to determine if the AKI risk index by Kheterpal [4] is able to identify those patients at risk for AKI undergoing non-cardiac surgery. This is a cross-sectional study, wherein a total of 145 patients’ charts were reviewed from September 2016 to May 2017. About 59 patients had AKI and 86 patients did not develop AKI. The most common operations done are hindgut, urologic, and musculoskeletal surgeries. The baseline characteristics of patients included in the study show that those in the AKI group are signii - cantly older with a mean age of 66.2 vs. 60.2 years (p-value 0.017); renal insufi ciency, emergency surgery, ascites, active congestive heart failure, hypertension, lower estimated glomerular i ltration rate (eGFR), recent myocardial infarction (MI), and peripheral arterial occlusive disease (PAOD). Whereas there is no signii cant difference between the groups in terms of the male gender, intraperitoneal surgery, type II diabetes, previous cardiac intervention, and cerebrovascular accident (CVA). A ROC curve was then formulated and the area under the curve (AUC) determined to be 0.799 (95% CI: 0.729–0.870). Hence, the AKI risk index by Kheterpal is an acceptable predictor of AKI among non-cardiac surgery patients. Therefore, it is recommended that this risk scoring be used at the University of Santo Tomas Hospital. It has a sensitivity of 57.6% and 86% sensitivity with more than i ve risk factors identii ed.
Kidney ; Patients

Publication biases and collection limitations are the main disadvantages of a traditional meta-analysis based on aggregate patient data (APD) from published articles. Individual patient data (IPD) meta-analysis, as the gold standard of systematic review, is a possible alternative in this context. However, the publications relative to IPD meta-analyses are still rare compared with the traditional ones, especially in the research oriented to Chinese medicine (CM). In this article, the strengths and detailed functioning of IPD meta-analysis are described. Furthermore, the need for IPD meta-analysis to assess the treatments based on CM was also discussed. Compared with the traditional APD meta-analysis, the IPD meta-analysis might give a more accurate and unbiased assessment and is worth to be recommended to CM researchers.
Biomedical Research ; Humans ; Patients

A descriptive cross sectional study was performed on 11547 households (with 35832 persons aged ≥ 15, including 16734 males and 19095 females) in Ba Vi district, Ha Tay province. Among them 559 had a more than 3 weeks long cough without difference between 2 genders. More male subjects had got health insurance than female subjects. There were differences between 2 genders in considering other symptoms. Their majority were peasants. ** rate was higher in female than in male. The course of cough was long in male than in female subjects. Various factors such as the age, the living economic condition, moving measure, did not exert statistically significant influence. Private health facilities and home self treatment were the common services in use. For female subjects more services were used but with less quality than male
Health Services ; Cough ; Patients

After myocardial infarction, there is a high mortality, patient needs a proper treatment. The medications include a group of antiagglutination of thrombocytes, anticoagulants, a group of beta receptor suppressor, a group of antimetabolism inhibitors, a group of calci channel suppressor, the medication of antiarrhythmia, treating blood lipid dysturbation. Supportive measures such as the change of living stype, stop smoking, proper diet and exercises were effective. Specially, it must treat activelyassociate factors such as diabetes, hypertension. Antioxidants such as vitamin A, vitamin E, folat, vitamin B and hormone therapy for menopause women are also helpful
Myocardial Infarction ; Patients ; mortality

101 burn sepsis patients, aged 0.5-68 years were treated in the National Institute of Burn during March 1998 to September 2002 period mortality due to burn sepsis was 53.5%, mortality due to P. aeruginosa was 60%, higher than to S. aureus (31.6%). The results of treating were related closely to general burn surface, deep burn surface, infecting germs. Intensive surgery and efficacy use of antibiotics promoted the possibility of survival
Sepsis ; Burns ; Patients

For assessing the effect, the safety and the tolerance of B-nalgesine (nemesulid 100mg). An opened multicenters clinical study was performed on 100 patients with gonarthrosis of both genders aged 57 years in average. After 8 weeks of treatment with B.nalgesine of 100mg, 2 times a day, pain relieved dramatically and patients movements were improved obviously. The product was well tolerated and few side effects of minimal importance were notified.
Patients ; drugs ; Therapeutics