Browse by Subject
Results for Search : "610 Medicine & health"
2023 (2)
|
Cepat Tahu, Cepat Tindak
Item Type: Video
Editor:
Year: 00/01/2023
Abstract: Educational video regarding the importance of undergoing a mammogram test which is an examination to detect the early stages of breast cancer while the HPV DNA test is a test to detect the Human Papillomavirus (HPV) that is infected through sexual contact. Cervical cancer is cancer at the base of the uterus caused by HPV.
|
|
|
|
|
|
Enhancing Pregnancy Outcomes in Women with Polycystic Ovary Syndrome
Item Type: Research Report
Editor:
Year: 00/01/2023
Abstract: Polycystic ovary syndrome or known as polycystic ovarian syndrome (PCOS) is an endocrine disorder and one of the main causes of anovulatory infertility in women of reproductive age, which is 15 to 49 years (Balen et al., 2016). The main characteristics of women with PCOS are ovarian dysfunction, hyperandrogenism and polycystic ovaries (Balen and Michelmore., 2002). This syndrome is associated with metabolic syndromes such as obesity, insulin resistance, diabetes mellitus type 1 (Barthemess and Naz., 2014) and arteriosclerosis (Orio et al., 2004).
The general objective of this study is to identify the demographic characteristics, clinical and medical history, of PCOS sufferers as well as appropriate treatment methods among clients seeking fertility treatment at the LPPKN Subfertility Clinic.
This study is an experimental, case control study involving female clients who come to seek fertility treatment at the LPPKN Subfertility Clinic. The chosen location is LPPKN Headquarters, Kuala Lumpur. Every female client who attends needs to meet the patient selection criteria, namely a Malaysian couple, trying to conceive for more than a year and aged between 25 to 38 years old. Every patient who faces subfertility problem is divided into two groups, namely PCOS and no PCOS.
Patients who are eligible and agree to participate in the study have gone through at least five (5) series of appointments with medical officers and nurses. A total of 167 patients participated in this study with an average age of 30 years.
|
|
|
|
|
2022 (2)
|
Statistik data perkhidmatan perancang keluarga LPPKN tahun 2015-2019
Item Type: Report
Editor:
Year: 00/00/2022
Abstract: National Population and Family Development Board Malaysia (NPFDB) have prepared a statistic report on family planning services at the NPFDB level according to the number of new recipients, type of contraceptive, state, age group, ethnicity, strata and employment status for 2015 to 2019. This report only consist new recipients, which is new clients who have not registered with any of family planning agency such as NPFDB, Ministry of Health (MOH), Malaysian Armed Forces (ATM) and Federation of Reproductive Health Associations Malaysia (FRHAM). The breakdown of statistic report by type of contraceptive have included implant, injection, condom, pill, intrauterine device and non-modern methods. Meanwhile, the breakdown of family planning data by age have covered the range of 15 years to 49 years. The breakdown of data by ethnicity also have included Malay, Chinese, Indian, other bumiputera and other ethnicities. These statistic data were also have provided by strata (urban and rural), employment status (employed and unemployed) and education breakdown including college/ university, secondary school, primary school and non formal education.
|
|
|
|
|
|
Wanita dan menopos: satu kajian literatur
Item Type: Book Section
Editor:
Year: 00/00/2022
Abstract: The Malaysian Ministry of Health has defined menopause as a situation of menstrual loss that will occur among women aged 45 to 55 years. However, it is undeniable that menopause can also occur before a woman turns 40 due to health factors. Past studies on postmenopause have focused on physical health aspects such as effects on hormones, sleep and medical support given to postmenopausal women.
|
|
|
|
|
2021 (3)
|
Development of a high-energy nutrient-dense meal as supplementary functional food for improving problem of stunted and under-nourished children
Item Type: Article
Editor:
Year: 00/12/2021
Abstract: Poverty, obesity and lifestyles are the most associated factors of vitamin D deficiency among urban-living children in Malaysia. Vitamin D is necessary for calcium absorption from food to ensure healthy bones and teeth. Vitamin D deficiency can cause soft and brittle bones disease known as rickets in children and osteomalacia in adults. Based on previous research, lack of nutritional knowledge among parents can contribute to nutrition deficiencies in children. To overcome this issue, nutritional education and awareness campaign among parents are needed. Besides campaign, the development of supplementary functional food which can provide crucial nutrients and energy that can assist in brain and body growth seems beneficial.
|
|
|
|
|
|
Family well being & the emergence of global pandemic
Item Type: Newsletter
Editor:
Year: 00/00/2021
Abstract: National Population and Family Development Board (NPFDB) has introduced a Family Well-Being Index (FWBI) to specifically measure the well-being of families in Malaysia. The third series of the FWBI was conducted in 2019, prior to pandemic which start hitting the globe at the end of year. The FWBI 2019 reached a new highest score of 7.72 out of a maximum scale of 10. Although the FWBI 2019 score is still at a moderate level, it has shown an increase of 0.39 points compared to previous 7.33 for FWBI 2016. The FWBI 2019 score is a reflection of the family well-being in the country before COVID-19 pandemic began. Since then, every aspect of our life have been aff¬ected and subsequently transform the way we work and doing things. In addition to hampering the economy, the pandemic has also impacting family institution as a whole.
|
|
|
|
|
2020 (6)
|
Amalan perancangan keluarga sepanjang tempoh perintah kawalan pergerakan
Item Type: Infographic
Editor:
Year: 00/12/2020
Abstract: A total of 740 respondents of married women aged 15 to 49 years were involved in this public opinion poll to find out family planning practices and problems faced by married couples in obtaining family planning methods during the period of Movement Control Order (MCO).
|
|
|
|
|
|
Putting the brakes on Covid-19: How to safeguard the health and rights of women and girls now
Item Type: Infographic
Editor:
Year: 00/07/2020
Abstract: World Population Day is celebrated every year on July 11th aimed to raise public awareness of the population issues and challenges. The theme for this year’s World Population Day is ''Putting the Brakes on Covid-19: How to Safeguard the Health and Rights of Women and Girls Now'. The Covid-19 pandemic not only caused a crisis in public health, but affected the economy and the labor market as a whole. Women constitute 70% of the workers in the health and social sector globally, should be commended and appreciated as they work hard to ensure the safety and health of every netizen against the outbreak.
|
|
|
|
|
|
Impact of Covid 19 on family planning and ending gender based violence
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2020
Abstract: Women represent 70 % of the global health workforce. Hence, women are disproportionately exposed to the coronavirus. Global Supply chains are disrupted, impacting the availability of contraceptives and heightening the risk of unintended pregnancy. As countries are on lockdown and health systems struggle to cope, sexual and reproductive health services are being sidelined and gender-based violence is on the rise. The pandemic is making existing gender inequality even worse. Recent UNFPA projections highlighted the impact of a 6 month lockdown to women and girls which is 47 million women in developing countries may not be able to access modern contraceptives resulting in 7 million unintended pregnancies. This presentation slides discuss the impact of Covid-19 on family planning and ending gender based-violence.
|
|
|
|
|
|
The social, health and economic impacts of Covid-19 in Malaysia
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2020
Abstract: Can life ever return to normal? YES... Evolutionary-wise, humans are resilient beings. This is not a life-ending Pandemic. With a prepared healthcare system with sufficient capacity. “March of the Vaccines”. Acknowledging our vulnerability demands humility, but will allow us to mitigate this pandemic better. Fear clouds our intellect. To make better-informed decisions, we need to let go of our fear.
|
|
|
|
|
|
Seroprevalence and factors associated with chlamydia trachomatis Infection among subfertile couples attending local public subfertility clinic
Item Type: Thesis
Editor:
Year: 00/00/2020
Abstract: Chlamydia trachomatis is one of the agents that cause the sexually transmitted infections called chlamydia. People practicing risky sexual behaviours such as having multiple sex partners, exercising sexual intercourse at an early age, and undergoing unprotected sexual
intercourse (without condom) with casual partners, are at risk of getting Chlamydia trachomatis infection. One of the significant, long term implications of risky sexual behaviours and sexually transmitted infection is infertility problems. The objectives of this study are to determine the seroprevalence of Chlamydia trachomatis (CT) among subfertile couples (husband and wife) of The Lembaga Penduduk dan
Pembangunan Keluarga Negara (LPPKN) Subfertility Clinic and the factors associated with it (i.e. socio-demographic, duration of marriage, infertility factor, knowledge, attitude, practice of risky sexual behaviour (RSB) and predictors of Chlamydia trachomatis infection). The study is a cross-sectional study involving 112 infertile couples who underwent fertility treatment at LPPKN Subfertility Clinic from February 2018 until February 2019. Sociodemographic factors, duration of marriage, infertility factor, knowledge, attitude and practice (KAP) of risky sexual behavior (RSB) variables were determined via self-administered
questionnaire that includes close ended questions. Meanwhile, Chlamydia trachomatis antigen and antibody (CT IgG) were determined via Enzyme Linked Immunosorbent Assay (ELISA) and rapid visual immunoassay test kit. This approach is selected to detect past and
current infections of Chlamydia trachomatis through antibody and antigen detection in the blood serum, endocervical swab and urine samples. The response rate of this study was 97.39%. Majority of the respondents were aged between 25-34 years old and dominated by Malay ethnicity. Half of the respondents were among those with tertiary level of education and working in the private sector. In term of duration of marriage, half of the samples were couples who have been married for 3-7 years with majority of them had primary infertility. The female factor was reported to be the most dominant, followed by the unexplained factor and male factor. The seroprevalence of Chlamydia trachomatis among subfertile couples was 22.1% with 14.7% in husbands and 17.9 %, was reported among wives. In terms of knowledge, the results showed that most couples had high level of knowledge
about risky sexual behaviours with a score of more than the mean (> 6) for both husbands and wives. Meanwhile, each husband and wife group had positive attitude towards risky sexual behavior. Approximately, 35.7% of husbands and 12.5% of wives were engaged with risky sexual behavior while a higher percentage of premarital sex was reported among the husbands compared to the wives. The chi-square results showed no association between CT status and socio -demographic factors, marital status and knowledge of RSB among subfertile couples. A significant association was recorded between CT and practices of RSB among couples (p< 0.05) particularly among those with multiple sex partners and husbands who had premarital sex (p<0.05). However, the Binary Logistic Regression analysis showed that none of the selected variables were significant predictors of CT status among the couples (p> 0.05). This study has determined that the seroprevalence of Chlamydia trachomatis (22.1%) and practices of risky sexual behavior among subfertile couples were high. Even though the results have shown no association between the dependent and independent variables, our finding has given an evidence based detection of past infection of Chlamydia trachomatis among
subfertile couples. The practice of RSB has interrelated risk of getting CT and its long term consequences particularly on women reproductive system. Since the awareness on CT among public is considered low, it is crucial to sensitize them about it to ensure early detection and prevention. Therefore, CT screening is strongly recommended to be integrated in fertility work up. treatment and be promoted among sexually active adolescents and those young in age.
|
|
|
|
|
2018 (2)
|
Cervical cancer
Item Type: Infographic
Editor:
Year: 00/05/2018
Abstract: This infographic describes information about cervical cancer. Cervical cancer is the no.3 most common cancer among Malaysian women. Almost all cervical cancers are caused by Human Papilloma Virus (HPV). The symptoms such as unusual bleeding, heavier periods and bleeding after menopause.
|
|
|
|
|
|
Amalan perancangan keluarga di Malaysia: cabaran dan hala tuju
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2018
Abstract: Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achived through use of contraceptive method and the treatment of infertility. Proportion of women of reproductive aged 15-49 years who have their need for family planning satisfied with modern methods.
|
|
|
|
|
2017 (4)
|
Pedofilia: selamatkah anak-anak kita?
Item Type: Article
Editor:
Year: 00/05/2017
Abstract: Recently, we were shocked by a news that was very foreign to us. A British man has been convicted of molesting and sexually abusing children, including in Malaysia. The psychological disorder is called pedophilia, while the perpetrators of child sexual harassment are called pedophiles. A person who suffers from pedophilia, may also not be a pedophiles (for not committing any sexual behavior against children), but a pedophile turns out to be a person suffering from pedophilia.
|
|
|
|
|
|
Stress buat lelaki jadi kurang subur?
Item Type: Article
Editor:
Year: 00/03/2017
Abstract: Fertility problems are now increasing from time to time around the world. According to the World Health Organization (WHO 2010), infertility can be rooted; 40% of male factors or and 40% of female factors and 20% are from unknown factors (idiopathy).
|
|
|
|
|
|
Effects of socio-demographic, lifestyle and environmental factors on semen quality of men attending the sub fertility clinic in National Population and Family Development Board
Item Type: Research Report
Editor:
Year: 02/01/2017
Abstract: Couples are considered infertile if they are unable to conceive after one year of regular unprotected sex. The impact of lifestyle and environment on human fertility may vary depending on aetiology, demographic characteristics, genetic variation and other factors. As used by previous researchers, semen parameters were used to measure male infertility. Therefore, a decrease in semen quality is considered as a major factor in male infertility (http://en.wikipedia.org/wiki/Semen_quality). Previous studies (Kidd et al.2001,Eskenazi et al.2003, de La Rochebrochard and Thonneau 2003) have found that older men tend to have lower semen quality than younger ones. Testicular hyperthermia (elevated temperature) also has been known to affect male fertility. Men who like taking hot baths or sit in a sedentary position for a long time are at risk of having infertility. The objectives of this study are to identify the relationship between socio-demographic profile, lifestyle and environmental factors and semen quality, and to identify risk factors of poor semen quality among men attending the National Population and Family Development Board's (NPFDB) Subfertility Clinic. This study was done in Andrology Laboratory, NPFDB. Five hundred men from couples having their first infertility consultation between September 2010 abd June 2011 were recruited. Each patient was required to register, deposit semen and fill in the quesstionnaire. Sperm concentration, morphology and motility from semen analysis were used to study the relationship between semen quality and independent variables. Reference limits used were 15 cells x 10'6/ml, 4% and 40 %, respectively (World Health Organization, 2010). For statistical analysis, descriptive statistic, t test and ANOVA were used; 0.05 alpha value was chosen. Results showed that one-third of the study population were between 26 to 30 years of age and another one third were aged between 31 to 35 years old; mean age was 33.2. majority were Malays (71.2%), resided in Selangor (64.3%) and professionals (41.6%). Semen quality showed a negative relationship (p<0.05) with age. Meanwhile, sperm motility varied significantly for different ethnic group. Chinese (57.75%) had the highest motile-sperm compared to Malays (53.44%) and Indians (46.60%). Among lifestyles variables, frequency of sexual intercourse had a posive relationship (p<0.05) with sperm motility, whilst sedentary position had negative relationship (p<0.05) with the latter. Regression analysis was used to predict the risk factors of poor semen quality. This study found that men above 30 years old were two times more likely to have low sperm motility than men in the twenties. Moreover, less frequent sexual activity between couples was more likely (p<0.05) to have abnormal sperm compared to those who had sexual intercourse more frequently. In conclusion, this study suggested that age over 30 years and infrequent sexual activity were the risk factors to lower semen quality. Even though not regarded as a risk factor, sedentary work position had a negative impact on sperm motility. These factors may affect male fertility and cause difficulty in conception. Public awareness through advocacy programs and talks on infertility and its risk factors should be carried out regularly. Public education should be carried out to advice men to practice a healthy lifestyle and work life balance. This study has shown encouraging results, and should be replicated in the general population in Malaysia
|
|
|
|
|
|
Malaysian infertile men and women : do they suffer mental health issues?
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2017
Abstract: This study revealed that Malaysian infertile men and women demonstrated susceptibility to mental health problems that occurs more commonly among women than men. Thus, this study may facilitate fertility facilities to strategize and redesign better intervention for the infertile couples.
|
|
|
|
|
2016 (3)
|
Memilih jantina bayi: bahagian 2
Item Type: Article
Editor:
Year: 00/08/2016
Abstract: From time immemorial, our ancestors practiced certain tips and diets to get the desired gender of the child. However, there is still no scientific explanation of the effectiveness and accuracy of the practice. Learn how to determine the sex of a baby from a scientific point of view.
|
|
|
|
|
|
Kajian bagi mengenalpasti faktor-faktor risiko kanser payudara yang berkaitan dengan gaya hidup dalam kalangan wanita melayu di Kuala Lumpur
Item Type: Thesis
Editor:
Year: 00/02/2016
Abstract: Breast cancer is the most common cancer that has affected women all over the world. The worldwide rates of breast cancer incidence and mortality show a drastic and alarming increase. Until today the cause of the disease has yet to be identified. However, evidences from extensive researches related to breast cancer found that there were several lifestyle factors and some biomedical factors of the women that are scientifically recognized to increase the risk for breast cancer. In Malaysia, recent data obtained from data obtained from the National Population and Family Development Board (NPFDB) shows the incidence rate of breast cancer among Malay women was
found to have increased drastically in the last 8 years. This study aimed to identify risk factors, especially those related to lifestyle that may increase the risk of breast cancer among Malay women in Kuala Lumpur. The study also examined the knowledge of breast cancer among informants. A total of twelve breast cancer survivors were
interviewed in depth to identify and explore aspects of past lifestyle and biomedical background that may likely to increase their risk of getting breast cancer. Results show that some lifestyle and biological risk factors seen likely to increase the risk of getting breast cancer; late age at first birth or has never given birth (nulliparity), has never
breastfed or short period of breastfed, obesity, physical inactivity, high frequency of red meat intake, less intake of vegetables and fruits, psychological stress, family history of breast cancer and radiation treatment to the chest or breast. The study also found that the majority of the informants had poor knowledge regarding breast cancer.
|
|
|
|
|
|
Penentuan pengaruh Psikostres terhadap kerosakan DNA dan ketakormalan residu sitoplasma sperma manusia
Item Type: Thesis
Editor:
Year: 00/00/2016
Abstract: Idiopathic infertility has been correlated with psychostress which can result in abnormality and declining semen quality in men. Nevertheless, direct relationship of semen quality and psychostress is still unclear. Hence, this study was conducted to evaluate the effect of psychostresson semen quality with emphasizing on sperm DNA damage and cytoplasm droplet abnormality. A total of 628 respondents were selected randomly among men aged between 25-45 years old were patient from LPPKN.
|
|
|
|
|
2015 (3)
|
Yang mana satu pilihan: keluarga kecil atau besar
Item Type: Article
Editor:
Year: 10/07/2015
Abstract: In the current of modernization, many couples are planning to limit the number of their family members. Among the factors that push them to plan a family are getting married at a late age and the rising cost of living. The practice of family planning is very helpful in determining the birth distance between children and the size of the appropriate number of children for a family. This contraceptive practice can also prevent pregnancy in high-risk women, i.e. women with serious health problems or hereditary diseases.
|
|
|
|
|
|
Apa wanita perlu tahu: subur@tidak subur?
Item Type: Article
Editor:
Year: 00/05/2015
Abstract: Fertility is the ability to conceive naturally. As a measure, fertility rate is the number of children born per individual, household or population. Fertility varies according to fertility, i.e. the potential to reproduce (which is influenced by gamete production, fertilization and the ability to conceive long enough). There are several types of ovulation disorders that are 35% of the cause of infertility in women, namely anovulation. Anovulation is a condition where no ovulation process occurs or the egg process is released from the ovaries, oligovulation is an irregular ovulation process that sometimes occurs, sometimes not and the anovulation cycle is a menstrual cycle in which no ovulation process occurs at the cycle.
|
|
|
|
|
|
Mammogram Screening Subsidy: Program in Malaysia
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2015
Abstract: In Malaysia, a woman has a 1:19 life time risk of developing breast cancer in her lifetime. Breast cancer contributes 32.3% of all female cancers. To reduce the incidence of breast cancer, the Government has embarked on the subsidised Mammogram Screening Program. This aims at promoting greater awareness and encouraging women to undergo mammogram screening for early detection of breast cancer. The objective of this subsidy is to promote greater awareness on breast cancer and the importance of breast examination.
|
|
|
|
|
2014 (1)
|
Future study- understanding the puzzling trend of high birth rate among contraceptive users in Malaysia: A case study from Malaysian Population and Family Survey, 2004
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2014
Abstract: In 1957-1966, Family Planning Association has pioneering the family planning services in most of the states of Malaysia. At that time, the family planning services were mostly available only in urban areas (NPFDB: Kuala Lumpur, Report on Malaysian Population and Family Survey, 1974). Family planning was first made as an official policy during the First Malaysia Plan in 1966, successfully through the National Planning Programme (NPP). The objectives of this study is to examine the fertility levels of respondents whose practiced family planning compared to that of who have never practiced it and this study also to study the link between socio-economic and cultural variables with those eight intermediate variables on fertility in Malaysia.
|
|
|
|
|
2012 (5)
|
The 45th session of the Commission on Population and Development at the general debate on national experience in population matters: adolescents and youth, New York, 24th April, 2012
Item Type: Country Statement
Editor:
Year: 00/04/2012
Abstract: The Government of Malaysia takes cognisance of the increasing importance of sexual and reproductive health needs of the adolescents and youths in Malaysia. Since Malaysia with its current population of 28.7 million has a relatively young population, where 27.6 percent of the nation's population is below 14 years and
another 20.2 percent between the ages of 15 to 24 years. With a large number of young people, efforts have to be made to harness this demographic dividend.
|
|
|
|
|
|
Predictor of successful Intra Uterine Insemination (IUI) treatment for infertile couples treated at a Malaysian clinic
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2012
Abstract: The purpose of the study was to determine prognostic factors that affect the success rate of Intrauterine Insemination (IUI) as well as association of prognostic factors with success rate of IUI treatment for infertile couples. A retrospective cohort study investigating the prognostic factors affecting success of IUI was done at National Infertility clinic. A total of 1585 couples involving 3249 IUI cycles with ovarian stimulation using clomiphene citrate and/or human menopausal gonadotrophin (HMG) were recruited from lst January 2000 till 3lst December 2006. The pregnancy rate per cycle and per couple was 3.7% and 7.4%, respectively. Logistic regression analysis had determined three prognostic variables as regards pregnancy namely as duration of infertility a = 0.002), interval of menstrual cycle a = 0.00025) and sperm count a = 0.016). The percentage of women successfully pregnant after cycle one till cycle 5 IUI were ranging from 3.4% to 4.8%. Results showed that no pregnancy occurred after the sixth cycle of IUI. The result suggests that duration of infertility is of utmost important determinants of an infertile couple in view of IUI success rate.
|
|
|
|
|
|
Kontraseptif kecemasan: kesedaran dan penggunaannya
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2012
Abstract: Emergency contraceptive (EC) is one of the methods of contraception used after unprotected sex. With proper use, this method of emergency contraception can help reduce the problems of unplanned or unwanted pregnancies that have been frequent in recent times. The objective of this study was to identify women’s awareness of emergency contraceptive methods and their level of use. The research method involved the distribution of questionnaires to 1000 women, aged 15 to 49 years, who attended programs organized by NPFDB. Data collection and analysis was carried out using SPSS 11.5 software. The chi -square test was used to study the relationship between the sociodemographics of the respondents and the variables studied. The coverage of the study consisted of 84% Malay women, and was followed by Indians (9%) and Chinese (6%). The majority of respondents (43%) were in the range of 25 to 34 years, with a mean age of 33 years. Contraceptive use among respondents was found to be 26.3%, of which 98% were married women. The study found that women’s awareness of EC and its level of use was low, being only 29% and 3.9%, respectively. The chi -square test results showed that the level of awareness of EC increased with age (p <0.05). In addition, more highly educated women were found to have heard of EC (p <0.05) compared to low levels. Most EC users are from the married group. Nearly 70% of women who are using contraceptives are found to have used EC. Among women who have never used EC, only 21% are interested in using it in the future. However, the majority (70%) support this service provided at NPFDB. The lack of exposure on EC results in the number of women interested in using it being low. Therefore, NPFDB and related parties need to enhance promotional activities, advocacy and learning of emergency contraceptive methods, in addition to other methods, so that the community knows about it and can use it during emergencies.
|
|
|
|
|
|
National experience in population matters: adolescents and youth
Item Type: Newsletter
Editor:
Year: 00/00/2012
Abstract: Adequate and accurate sexual and reproductive health information helps young people to make informed and responsible decisions. Howewer, cultural and religious sensitivities within the communities remain one of the major challenges in implementing reproductive health education for young people. Parents are still uncomfortable talking about reproductive health matters with their children ,leaving their children dependent upon information from their peers or other sources like the internet. The Government of Malaysia takes cognisance of the increasing importance of the sexual and reproductive health needs of adolescents and youth in Malaysia. Hence, the Government of Malaysia has put in place various policies and programmes to handle the sexual and reproductive health needs of the adolescents and youths. One of the main initiatives is the Healthy Programme without AIDS for Youth (PROSTAR). The Government of Malaysia also has established six youth-friendly adolescent centres known as kafe@TEEN to increase access to reproductive health information and services for young people aged 13 to 24 years.
|
|
|
|
|
2011 (2)
|
The 44th session of the Commission on Population and Development on agenda item 4: general debate on national experience in population matters: fertility, reproductive health and development, 11th April, 2011
Item Type: Country Statement
Editor:
Year: 11/04/2011
Abstract: Fertility among Malaysian women is declining faster than expected due to the increase in the average age at first marriage for women that has risen from 24.7 years in 1991 to 25.3 in 2004. Malaysia's total fertility rate (TFR) is expected to reach the replacement level by year 2015. With more and more women participating in the labour force and prioritising career development, this has also led to many highly educated women choosing to marry late or not to marry at all.
Malaysia hopes to sustain the current fertility rate and not let it fall below replacement level. Sustaining the current TFR of 2.3 is one of the major challenges that has to be monitored as it can lead to contraction of labour supply, rapid aging of the population and other social implications.
|
|
|
|
|
|
Cytotoxicity and expression profiles of apoptosis gene related in human cervical cancer (HeLa) cell lines in response to Newcastle disease virus (NDV) strains AF2240 And V4-UPM
Item Type: Thesis
Editor:
Year: 01/01/2011
Abstract: In this study the cytotoxicity and expression profiles of apoptosis gene related in human cervical cancer (HeLa) cell lines in response to Newcastle disease virus (NDV) strains AF2240 and V4-UPM were studied. NDV is a strain of avian paramyxovirus. NDV has been classified into the order Mononegavirales, family Paramyxoviridae, subfamily Paramyxovirinae and genus Rubulavirus. NDV caused severe economic losses in the poultry industry worldwide. Several local strains of Newcastle disease virus were reported to induce cytolysis to the cancerous cell lines. Strain AF2240 is a heat resistant viscerotropic velogenic NDV and strain V4-UPM is a heat resistant lentogenic which has significant higher thermostabilities of infectivity and haemagglutination were reported cytolysis leukemic cells in vitro and has shown in vivo anti leukemic agents . In this study the cytotoxicity effects of strains of NDV AF2240 and V4-UPM towards HeLa cell were determined by using standard microtetrazolium assay (MTT). Cytotoxicity dose 50% (CD50) cells treated with different titre of NDV as haemagglutination units (HAU) as compared to the untreated cells was estimated at 72 hours post-infection. The CD50 values obtained were 0.95 HAU and 1.0 HAU for strains AF2240 and V4-UPM, respectively. No cytolytic effect was noted towards normal cells (3T3) was observed. Both strains were also observed to inhibit HeLa cell proliferation. Morphological observations also have been done under inverted light and fluorescence microscopes. Under the inverted light microscope, the HeLa cells treated with both strains showed apoptotic features such as cell shrinkage, cell blebbing and formation of apoptotic bodies. Morphological features of apoptosis were also observed by using the AO/PI staining method under the fluorescence microscope. The AO/PI staining demonstrated the occurrence of apoptosis which was characterised mainly by chromatin condensation, nuclear shrinkage and formation of apoptotic bodies. Evidently, both strains AF2240 and V4-UPM used in the study were found to induce cells towards apoptosis rather than necrosis. NDV strain AF2240 and strain V4-UPM was also caused genotoxic in HeLa cells after two hours treatment with CD10 and CD25 values by alkaline comet assay. Results showed that HeLa cells treated with NDV strains AF2240, V4-UPM and hydrogen peroxide gave different distribution of scores. The HeLa cells treated with hydrogen peroxide as a positive control gave more percentage at score 2, 3 and 4 for both cytotoxicity values compared to the HeLa cells treated with NDV for both strains. Observation in this study has proved the genotoxic potential of the NDV strains AF2240 and V4-UPM to induce DNA damage on HeLa cells as early as two hours following treatment at very low cytotoxicity dose (CD10 and CD25) values. Meanwhile, the cell cycle analyses of HeLa cells treated with local strains of NDV AF2240 or V4-UPM did not induce cell cycle arrest in any specific phase. Sub-G1 phase (apoptosis peak) was found in both treated cells with a very high percentage compared to untreated cells with a small percentage. The results indicate that, the percentages of apoptosis were significantly increased (p≤0.05) in the time-dependent manner in both NDV strains treated HeLa cells. The molecular mechanisms of apoptosis may depend on the NDV strain and cell type. Six apoptosis genes were selected in this study namely Casp8, TNF-α, Bcl2 and TRAIL which focused on extrinsic pathway of apoptosis, while the gene Bax was used as an indicator for intrinsic pathway triggered by cellular stress. Lastly Myc, oncogene was used as an indicator for cell growth. From this study, NDV strain AF2240 was identified as a highly induced death receptor pathway due to the upregulation of TNF gene and the downregulation of Bax gene. Whereas NDV strain V4-UPM triggered both pathways but through the extrinsic pathway due to the very high expression of the TNF gene. The TNF gene was highly expressed due to its location and function as a stimulator of the death receptor pathway. The Casp8 gene was activated and expressed in order to enter the execution-phase of cell death. The Bcl-2 gene was continuously observed because of its function as an apoptosis regulator. Surprisingly, no expression was detected by the TRAIL gene. NDV strain AF2240 was more effective than NDV strain V4-UPM as an apoptosis inducer. These gene expression results showed that the apoptosis occurred and lead to cell death.
|
|
|
|
|
2010 (1)
|
Kajian faktor-faktor penghalang wanita berkahwin menjalani ujian pap smear
Item Type: Research Report
Editor:
Year: 00/00/2010
Abstract: Cervical cancer is the second most dangerous threat to women that not only lead to a loss of pregnancy, but can even be life threatening. 12.9 percent of all cancer deaths among women are also due to this cancer. Unfortunately, 80% of women who are first diagnosed with cervical cancer are already at serious stage and cannot be treated properly even though cervical cancer screening programs such as Pap Smear have existed since 1943. Statistics released by the Ministry of Health Malaysia through the 2003 National Cancer Registry Report showed, even after the implementation of the Pap Smear program, the incidence rate of cervical cancer has increased where in 1990 the incidence rate was 13.3 per 100,000 women compared to 19.7 per 100,000 women in 2003. This illustrates that the Pap Smear program in Malaysia is not comprehensive and not practiced by those who need it which is women who have started sexual activity.
Therefore, the National Population and Family Development Board (LPPKN) has conducted a study in relation to cervical cancer screening or Pap Smear test. This study aimed to provide information on sociodemographic characteristics and reproductive history, women’s awareness on pap screening tests, women’s risk perceptions of cervical cancer, women’s attitudes towards the importance of Pap Smear testing and prevalence of Pap Smear screening test practice. This cross -sectional study was conducted in the Klang Valley, Melaka, Perak and Terengganu using purposive sampling. The total sample was 1000 people. The study population consisted of once married women aged between 20-65 years. This includes married women, widows and widowers. The conditions for rejecting the sample are ineligible women, such as unmarried women, non-Malaysian citizens and women who have had cervical cancer.
The collection of research data is through interviews based on the text of the questionnaire provided. Respondents will be interviewed by interviewers who have been trained to obtain accurate information. To achieve the objectives of the study, the analysis used is descriptive analysis, chi-square test and t test. Therefore, based on the analysis that has been conducted, the prevalence of female Pap Smear test is 55.2 percent. Respondents showed a positive attitude when asked about the importance of Pap Smear test compared to other examinations, many of whom thought that this test was very important (92.7 percent). Only 4.2 percent considered the Pap Smear test not important and there were a few who could not provide certainty about its importance (3.1 percent). Not many can measure the risk they are facing to get cervical cancer as 377 (41.5 percent) people are unaware of the cancer risk they are facing. However, there were a total of 276 (30.4 percent) women who were confident that they were not at risk at all. Only 7.7 percent received a high risk of this cancer, moderate risk (5.6 percent) and low risk (14.9 percent).
|
|
|
|
|
2006 (2)
|
Tingkah laku seks di kalangan warga 45 tahun dan ke atas
Item Type: Research Report
Editor:
Year: 00/00/2006
Abstract: An opinion survey on 'Sexual Behavior Among Citizens 45 Years and Above' which was first conducted by the Human Reproduction Division (BRM) was conducted in the Klang Valley area from February to June 2003. The 'Convenience Sampling' sampling method was used where respondents who meet certain criteria fill in the questionnaire themselves. A total of 473 respondents consisting of 50.1% Malays, Indians (26.6%) and Chinese (23.3%) where men (53.5%) outnumber than women (46.5%). The majority of respondents comprised the age group of 50-59 years (41.25%). From the 220 female respondents, only 7.3% took hormone replacement therapy. The results of the study found that the importance and satisfaction of sex decreases with age where it is more pronounced among women than men. The frequency of sexual intercourse is performed in the range of 4-8 times a month (46.3%). Although only 16.7% of respondents had sex-related problems, 70.9% of them did not know the source of help and treatment for their problems. Among those who received treatment, 56.4% chose to seek modern treatment. 55.7% of respondents with sexual problems have at least one chronic disease. A total of 85.6% disagreed and looked for another partner as a way out of sex -related problems. Expectations for better sex in the future are still high at 69.1%. In conclusion, for middle-aged and above despite the declining importance of sexual intercourse, their right to access to knowledge and services related to sexual problems needs to be addressed immediately, especially by medical practitioners, especially the Human Reproduction Division and LPPKN in general. A systematic and ‘gender-sensitive’ approach can help overcome the problem of family institutional breakdown and problems related to incest.
|
|
|
|
|
|
Delayed marriage and the fertility crisis in East and Southeast Asia
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2006
Abstract: The fertility transition in Asian Countries is part of the worldwide fertility transition and one of the most fundamental events of the last half of the 20th century. In general, this has been associated with greatly increased child survival and changes in the economy and society resulting from economic development. But there have been puzzling differences between countries. The fertility crisis used to refer to the countries with high fertility but now attention has shifted to those with very low fertility, a number of which are in Asia.
|
|
|
|
|
1996 (1)
|
The National Study on reproductive health and sexuality of adolescents in Malaysia 1994/1995
Item Type: Research Report
Editor:
Year: 00/00/1996
Abstract: The National Study on Reproductive Health and Sexuality of Adolescents in Malaysia was initiated with the aim of formulating a National Programme on Reproductive Health for Adolescents. The specific objectives of the study are:
i. to establish the status of the knowledge, attitude
and practice of adolescents with regard to sexual
and reproductive health,
ii. to identify the constraints that adolescents face in
seeking information and service relating to sexual
and reproductive health,
iii. to obtain the participation of adolescents in the
design and implementation of programmes and
activities for their own welfare.
The single most expected outcome of the Study on Reproductive Health and Sexuality of Adolescents in Malaysia is a Cabinet memorandum which will propose appropriate policy and programme changes for the promotion and maintenance of optimal reproductive health among Malaysian adolescents geared towards the year 2020. This Memorandum will serve as a vital national reference and benchmark for evaluating future trends and patterns. It will be the basis for the reorientation of values, attitudes and approaches for the management of sexuality and reproductive health of adolescents in the country.
|
|
|
|
|
1990 (8)
|
The detection of estrogen-dependent proteins in monkey oviductal fluid
Item Type: Article
Editor:
Year: 00/12/1990
Abstract: To detect hormone induced changes in oviductal fluid protein pattern, flushings obtained from ovariectomized untreated and estradiol or estradiol plus progesterone treated monkeys were analysed by sodium dodecyl sulphate polyacrylamide gel electrophoresis. Superimposed densitometric scans of coomassie blue and periodic acid Schiff's (PAS) stained electrophoretic patterns revealed that estradiol treatment results in the appearance of a new protein (130 K) with maximum carbohydrate content as compared to other proteins present in the luminal milieu. The concentration of 85 and 95 K proteins also increase significantly after estradiol treatment. However, progesterone supplementation in estradiol primed monkeys results in the disappearance of 85 and 95 K proteins and decreased the 130 K glycoprotein considerably. Thus while estrogen acts as an inducer,progesterone antagonizes its action in monkey fallopian tubes and inhibits the synthesis of proteins which may have a role in early reproductive events.
|
|
|
|
|
|
A role for cholesterol synthesized de novo by human umbilical cord
Item Type: Article
Editor:
Year: 00/12/1990
Abstract: We have previously shown that the human umbilical cord in-vitro possess the ability to synthesize isocaproic acid and presumbly pregnenolone from cholesterol. Here, we examined the ability of the cord to synthesize cholesterol from acetate. Homogenates of umbilical cord (36-41 weeks gestation)obtained following spontaneous vaginal delivery from uncomplicated pregnancies (age 22-31 years) were incubated with [2-14C] acetate. Using the reverse-isotope dilution procedure, cholesterol was isolated and characterized as [14C] cholesterol acetate. Confirmation of identity of newly synthesized cholesterol was obtained after recrystallisation with added non-radioactive cholesterol acetate as standard. The rate of 14C incorporation is small but definite. The results indicate that the homogenates of human term umbilical cord contain the enzymes responsible for the conversion of [2-14C] acetate to [14C] cholesterol. It is suggested that cholesterol synthesized de novo can serve as a percursor for progesterone synthesis in-vivo.
|
|
|
|
|
|
Coagulation profile in women on low-dose oral contraceptive pills
Item Type: Article
Editor:
Year: 00/12/1990
Abstract: A cross-sectional study looking at the coagulation system was carried out involving 175 women attending the National Population and Family Development Board's Clinic at the Maternity Clinic, General Hospital, Kuala Lumpur. Study subjects comprise of 50 combined low-dose estrogen/progesterone oral contraceptive (OC) pill users and 75 non-OC users, acting as controls. The subjects were on the pill for a period of one year or more. There were significant shortening of the prothrombin time (PT) and partial thromboplastin time (PTT) in the OC group as compared to the control group. However, the activities of factors II, V and VII assayed were not significantly different between the two groups, suggesting that the changes in the PT and PTT were not significant clinically. The effect of long term usage of combined low-dose OC pills does not seem to indicate changes in the coagulation profile of the women in our study.
|
|
|
|
|
|
Comparative study on the acceptance and use of contraceptive methods in a rural population in Kelantan
Item Type: Article
Editor:
Year: 00/12/1990
Abstract: The generally poor health indices for Kelantan and the strong cultural beliefs with reference to contraception dictated the need for this study. 350 women from neighbouring estates were studied via questionaires. It was found that only 44.85% use some form of contraception and 18.4% of these resorted to traditional methods. There was some relationship between race and choice of contraception. Education did play a role in encouraging contraception. Despite the low acceptance of contraception, spacing of children did exist-probably due to breastfeeding that's widely practised.
|
|
|
|
|
|
Effects of friends feminine wipes on sperm viability in-vitro
Item Type: Article
Editor:
Year: 00/12/1990
Abstract: Friend feminine wipes, disinfectant impregnanted fibre tissues meant for the maintenance of female hygiene, was evaluated for its effect on sperm viability in-vitro and found to be spermicidal. These feminine wipes are therefore not recommended for use at coitus in couples who are planning pregnancies. Although the wipes were found to have spermicidal properties they are not recommended for the purpose of contraception.
|
|
|
|
|
|
Clinical evaluation of Buserelin, a GnRH analogue in the management of moderate to severe pelvic endometriosis
Item Type: Article
Editor:
Year: 00/12/1990
Abstract: A local study, a part of a multinasional and multicenter study on the efficacy and safety of Buserelin was carried out for the treatment of pelvic endometriosis using a standard protocol. 20 women diagnosed to have moderate to severe endometriosis by laparoscopy were recruited. The women were given 900 micrograms Buserelin acetate daily by intranasal spray for a fixed period of 6 months. Baseline hormonal and biochemical parameters were taken prior to treatment and the parameters were repeated during each follow-up at weekly and monthly intervals. In addition, changes in symptoms were monitored. A second look laparoscopy was performed at completion of therapy and patients were followed up for a further 6 months. There was 100 percent suppression of oestradiol levels during the 6 months treatment period. An improvement of implants according to AFS classification occured in all patients. One patient discontinued because of side effects. Restoration of cycles after completion of therapy occured within 7 weeks. There were 7 pregnancies (64%) in the first 6 months after treatment for those wanting pregnancies. During therapy, dysmenorrhoea, pelvic pain and dyspareunia improved considerably. Buserelin was proven to be effective in the management of pelvic endometriosis and is well tolerated and safe.
|
|
|
|
|
|
K.A.P. Study of Family planning among married Orang Asli Women of Hulu Langat District, Selangor Darul Ehsan, Malaysia
Item Type: Article
Editor:
Year: 00/00/1990
Abstract: A study of knowledge, attitude and practice was carried out among sixty nine married Orang Asli women in the district of Kuala Langat. The study showed that only a small proportion of the women were using family planning methods. About half of the study women were still uncertain with regards to their attitude towards family planning. The findings also showed that there was no diversity of the methods with oral contraceptive being the major choice. Majority of the husbands had indeed positive feeling towards family planning. The women also considered breastfeeding as a major method of contraception.
|
|
|
|
|
1987 (10)
|
Hemorrheology and fibrinolytic response in women taking oral contraceptive pills
Item Type: Article
Editor:
Year: 00/12/1987
Abstract: A study was conducted on a total of 107 women attending the National Population and Family Development Board, Malaysia (NPFDB) Maternity Hospital, Kuala Lumpur. The subjects were divided into 3 groups. Group I and II consisted of woman on a low-dose combined estrogen and progestagen pills for a duration of 3-6 months and 1-2 year respectively. Group III was a control group consisting of women not on pills. A series of tests to evaluate hemorrheology and the fibrinolytic response were carried out. The results obtained showed no definite or significant difference in the two systems for all the three groups investigated. These findings are comparable to those reported by other investigators, implying relative safety of these pills in the local population.
|
|
|
|
|
|
A five-year review of diagnostic laparoscopy and female sterilizations in 52 centers in Malaysia
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: Doctors participating in the Laparoscopy Program of the National Population and Family Development Board, Malaysia return data on all cases of diagnostic laparoscopy and female sterilizations carried in their centres. Data on 2,179 cases of diagnostic laparoscopy and 4,740 cases of female sterilizations for the period 1981-1985 are analysed. States with the highest return rates are Kuala Lumpur Federal Territory, Negeri Sembilan, Johor and Perak. The Specialist Centre of the Board alone accounted for one-third of the cases. Data for female sterilizations are further analysed. Complication rates for laparoscopy and minilaparotomy techniques are low at between 0.5 to 2.5 per 100 procedures. All doctors providing such services should be encouraged to participate in this Program and submit data in order to improve and learn from this Program.
|
|
|
|
|
|
In vitro maturation of immature human oocytes in culture medium containing follicular fluid
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: In clinical IVF programs often immature oocytes are retrieved. Under such circumstances, numerous workers have advocated the procedure of pre-incubation in insemination medium for 12-36 hours, prior to insemination to induce maturation. We describe here the supplementation of follicular fluid in insemination medium to induce maturation of immature oocytes. The culture characteristics of the insemination medium containing follicular fluid appears to be better than the insemination medium without follicular fluid. Previous reports suggest the presence of a meiosis-inducing substance in follicular fluid which could trigger the resumption of meiosis and hence contribute to oocyte maturation. Other factors in follicular fluids which are yet to be elucidated, may also contribute to oocyte maturation. It is concluded that superior culture characteristics can be obtained if immature oocytes are preincubated for 16-36 hours in insemination medium containing 50% follicular fluid.
|
|
|
|
|
|
Maternal reciprocal translocation t(1p;6p) in a couple with recurrent spontaneous abortion
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: G-banded chromosome complements were analyzed from peripheral blood lymphocytes of a couple who had experinced for spontaneous abortions. The karyotype of the husband was designated as 46,XY, while the wife's karyotype was designated as 46,XX, t(1p;6p). Balanced reciprocal translocations appear to be associated with the recurrent spontaneous abortions experienced by the couple. We report here a case of a maternal (1p;6p) reciprocal translocation in a couple with repeated fetal loss.
|
|
|
|
|
|
Paramedic insertion of intrauterine device in a Malaysian family planning clinic
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: A retrospective study was carried out in a Malaysian urban family planning clinic to evaluate the effectiveness of the paramedic in intrauterine contraceptive device (IUD)insertion. Seventy-nine multiload Cu 250 insertions by trained senior nurse in 1983 were measured against 369 insertions by doctors. Follow-up was done by nurses. At the cut-off date on 31st October 1985, the case records were examined. It was found that there was no statistically significant difference in termination percentage due to IUD complications. The nurse's group had a significantly higher percentage of failure to follow-up and also removal for personal reasons. No significant difference between the 2 groups was shown for termination due to accidental pregnancy, bleeding and pain, expulsion and pelvic infections. Removal of IUD to plan for pregnancy is high in both groups. The results show that the trained paramedic can be just as effective as doctors for IUD insertion.
|
|
|
|
|
|
Effect of centchroman on lipid metabolism in genital organs of female rhesus monkeys (macaca mulatta)
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: Effect of Centchroman (3,4-trans-2, 2-dimenthyl-3-phenyl-4-p (B-pyrrolidinoethoxy)-phenyl-7-methoxy chroman)treatment at 1 and 2.5 mg/kg; for 3, 6 and 12 months on lipids constituents of uterus,cervix and vagina was studied. Centchroman did not cause any consistent pattern of alteration in lipid contents of uterus, cervix and vagina of female rhesus monkey. However, uterine phospholipids were decreased at both the doses and cervical and vaginal triglycerides increases at higher dose. The altered nature of responses in the genital organs may be due to manifestation of estrogenic-cum-antiestrogenic properties of centchroman.
|
|
|
|
|
|
A prospective study of the acceptability of today vaginal contraceptive sponge among Malaysian women
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: Fifty volunteers were selected in a two month prospective study to evaluate the acceptability of the Today vaginal sponge contraceptive among Malaysian women. One participant developed allergic reaction to the sponge and was taken off at an early stage of the study. Fourty- nine participants completed one month follow-up.Thirteen subjects discontinued for various reasons which are related and not related to the sponge. The remaining 36 participants completed the study. Few side effects were observed among the sponge users who completed the trial. One subject complained that the Loop of the sponge hurt her husband's penis. Most of the women who are on the sponges claimed that sexual intercourse is no longer messy. Four subjects claimed that the sponges pontentiated sexual feeling to their male partners. The sponge is generally accepted by the study group, which suggest that the general impression 'Asian Women abhor any form of vaginal contraception' is not totally correct. It is suggested that the contraceptive efficacy of the sponge be evaluated among our women in the future.
|
|
|
|
|
|
Effect of norgestrel and testosterone on male rats
Item Type: Article
Editor:
Year: 00/06/1987
Abstract: Intramuscular administration of Norgestrel, an orally active progestogen, to male rats for 48 days interrupted spermatogenesis and also caused a temporary loss of libido. Testosterone therapy restored libido in progesterone treated rats but not the spermatogenic process. Consequent upon these findings, a new combination of Norgestrel and Testosterone, capable of inducing temporary sterility in male rats, has been evolved.
|
|
|
|
|
1984 (1)
|
Apparent benefit from corticosteroids in bronchopulmonary dysplasia: a case report
Item Type: Article
Editor:
Year: 00/00/1984
Abstract: A case of bronchopulmonary dysplasia complicating the ventilatory management of respiratory distress syndrome is described. The diagnosis was documented by typical clinical radiological and cytopathologic criteria. The infant's abrupt clinical deterioration was reversed by the use of high dosage steroids and attempt at reducing the dose of steroids initially was associated with clinical and radiological deterioration. We conclude that steroid administration seemed beneficial in our patient.
|
|
|
|
|
1983 (8)
|
Malaysian Journal of Reproductive Health (Volume 1, Number 1, January 1983)
Item Type: Book
Editor:
Year: 00/01/1983
Abstract: An official publication of Reproductive Research Centre, National Family Planning Board, Malaysia, in collaboration with the Malaysian Association of maternal and Neonatal Health.
|
|
|
|
|
|
Age of biological maturity of Malaysian girls by ethnicity
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: This study tries to estimate the age of biological maturity of Malaysian girls by ethnicity by employing an indirect methodology. Age at biological maturity is estimated by considering retrospective fertility and family survey data on marriage, first birth, and contraceptive use. The waiting time for the biological mature females to conceive is 3.0 months; 3.2 months among the Malays, 2.7 months among the Chinese, and 2.8 months among the Indians.The maximum age of attaining biological maturity is 20 for all ethnic groups except Indians (19 years). The expected age biological maturity at birth is 15.6 years; 15.3 years for the Malays, 15.4 for the Chinese and 14.8 years for the Indians.The mean age of attaining biological maturity coincides with the expected age of attaining biological maturity at birth.
|
|
|
|
|
|
Determinants of neonatal outcome in a Malaysian Maternity Hospital, 1980-1981
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: The compilation and analysis of basic perinatal statistics in the Maternity Hospital, Kuala Lumpur is described. The study period covers the years 1980-1981. Determinants of neonatal mortality include very low birthweight (<1.5 kg), a gestational age of less than 32 weeks and clinical conditions of asphyxia, bacterial sepsis and respiratory distress syndrome. A proposal for a clinical classification of neonatal mortality is advanced and implications for a wider applicability of this approach is suggested to better evaluate perinatal performance in hospitals all over the country.
|
|
|
|
|
|
The pattern of maternal mortality at Maternity Hospital Kuala Lumpur
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: From 1978 to 1981, there were 70,000 deliveries at Maternity Hospital, Kuala Lumpur. 39 maternal mortalities were encountered during this four year period. The major causes of death were toxemia, hemorrhage, embolism, medical disease in pregnancy, sepsis, uterine inversion, obstetric trauma, Mendelson and pulmonary edema. Avoidable factors were isolated in all the mortalities except in three, one due to infective hepatitis and two due to cardiac disease in pregnancy. The patient was at fault in four mortalities. The need for documenting all maternal mortalities is a priority in this country to make analysis more meaningful.
|
|
|
|
|
|
Office laparoscopic assessment of female fertility
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: The preliminary report details our experience and also serves to evaluate the risk benefits of office laparoscopy for female fertility assessment in 183 subjects. The patients were admitted at about 8.00 in the morning and discharged at 3.00 to 4.00 in the afternoon after laparoscopy has been performed. Only 7.7 percent of the subjects required inhalational anesthetic gases along with a combination of intravenous sedation and local anesthetic infiltration. The pick-up rate for pelvic abnormality is fairly high, approximately 22.4 percent. Difficulties and complications encountered during laparoscopy were minimal and easily overcome.The benefits of laparoscopy overrules assessment and sterilization feature laparoscopy on an 'outpatient basis' as one of its main activities.
|
|
|
|
|
|
Actinomyces-like organisms in the cervical smears of IUCD users
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: Cervical smears of 128 intrauterine contraceptive device users were stained by Gram stain and screened for the presence of Actinomyces-like organisms. Actinomyces-like organisms were observed in 5.5 percent, pus cell in 20.1 percent and yeast cells in 10.2 percent of the smears examined. The average duration of insertion was 8 months. Smears of 103 controls were negative for Actinomyces-like organisms, pus cells were observed in 8.7 percent and yeasts in 4.8 percent.
|
|
|
|
|
|
Problems of neonatal surgery in Malaysia
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: From January 1970 to May 1981, there were 594 neonates admitted to the General Hospital, Kuala Lumpur for surgery. Three hundred and seventy-one cases bad major alimentary tract alimentary tract abnormalities 97.1 percent of which caused obstruction. High gut anomalies and diaphragmmatic hernia (Group A cases) were relatively uncommon and the overall post-operative mortality for this group was high (64.6 percent). Overall mortality declined from 75.0 percent in 1970 to 10.3 percent for the first six month of 1981. Death rate among the low birth weight infants and those with multiple anomalies however, remain high. Factors related to post-operative mortality are discussed. Foremost among them is the time of referral to the surgeon. Various problems of management in this hospital are also highlighted.
|
|
|
|
|
|
Female sterilization using filshie clip in private practice
Item Type: Article
Editor:
Year: 00/01/1983
Abstract: The findings of a trial clip female sterilization program in private practice in Malaysia is presented. The Filshie clips were successfully applied in 382 subjects. Complications encountered were minimal. Only one subject presented with an intrauterine pregnancy following sterilization (0.3 percent). The success rate was very high in the region of 99.7 percent. This study also strengthens the view that private practitioners can play a very important role in the delivery of family planning advice and services to the masses in developing countries.
|
|
|
|
|
1982 (1)
|
Survey on health and family planning in Johore and Perak Malaysia
Item Type: Research Report
Editor:
Year: 00/00/1982
Abstract: The Malaysian project on Studies on Health and Family Planning aims to make a comprehensive analysis of the state of the health care and family planning service and delivery systems in Malaysia to enable health and population planners and administrators in more effective planning and programme management. This study will include traditional medicine in relation to health and family planning.
|
|
|
|
|
1978 (2)
|
Study on the evaluation of the effectiveness of IEC materials in family planning programme
Item Type: Research Report
Editor:
Year: 00/00/1978
Abstract: The objectives of the study are: i) to determine the extent to which IEC (information,education and communication) printed materials have had an effect on creating a favourable attitude towards the concept of planned parenthood, ii) to gauge the actual needs of the people with regards to IEC materials and to utilise these findings in future production of materials which will provide a better and deeper understanding of the concept of planned parenthood.
|
|
|
|
|
 |
Study of integration project of family planning and parasite control
Item Type: Research Report
Editor:
Year: 00/00/1978
Abstract: The objectives of this study is to make plans to offers in and give information about family planning services and parasite control and to establish and strengthen family planning services in line with national planning and policy.
|
|
|
|
1977 (2)
|
|
Family and Health Survey in the Federal Territory and Petaling Jaya
Item Type: Research Report
Editor:
Year: 00/00/1977
Abstract: The main objectives of this study is to provide basic demographic data for the Federal Territory and Petaling Jaya, and to provide estimates of the family planning knowledge, attitude and practices and to identify measures to improve family planning services. The survey covered a total of 3,679 household in Federal Territory and Petaling Jaya.
|
|
|
|
|
|
Family planning acceptor survey
Item Type: Research Report
Editor:
Year: 00/00/1977
Abstract: The objective of this survey is to evaluate the on-going family planning programme and to identify factor that are helpful for the successful implementation of The National Programme in terms of better acceptance and continuity of contraception.This study covering a total of 3,750 family planning recipients who use the pill for years 1975,1976 and the first four months of 1977 and also some of those who make use of other modern methods. This study also involving 70 districts in peninsular Malaysia.
|
|
|
|
1976 (1)
|
|
Family and health survey in the intensive input demonstration areas (IIDA II)
Item Type: Research Report
Editor:
Year: 00/00/1976
Abstract: The objective of this study is to subsequent evaluation to measure the impact of the integration of family planning and health services in rural areas. Some of the major findings in this survey are: 78% married below 20 years of age. The mean age at first marriage is 17 years old. One in five ever married women had two or more marriages.
|
|
|
|