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Kajian perbandingan penggunaan tiga jenis rawatan hormon FSH dalam kalangan pesakit subfertiliti yang menjalani prosedur permanian beradas di Lembaga Penduduk dan Pembangunan Keluarga Negara
Item Type: Research Report
Editor:
Year: 02/01/2017
Abstract: Since 1979, the National Population and Family Development Board (NPFDB) has been providing subfertility management services to the public especially middle-income group. In line with the rapid pace of the latest technology and research developments, there are various types of fertility drugs in the form of injections which had been used in subfertility treatment. The main function of this injection is to mature the follicles where the main hormone contained in this injection is the follicle stimulating hormone (Follicle Stimulating Hormone, FSH). In general, there are three types of FSH injections, which is a recombinant FSH (rFSH) that have 100 percent synthetic hormone, urinary FSH (uFSH) that derived from menopausal urine and highly purified urinary FSH (hp-uFSH) that also derived from menopausal urine but more pure state than uFSH. All three hormones have FSH’s activities but uFSH and hp-uFSH also have Luteinizing Hormone’s activity (LH). Thus, NPFDB has taken initiative to conduct a comparative study on the use of three types of FSH hormone treatment, namely Gonal F (rFSH), Folliova (uFSH) and Menopur (hp-uFSH), among subfertilitie’s patient who’s undergoing Intrauterine Insemination Technique (IUI). Among others, the three types of hormones were studied in terms of effevtivenee and cost burden. The study sample was from patients with unknown cause of subfertilitie’s problem and they visit NPFDB Subfertilitie’s Clinic, Headquarters, from June 2010 to May 2012. The sampling method was random. The patient and researcher do not know the treatment regimen to be initiated until a closed sample containing the treatment regimen code number is opened by the patient before starting treatment. Data were collected, recorded and anlyzed using Statistical Package for the Social Sciences (SPSS) software. Although originally a total of 90 female patients were targeted to be recruited into this study. 30 patients for each type of FSH hormone, but at the end of the study only 39 patients met all eligibility criteria and agreed to participate in this study. The result showed that average of the patients was 28.3 years and the majority were ethnic Malays (76.9%). Most of the patients had a household income between RM 5,000.00 and RM 10,000.00 (51.4%). The percentage of patients requiring more than three injections to procedure mature follicles was lowest for Folliova (41.7%), compared with Menopur (50.0%) and Gonal F (55.6%). Similarly in terms of the number of follicles produced, the Folliova regime (58.3%) produced more follicles (more than three follicles) than other regimes. A total of 16.7 percent of patients who took Menopur injections were confirmed pregnant, while no pregnany occurred among patients who took Folliova and Gonal F. In terms of cost, at the time of this study, the price of three 75IU injections was RM 334.20 for Gonal F, RM 187.20 for Folliova and RM 271.20 for Menopur. In conclusion, this study shows that, hp-uFSH (Menopur) gives the highest pregnancy rate compared to Gonal F and Folliova. Furthemore, the price of Menopur is moderate (affordable) for patients. Therefore, highly purified urinary FSH is a good gonadotropin choice for couples with unexplained subfertility undergoing an IUI procedure and it may be the main choice for patients who need a combination fertility pill stimulation regimen and gonadotropin injections. As a suggestion, such a study should be conducted with a larger sample size to obtain more significant results and be representative of actual population.
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Terapi minda: rangsang minda anak
Item Type: Article
Editor:
Year: 00/10/2016
Abstract: Mind therapy is one of the methods that can be used to plan and shape the child's mental intelligence. In general, mind therapy is the treatment of the mind in a rehabilitative manner without the use of medication or surgery. According to studies, the human mind is divided into two parts. The first part is located on the left side which is called the conscious mind while the right side is called the subconscious mind. The conscious mind functions to think of logical things such as reading, counting or in other words this mind functions throughout the time we are conscious. The subconscious mind's function is to receive whatever is heard, smelled and felt. It works non -stop whether we are asleep or awake.
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Ikat anak: siksa atau keselamatan
Item Type: Article
Editor:
Year: 10/11/2015
Abstract: The average trend in Asia, especially in Malaysia, parents prefer to hold or support the baby on the grounds that it is easier to monitor, breastfeed and put them to sleep. Many parents seem to assume that sitting on their lap is enough to protect their baby from accidents and upset to see a toddler lying tied up in a car seat. Based on statistics, the use of child safety seats and travel systems is not taken seriously by most parents in Malaysia. According to a study conducted by MIROS, babies will be thrown forward at high speeds even if held by an adult during a vehicle collision even with only 30km per hour. Most will be killed as a direct result of the impact.
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Selamatkah mainan anak anda?
Item Type: Article
Editor:
Year: 00/04/2015
Abstract: Children's toy can help the educational and developmental process of children at an early age. However, the selection of children's toys needs to be done wisely especially if it involves safety aspects. If parents do not carefully choose toys, it can invite danger to the safety of children. To ensure the safety of children and prevent accidents or unwanted incidents, some things that need to be considered include choosing toys according to the level of age suitability of children, toys not made of toxic materials, avoid toys that contain magnetic materials or batteries to little children and toys that have noise.
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Family-based on drug abuse prevention: know your child programme
Item Type: Conference or Workshop Item
Editor:
Year: 00/00/2014
Abstract: This study was to evaluate the effectiveness of the Drug Prevention Program from family perceptive. The respondents was the participants who attended the Know your Child (Kenali Anak Kita) Drug prevention program and sampled by convinence in all the six zones in Malaysia. The aim of this program is to create awareness of family to prevent deviant behaviours, particularly substance abuse among teenagers. The campaign had been implemented phase by phase in six zone involve from various organization, agencies and individual.
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Hassle free travel with your kids
Item Type: Article
Editor:
Year: 00/00/2014
Abstract: Pick a destination with something for everyone to enjoy. A tour may seem like an easy way to see everything, but take it easy and don’t pack your tour schedule with too many activities especially if you have babies and toddlers with you. The key is to remain flexible.
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Bringing up mentally challenged children
Item Type: Article
Editor:
Year: 00/00/2014
Abstract: Children who are mentally challenged are often referred to as being intellectually disabled. It is characterized by below-average intelligence or mental ability (i.e. learning, reasoning, problem solving, etc.) and a lack of adaptive behaviour required for day-to-day living (i.e. interpersonal skills, self-esteem, ability to follow rules/obey laws).
Numerous factors can facilitate its onset, but more noticeably; genetic predisposition (i.e. Down Syndrome), complications during pregnancy or childbirth (substance abuse), injury (i.e. near drowning), trauma (i.e. severe parental neglect) or an infection (i.e. meningitis).
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Achieving the ICPD-PoA and MDGs
Item Type: Newsletter
Editor:
Year: 00/07/2009
Abstract: Malaysia has achieved most of the goals set in the ICPD-PoA. Other development goals included in the MDGs are in the areas of poverty reduction, universal education, reductions in maternal and child mortality, gender equality and environmental sustainability.
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Dasar dan Pelan Tindakan Kanak-Kanak Negara
Item Type: Act & Policy
Editor:
Year: 29/07/2009
Abstract: Children are a very important part of society, they are an asset for the country and the link for the country's development in the future. In 2008, there were 10.5 million (37.9%) children out of 27.7 million population. As such, the Government is very concern about the welfare and interests of children. In this regard, Malaysia has ratified the Convention on the Rights of the Child (CRC) on 17 February 1995. The Convention focuses on the welfare and lives of children that lead to aspects of survival, protection, development and participation. As a State Party to the CRC, Malaysia is very concerned and committed to the responsibility to ensure the safety and welfare of the children who are the heirs and future generation of the country. Interests of the child is clearly shown in the Statement of Vision 2020 in which the institution of the family and children is one of the focuses of priority in the country's efforts to achieve developed nation status in addition to creating a society that is fair and compassionate.
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