Academic literature on the topic 'Palliative treatment Malaysia'

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Journal articles on the topic "Palliative treatment Malaysia"

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George Albert, Wanda Kiyah, and Adi Fahrudin. "Quality of LiFe (QOL) Assessment Among Advance Cancer Patient Undergoing Palliative Treatment in Malaysia." Asian Social Work Journal 2, no. 2 (December 15, 2017): 26–35. http://dx.doi.org/10.47405/aswj.v2i2.18.

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The community's stigma towards advanced cancer patients at the final stages of cancer ending up with this death, has deny their need and right to receive the best service and treatment at the end of their lives. Although there was abundant research on cancer patient issues, but there was still lack of research that focusing on final stage of cancer patients in Malaysia. This cross-sectional study is done to gives overall picture of quality of life (QOL) among final stage of cancer patient and to identify the factor that differentiate the score of QOL for the final stage of cancer patients that receiving palliative treatment at the one medical centres in Kuala Lumpur. The cross-sectional study that has been done with 120 of cancer patients that receiving palliative treatment using convenience sampling. The SF-36 questionnaire has been used to measures Quality of Life (QOL) across eight domains based on physically and emotionally component summary. Results showed that the highest score of QOL were observed in the Mental Component Summary (44.93±6.84) compared with Physical Component Summary at (42.24± 7.91). There is a difference in QOL based on mental and physical component especially from patient social demography. Mental component score have difference in term of age (t = - 0.38; p <0.001), type of cancer (F = 5.522: p <0.001), duration of treatment (t = 5.15; p < 0.001), type of treatment (F = 3.11; p = 0.029) and amount of financial support (F = 7.16; p <0.001). Meanwhile, score for physical component composite has shown difference of score based on level of education (F = 6.21; p <0.001), type of cancer (F = 5.96; p <0.001) and also amount of financial support (F = 3.00; p = 0.033). Further study should be conducted in social work perspective to identify other factors that contribute to the patient QoL and identify problems that prevent them from getting social service, so that the service given by social worker can be improved.
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Albert, Wanda Kiyah George, and Adi Fahrudin. "Quality of Life (QOL) Assessment among Advance Cancer Patient Undergoing Palliative Treatment in Malaysia: A Social Work Perspective." International Journal of Social Work and Human Services Practice 5, no. 3 (August 2017): 87–92. http://dx.doi.org/10.13189/ijrh.2017.050301.

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Ying Khoo, Hui, Kelvin Voon, Keat How Teoh, Shyang Yee Lim, Premnath Nagalingam, Mohamad Aznan Shuhaili, Reynu Rajan, Mustafa Mohammed Taher, and Nik Ritza Kosai. "PS02.224: ESOPHAGEAL CANCER IN MALAYSIA: THE NEED FOR EARLY DETECTION!" Diseases of the Esophagus 31, Supplement_1 (September 1, 2018): 185. http://dx.doi.org/10.1093/dote/doy089.ps02.224.

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Abstract Background Esophageal cancer is one of the deadliest cancer in Malaysia. However, neither the incidence nor prevalence has been recorded nationally. We report our experience in dealing with esophageal cancer in Penang Hospital (PH) and Universiti Kebangsaan Malaysia Medical Center (UKMMC), two tertiary hospitals in Northern and Central region of Malaysia, respectively. Methods A review of 143 esophageal cancer that were diagnosed in PH and UKMMC in year 2014–2017. Results Among the 143 esophageal cancers, 60 cases were from HPP and 83 from UKMMC. The mean age at diagnosis was 62.5 ± 14.2. 67.4% were male patients. Esophageal cancer was commonest in Chinese ethnicity (41%), followed by Malay (29.9%), Indian (17.4%) and others (11.8%). Dysphagia was the commonest presenting symptom (84.6%) and the mean duration of symptoms were 14 weeks. Majority of the cancers were located at the cardioesophageal junction (38.6%), followed by lower third of esophagus (32.1%), mid esophagus (23%), upper third of esophagus (11.5%) and cervical esophagus (5.7%). More than 90% of patients presented with advanced disease, 35% and 55% of patients with stage 3 and stage 4 disease, respectively. Squamous cell carcinoma (45.8%) was the commonest histology type, slightly more than adenocarcinoma (45.1%). The rest were neuroendocrine tumour, gastrointestinal tumour and lymphoma. To date, surgery with curative intend were done in 44.1% of patients while the rest were managed with palliative treatment. Conclusion It is striking that majority of patients presented with late disease. Disease awareness campaign, early detection and multimodality treatment are crucial to improve outcomes of patients. Disclosure All authors have declared no conflicts of interest.
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Kiat, Richard Teo Soon, and Law Wan Chung. "Insomnia as a benign presentation of fatal familial insomnia (FFI). A case report from Malaysia." Asian Journal of Medical Sciences 12, no. 8 (July 30, 2021): 155–57. http://dx.doi.org/10.3126/ajms.v12i8.37988.

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Fatal familial insomnia (FFI) is an extremely rare autosomal dominant prion disease. The chief clinical features include an organic sleep disorder associated with sympathetic overdrive, motor and bulbar compromise as well as progressive cognitive decline. Death ensures in 100% of cases with a mean survival duration of 18 months from time of symptom onset. Treatment strategies in the management of FFI remains largely symptomatic with greater emphasis placed on palliative care services. We report a case of a 31-year old gentleman (Mr G) who presented with insomnia, sleep behavior disturbances, diplopia, myoclonus and transient global amnesia. A family history of a paternal aunt with similar presentation who passed away raised the suspicion of probable FFI, which was subsequently confirmed by genetic testing. Mr G is the first reported definitive FFI case of Malaysian Chinese descent. Standard MRI imaging and CSF analyses are insufficient in the workup of an individual with probable FFI. PET scan, polysomnogram and genetic studies are required for cases with high index of suspicion. In view of the rapid progression of the disease with significant cognitive impairment within months of symptom onset, we advocate for early diagnosis and a biopsychosocial patient-centered treatment approach.
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Djer, Mulyadi M., Bambang Madiyono, Sudigdo Sastroasmoro, Sukman T. Putra, Ismet N. Oesman, Najib Advani, and Mazeni Alwi. "Stent implantation into ductus arteriosus: a new alternative of palliative treatment of duct-dependent pulmonary circulation." Paediatrica Indonesiana 44, no. 1 (October 10, 2016): 30. http://dx.doi.org/10.14238/pi44.1.2004.30-6.

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Background The technical aspects of ductal stenting have beenreported, but little is known about the fate of the duct after stentimplantation.Objectives To determine the effects of PDA stenting on the degreeof cyanosis, blood oxygen saturation, long-term patency of PDA,and the growth of pulmonary artery and its branches, in patientswith duct-dependent pulmonary circulation.Methods This was a case series study conducted at the Depart-ment of Pediatric Cardiology, Institut Jantung Negara (National HeartInstitute), Kuala Lumpur, Malaysia from November 1996 to Septem-ber 2001 on patients with duct-dependent pulmonary circulation whounderwent stent implantation. All patients were followed-up until oc-clusion or block occurred or until the end of follow-up time. The evalu-ation consisted of clinical manifestations, electrocardiography, chestx-ray, echocardiography, and cardiac catheterization.Results Stent was successfully implanted in 60 patients (84%),failed in 7 patients (10%) and contra indicated in 4 patients (6%).There was significant improvement on the degree of cyanosis afterstent implantation (p<0.0001). The blood oxygen saturation signifi-cantly increased from 74% (ranged 42-93; SD 12) before proce-dure, to 90% (ranged 62-100; SD 8) afterward (p<0.0001). The meanduration of follow-up time was 14.2 months (ranged 2.5-50.8; SD13) and the minimal patency of PDA was 11.2 months (ranged 1.1-47.7; SD 10.7) after implantation. At the end of follow-up, the stentswere widely patent in 33 patients (55%), stenotic in 15 patients (25%)and spontaneously occluded in 12 patients (20%). There was in-creased growth of pulmonary artery as measured by McGoon ratiofrom 1.23 (ranged 0.4-2.3; SD 0.4) to 1.81 (ranged 0.7-0.9; SD 0.57),and no distortion of pulmonary artery and its branches found.Conclusion Stent implantation into ductus arteriosus decreasedthe degree of cyanosis, increased blood oxygen saturation, main-tained long-term patency of ductus arteriosus, and promoted theincreased growth of pulmonary artery without distortion of pulmo-nary artery and its branches
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Alam, Mohammad Khursheed, and Anas Imran Arshad. "Transgenders: an insight to early progression." International Journal of Human and Health Sciences (IJHHS) 4, no. 3 (February 19, 2020): 155. http://dx.doi.org/10.31344/ijhhs.v4i3.193.

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Lack of local and national transgender-led organisations necessitates an informatory response of researchers striving to develop standards of medical and dental care for transgender communities of developing countries. Here in the Universiti Sains Malaysia in Kelantan, Malaysia, we have made efforts to conduct research and develop a better understanding of health care needs for local Bangladeshi transgender community. Currently, we are outreaching transgender community leaders for data collection with prior permissions to facilitate at least palliative treatment provision. We aim to assess the differences in dental and craniofacial morphometry of transgenders. We also focus on identifying the associations of Body Mass Index (BMI) and ABO Blood grouping with the craniofacial morphometrics. So for our knowledge goes, there is no existing database for the dental and craniofacial morphometric norms of transgenders. Our study outcomes will primarily serve orthodontists, maxillofacial surgeons and on a larger scale will facilitate forensic specialists, radiologists and other health care personnel to better understand the inherent differences and plan the desired treatments according to their specific norms. This will also encourage and empower transgenders to seek health advices and enjoy a healthy social life. The fears of violence and discrimination that transgenders face in our society have suppressed their basic health care needs for long. We need to work in globalised collaboration to address the complex array of challenges that the transgender community faces. Gender equity and indiscrimination is their birth right and we hold this responsibility to defend and fight for their rights to ensure their prosperous future.International Journal of Human and Health Sciences Vol. 04 No. 03 July’20 Page : 155
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Loh, C.-Khai, Hamidah Alias, and Doris Lau. "LINC-31. TREATMENT OUTCOME IN CHILDREN WITH MEDULLOBLASTOMA IN MEDIUM-INCOME COUNTRY: AN EXPERIENCE FROM A SINGLE TERTIARY CENTRE IN KUALA LUMPUR, MALAYSIA." Neuro-Oncology 22, Supplement_3 (December 1, 2020): iii384. http://dx.doi.org/10.1093/neuonc/noaa222.465.

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Abstract INTRODUCTION Medulloblastoma is the most common malignant brain tumour in children. The overall outcome has improved however, this was not translated to developing nations. METHOD This was a retrospective review of patients from January 2000 to December 2017. Treatment was given using modified SIOP PNET 4 protocol: cranio spinal irradiation (CSI), a total of 54G with vincristine followed by 8 cycles of adjuvant chemotherapy. Prior to year 2007, patients had CSI with or without adjuvant chemotherapy. Those &lt;3 years old received modified UKCCSG/SIOP CNS protocol with 2 weekly chemotherapy for a duration of 392 days followed by CSI when required. All patients had MRI brain and spine, and tissue histopathological examination but without molecular subtype. RESULTS Medulloblastoma comprised of 30% (n=31) out of total 103 brain tumour cases. Mean age at presentation was 7.6 years old (SD 4.4) with male to female ratio of 2:1. Average time of symptoms was 4.8 weeks. Majority, 77.4% was high risk and 19.4% was standard risk. There was high treatment abandonment rate (35.5%, n=11). Three patients returned and completed treatment after multiple surgeries in an average of 9 months. Three years OS and EF were 69.6% and 74.8%, respectively. Six patients aged &lt; 3years; half had advance disease on palliative care post surgery. Other survivors had severe learning difficulty and two had second malignancy (meningioma and thyroid carcinoma) at average 15.5 years after diagnosis. CONCLUSION Strategy to reduce treatment abandonment is crucial. Moreover, multidisciplinary management and molecular stratification are important in improving the outcome.
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Sharifa Ezat, Wan Puteh, Ismail Fuad, Yaakub Hayati, Ahmed Zafar, and George Albert Wanda Kiyah. "Observational Study on Patient's Satisfactions and Quality of Life (QoL) Among Cancer Patients Receiving Treatment with Palliative Care Intent in a Tertiary Hospital in Malaysia." Asian Pacific Journal of Cancer Prevention 15, no. 2 (January 30, 2014): 695–701. http://dx.doi.org/10.7314/apjcp.2014.15.2.695.

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NG, Sze-How, and Imisairi Ab Hadi. "The Aggressive Anaplastic Thyroid Carcinoma: A Case Report and Institutional Review." World Journal of Endocrine Surgery 4, no. 1 (2012): 20–22. http://dx.doi.org/10.5005/jp-journals-10002-1087.

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ABSTRACT To report a case of anaplastic thyroid carcinoma (ATC) with huge ulcer and to review our experience with these aggressive tumors in our hospital. We retrospectively reviewed the presentation, treatment and survival of all the patients who were diagnosed with ATC at Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Malaysia from 2004 to 2010. A 63-year-old woman presented to outpatient clinic with history of anterior neck swelling for more than 10 years. She complained of rapid increase in size with huge ulcer and associated with hoarseness of voice and shortness of breath over 1 month period. She was investigated and the diagnosis of ATC was established. However, she refused for any surgical intervention and eventually succumbed during the palliative treatment 5 months later. ATC is a very rare thyroid cancer and usually presents at a very late stage with significant morbidity and mortality. Early detection, new therapeutic strategies and more studies especially based on molecular approaches may probably more helpful for better survival results in the future. How to cite this article Sze-How NG, Imisairi AH. The Aggressive Anaplastic Thyroid Carcinoma: A Case Report and Institutional Review. World J Endocr Surg 2012;4(1):20-22.
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Hehsan, Muhamad Rafiqi, and Wan Fadzlina Wan Muhd Shukeri. "A REVIEW ON DECISION PROTOCOL AND FATWA IN MALAYSIA DISCUSSING ISSUE OF WITHHOLDING AND WITHDRAWAL OF LIFE-SUSTAINING TREATMENT IN INTENSIVE CARE UNIT." Malaysian Journal of Syariah and Law 9, no. 2 (December 31, 2021): 1–18. http://dx.doi.org/10.33102/mjsl.vol9no2.296.

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Withholding and withdrawal of life-sustaining treatments is one of the hot topics discussing in intensive care unit as most of the death occurs as a result of it. This point of transition from active intervention to the palliation process required a crucial decision-making process. The decision conveys information to families to be well prepared beforehand especially during the process of withdrawing life-sustaining treatment. Once the final decision to withdraw the treatment has been made, procedure of cessation of care, treatment withdrawal and nature of follow-up support will be informed to the family members. This article aims to explore the relationship between decision in withholding and withdrawal of life-sustaining treatment based on Malaysian intensive care unit protocol and the related fatwa in Malaysia. The methodology chosen for this study is content analysis of the relevant published literatures. This study reveals the decision for withholding and withdrawal life sustaining treatment in intensive care unit has correlation between the protocol and related fatwa in Malaysia.
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Books on the topic "Palliative treatment Malaysia"

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Wright, Michael. Hospice and palliative care in Southeast Asia: A review of developments and challenges in Malaysia, Thailand and the Philippines. Oxford: Oxford University Press, 2010.

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Hamzah, Ednin, Temsak Phungrassami, and Bausa-Claudio Agnes, eds. Hospice and palliative care in Southeast Asia: A review of developments and challenges in Malaysia, Thailand and the Philippines. Oxford: Oxford University Press, 2010.

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