A review on the provisions in the penal code regarding baby dumping: punishment V. Rehabilitation / Siti Syarfa Alhabshee

This research is based on the necessity to find out the reasons behind the rise of baby dumping cases in Malaysia and the provisions of the law that governs it, whether effective or otherwise. The law that governs this issue is laid down in Section 317 and Section 318 of the penal code. This provisions deals with abandonment and concealment of baby. In examining the law in Malaysia, comparisons are made with other countries such as China, United States of America and South Africa. Comparisons are made to find out as to the best form of punishment for this offender. Rehabilitation has been gaining momentum in the trend of punishing baby dumping offenders. This research is to determine the most effective punishment for this offence by reviewing the provisions that govern it presently and whether stricter punishment needs to be implement or other alternative punishment need to be considered

Legal issues of the law regarding the Malaysian citizenship: a comparative study with the United States of America. / Nur' Atiqah Nasir … [et al.]

This project involves discovering the weaknesses and loopholes in the Malaysian citizenship. The goal is to show that citizenship matters in Malaysia have weaknesses and loopholes regarding the procedure and substantive matters. This has been done by examining the existing laws and rules regarding citizenship in Malaysia and comparing it with the way the law operates in the United States of America and other countries. We also use interviews in written form to validate our research. We use books, journals, legal articles and related acts as our primary sources to strengthen our dissertation. By identifying the problems that arises from the weaknesses and loopholes in the procedural and substantial complications, we will help to improve the citizenship law in Malaysia. This will allow the law to be more efficient both in theoretical and practical ways

Diabetes quality of life among elderly diabetic patients and its association

Elderly diabetic patients are increasing worldwide due to improvement in healthcare services provided by most countries. Diabetes comes with morbidities and complications in which the quality of life of geriatric patients should be measured, and the associated factors should be determined. A cross-sectional study was conducted among 269 elderly diabetic patients from all government health clinics of Kuantan. Their ociodemographic data were recorded, and quality of life was measured using validated Diabetes Quality of Life Instrument. Mann Whitney U test and Krus�kal Wallis tests were used to identify the issociation between domains of quality of life and variables. The predictors were identified via logistic regression analysis. The majority of patients were female (61%), had a primary level of education (52%), and financial income falls within B40 groups (97.4%). The majority of the clinics were located in rural (61.3%), without the presence of Family Medicine Specialist (77.7%) and managed mainly by medical officers and diabetic educators only (55.8%). Most patients had uncontrolled diabetes (71.7%), uncontrolled blood pressure readings (63.2%) and lipid levels (74.2%). Clinic location, diabetes control status and geriatric age were statistically significant for predicting patients’ diabetes quality of life. This study proved that geriatric patients had a better quality of life by lowering the HbA1c target despite the misconception of the high likelihood of complications among the el�derly. Social support and financial status of patients determined the quality of life in the elderly that should be incor�porated as assessment parameters of each geriatric visit. Each clinic had its unique management strategy. Those led by family medicine specialists and other major supporting staff usually present in central city provided the best qual�ity of life for patients. Therefore, more primary care physician and local management strategy should be produced

Anti-diabetic medication burden amongst older persons with diabetes and associated quality of life

Background: Older persons with diabetes are the major demographic of diabetic patients followed up in primary health clinics. Despite their increasing age and morbidities, They are still being managed strictly towards good sugar control in order to achieve the ideal HbA1c level without taking their quality of life into consideration. This study aimed to determine the prevalence in the use of antidiabetic drugs among older persons with diabetes and its association with their quality of life. Methodology: A cross-sectional study was conducted among 269 older persons with diabetes in all government health clinics in Kuantan using Diabetes Quality of Life questionnaire. SPSS version 23 was used for the statistical analysis. Results: Majority of the respondents were females (61%), Malays (84.8%), pensioners (54.3%) with education up to primary school (52%) and are staying with family members (93.7%). Most of the patients were on two antidiabetic agents (48%) followed by a single antidiabetic agent (32%). Despite the risk of hypoglycaemia, 0.4% of them are on glibenclamide. The use of insulin is still common among 21% of them that are on intermediate-acting insulin, 15.6% on premixed insulin and 7.8% on short-acting insulin. Those taking a higher number of antidiabetic agents were found to be associated with poorer quality of life (p=0.001) compared to those taking one or two antidiabetic medications. Those on insulin also have significantly poorer quality of life score (p=0.012). Conclusion: Despite aiming for controlled diabetes, older persons suffer poor quality of life with further intensification of their antidiabetic medications according to the guidelines. This includes the complexity of insulin usage and polypharmacy, which contribute to the low quality of life score

Quality of life and glycaemic control among older population with diabetes in three districts of Peninsular Malaysia

The older population is increasing in numbers worldwide. Most of them have multiple comorbidities including diabetes. The diabetic control in elderly is usually challenging. Their quality of life and socioeconomic condition either in rural or urban area could affect their disease progress. This study aims to measure the diabetic control and its associated factors, including quality of life among the older population with diabetes in three different districts of Malaysia. The patients’ health and background details were recorded. Validated Malay version of diabetes quality of life questionnaire was used. 485 elderly diabetic patients were recruited based on two proportion formula comprising all clinics in those districts representing urban vs rural area. Data were analyzed using simple and multiple logistic regression for the association. Only 30.5% of the patients have good diabetic control with patients in Kuala Terengganu district achieved better sugar control (p < 0.001). However, the only significant diabetic control predictor is the quality of life of the elderly patients (OR = 1.32, CI 1.047 – 1.224). Level of diabetes control in these three districts are poor, concomitant with the poor control of the elderly non-communicable disease profiles. It is essential to embark on holistic approach in dealing with the elderly diabetic management and identify measures to improve quality of life in those with poor glycaemic control in order to have better disease outcome

Antidiabetic burdens among geriatric diabetic patients and its association with quality of life

Geriatric diabetic patients contribute to the major demographic background of diabetic patients follow up in primary health clinics. Despite their increasing age and morbidities, they are still targeted towards good sugar control achieving ideal HbA1c level, without taking into consideration of their quality of life. This study aims to determine the prevalence of antidiabetic usage among geriatric diabetic patients and their association with the patients quality of life. A cross-sectional study was done among 269 geriatric diabetic patients in all government health clinics in Kuantan using Diabetes Quality of Life questionnaire. SPSS version 23 is used for statistical analysis. Most of the geriatrics are female (61%), Malay (84.8%), pensioner (54.3%), education up to primary school (52%) and stay with family members (93.7%). In terms of antidiabetic agents, mostly depend on two antidiabetic agents (48%) followed by single antidiabetic agent (32%). 0.4% still taking glibenclamide despite its risk of hypoglycaemia. Usage of insulin is still common in the elderly in which 21% of them are on intermediate-acting insulin, 15.6% on premixed insulin and 7.8% on shortacting insulin. Interestingly, those taking a higher number of antidiabetic agents are associated with higher DQOL score (p = 0.03) compared to those taking one or two antidiabetic medications. Those taking long-acting insulin also significantly have higher DQOL score (0.037). Despite the risk of polypharmacy, geriatric patients do benefit the better quality of life with the further intensification of their antidiabetic medications according to guidelines. Usage of long-acting insulin has a lower risk of hypoglycaemia in which contribute to the quality score