A pilot study on red cell immunization in multiply transfused thalassaemic patients

BACKGROUND: The development of red blood cell (RBC) isoitnniunization with alloantibodies and autoantibodies cotnplicate transfusion therapy in multiply transfused thalassaemia patients. Thus, frequency, causes and prevention of these phenomena were studied among these patients. STUDY DESIGN AND METHODS: Clinical and serological data of 58 Malay multiply transfused thalassaemia patients who seek their treatment in 1-Iospital University Sains Malaysia were collected and analyzed prospectively. Blood samples were subjected to standard blood bank procedure for screening of antibodies and subsequent antibodies identification. All patients in our hospital received blood n1atched for only ABO and Rh (D) antigens. RESULTS: There were 46 (79.3%) patients with Hb E/f3 thalassactnia~ 8 (13.8%) f3 thalassaemia major, 3 (5.2%) J-Ib 1-1 Constant Spring and I (1.7%) Hb 1-1 disease. Overall, 8.6% of the patients had alJoantibodies and 1. 7% had autoantibodies. The alloantibodies identified were anti-E, anti-c, anti-K, anti-Jka, anti-N and anti-S. CONCLUSION: The transfusion of tnatched blood is essential for chronically nlultitransfused patients in order to avoid alloimmunisation. Considering high frequency of anti E in our hospital, it is advisable to genotype patients and n1atch the red cell unit for E antigens in multiply transfused thalassaemia patients

Malaysian institutional investors' annual reports information needs

This paper examines annual report information needs of Malaysian institutional investors. Data were collected from a sample of 286 institutions (compresing government agencies and private industries)through questionnaires, and were analysed to test for differences and relationships in the extent of usage and perceived importance of annual reports in Malaysia. The results indicate some significant differences in the extent of usage and in the perceived importance of items in annual reports between institutional investors

Framework for adoption of customer relationship management systems in hospital

Customer Relationship Management (CRM) systems enable hospitals to provide better quality of services, to improve customers’ satisfaction, and to increase their profitability and competitiveness.However, there is little attention and lack of adoption of the CRM systems in private hospitals in Malaysia. Moreover, few studies have investigated the factors influencing the adoption of the CRM systems in private hospitals in Malaysia.The main objective of this study is therefore to construct an adoption model of CRM systems in the healthcare industry.Self administered questionnaires were used to collect the data from the top management employees in private hospitals in Malaysia.A total of 148 questionnaires distributed in which 79 questionnaires (53%) were returned.The data of 72 valid questionnaires were analysed using Correlation and Multiple Regression techniques to validate the model.The model, adapted from the Diffusion of Innovation (DOI) theory and the Model of Information System (IS) Innovation, was built to relate innovation, organizational, and environmental factors to the perception of the CRM system’s benefits and implementation plans.Findings indicate that innovation, organizational, and environmental factors have positive significant relationships (p >0.05).The results of the study such as the constructed model, provide a set of adoption guidelines that contributes to a successful adoption and implementation of the CRM systems.The model also contributes to the body of knowledge in the DOI theory, the Model of IS Innovation, and the CRM domain. In practical, the results have many implications such as emphasizing on the roles of the CRM systems on solving major problems in hospitals and encouraging the vendors of the CRM systems to improve their marketing strategies and to provide the CRM systems at reasonable prices

Decomposition of Food Waste by using Vegetable Fermentation Solution

Food waste is an inevitable outcome of human consumption in modern society, it was happened in almost every home on a daily basis. The increasing amount of food waste in Malaysia caused by the fast growth of population and to meet the human lifestyle has become a major environmental issues in recent years. SWCorp (2016) reported that it was contributes the highest composition in municipal solid waste which is 44.5%. In 2015, Malaysians throw away of about 15,000 tonnes of food waste every day, about 3,000 tonnes are actually eatable and should not be dumped (Jarjusey & Chamhuri, 2017). In 2020, about 49,670 tons per day of waste is expected to be generated in Malaysians (Jabatan Pengurusan Sisa Pepejal Negara, 2012)

Blood transfusion knowledge among nurses in Malaysia:a university hospital experience

Blood transfusion is a fundamental and life-saving procedure where the consequence of errors can be fatal. Nurses’ knowledge plays an essential role in ensuring quality and safety in blood transfusion. The objective of this study was to assess blood transfusion-associated knowledge of tertiary hospital nurses on the east coast of Malaysia. This was a cross-sectional study with 200 registered nurses involved in blood transfusion procedures at Hospital Universiti Sains Malaysia. The knowledge of the nurses was evaluated by using the routine blood transfusion knowledge questionnaire based on five parts, and <50%, 50–74%, or ≥75% of the knowledge was considered as poor, moderate, or high, respectively. Based on the scoring system, the overall knowledge of blood transfusion among Malaysian nurses (33.2 ± 8.4 years) was estimated to be 54.9 ± 7.6%. In individual items, the scoring was 81.0%, 45.4%, 49.2%, 63.0%, and 90.0% in knowledge prior to blood transfusion, on pre-transfusion, on post-transfusion, on complications, and on transfusion policy, respectively. The findings of this study indicated that most of the nurses’ overall knowledge of blood transfusion was at a moderate level; therefore, training courses and continuous medical education are warranted to improve knowledge and skills of the nurses to ensure good practices of blood transfusion

Accounting 2

Workbook for Accounting 2 students of Department of Quantitative Studies, Centre for Foundation Studies, IIU

Impak satira politik terhadap internet trolling di Malaysia

Political satire of the internet trolling has been growing in Malaysia. Malaysians seek political information news using new media because they are easy to access and free. Internet trolling can be found in the form of pictures (memes) or recording. This phenomena has taken place in any types of social media. Most of the internet trolling reflected on the political leaders as the satire material. Hence, this article focuses on the effectiveness of political troll in shaping the opinion towards the political leaders. Qualitative content of analysis has been carried on the new media. The comments from Facebook users has been used as unit of an analysis. The findings have found that political troll is a medium among the users to participate in political communication. Thus, theory of mobilization supported the research findings on the function of political troll that provides an indicator of users political knowledge. The study has found that political knowledge among the users through their political trolling on the social media. Interestingly, the trend of trolling in Malaysia has shaped the new phenomenon of social media usage. However, the analysis on each trolling discussed are based on the type of political trolling such as the image of the leaders, theme and concept used

Satira politik: analisis Internet trolling di Malaysia

Satira politik merupakan satu bentuk komunikasi politik terdiri daripada pelbagai jenis. Satira politik melalui pendekatan Internet trolling pula dilihat semakin berkembang di Malaysia. Internet trolling boleh didapati dalam bentuk gambar (memes) atau rakaman (video) dan merupakan salah satu medium yang menarik digunakan dalam media sosial sebagai alat menyampaikan maklumat. Fenomena ini telah menular dalam kebanyakan aplikasi media sosial. Internet trolling seringkali digunakan terhadap para pemimpin politik sebagai bahan sindiran. Fenomena ini semakin rancak kerana rakyat kini dilihat cenderung untuk mendapatkan maklumat berkenaan berita politik menggunakan media baharu. Ini kerana medium ini mudah untuk diakses dan lebih bebas. Artikel ini memberi tumpuan kepada penyertaan pengguna media sosial dalam komunikasi politik berbentuk satira. Reka bentuk kajian ini adalah berdasarkan sorotan kajian yang terbatas dan pembacaan teori mobilisasi sosial dan teori penggunaan dan kepuasan media. Analisis kualitatif kandungan pula dipilih sebagai metodologi kajian. Media sosial Facebook menjadi medium analisis manakala komenkomen pengguna Facebook digunakan sebagai unit analisis. Kajian ini merumuskan bahawa fenomena trolling politik dalam media sosial menjadi indikator bahawa corak kebebasan bersuara dalam kalangan masyarakat kian berubah. Sungguhpun trolling politik yang selama ini tersebar melalui pelbagai aplikasi media sosial ini dilihat agak keterlaluan, namun pemimpin-pemimpin ini masih meneruskan tugas masing-masing tanpa menghiraukan bahan satira yang keterlaluan tersebut

Macroeconomic variables and in-migration in Malaysia’s developed states

Nowadays, in-migration is one of the important phenomena that affects urbanisation and development in the destination area. Indirectly, it will cause the rapid growth of the population, leads to overcrowding, competition for jobs, unemployment, poverty and the formation of new towns in the destination area especially urban areas. However, for rural destination areas, in-migration of professionals is important to stimulate economic growth. Hence, the objective of this study is to forecast and analyze the effect of macroeconomic variables on in-migration into developed states in Malaysia. Using the annual time series data from 1980 to 2012, Autoregression Distributed Lag (ARDL) and Grangercausality test were conducted. The findings have found that long run and short run relationships exist between inmigration and macroeconomic factors for developed states. The forecasting until year 2020 expects that in-migration will increase in Perak and Penang. Investment factors that are concentrated in the developed states also affect the population’s decision to migrate especially in Kuala Lumpur and Selangor. To promote the economic growth, foreign direct investment and domestic investment for development sector should be intensified to improve household incomes in the region. Besides, Perak and Selangor need to improve the existing policies to ensure that there is an increase in foreign direct investment and domestic investment

Accounting 1

Workbook used by Accounting 1 students of Department of Quantitative Studies of Centre for Foundation Studies, IIUM