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Universiti Sains Malaysia

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    58178 research outputs found

    A cost-effective analysis of intrapartum care for low risk mothers at two different levels of care in Jeli, Kelantan.

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    A study of the cost-effectiveness of intrapartum care for the low risk antenatal mother was undertaken at two different levels of care in Kelantan. Cases were selected from J eli alternative birthing center (ABC) (community-based center) and the respective{ district hospital, Tanah Merah Hospital (hospital-based center) for one year startingfrom 1st January until 31 st December 2001. Cost analysis was conducted from provider and patient perspectives. The research team used effective intrapartum care as the outcome measure. The criteria for the effective intrapartum care are based on normal clinical outcome and maternal satisfaction. A total of 117 low risk antenatal mother were recruited in the study, 58 and 59 low risk antenatal mothers from community-based and hospital-based center respectively. Results: The marginal means of provider cost, patient cost and societal cost differed significantly (p<0.001) between Jeli ABC and Tanah Merah hospital for intrapartum care of low risk antenatal mother. The marginal mean provider costs were RM 390.55 and RM 521.93 per case for Jeli ABC and Tanah Merah hospital respectively. The marginal mean patient costs were RM110.32 and RM256.81 per case for ABC Jeli and Tanah Merah hospital respectively. The marginal mean societal costs were RM541 .59 and RM per case for ABC intrapartum care and Tanah Merah hospital respectively. Jeli ABC was five times more effective (OR 5.17, CI: 2.010,13.304). The cost-effectiveness ratios ofRM138.00 and RM323.90 per unit outcome for Jeli ABC and Tanah Merah hospital respectively were significantly different (p<0.001). Conclusion: The study found that Jeli alternative birthing center level (community-based center) is less expensive than Tanah Merah hospital (hospital-based center) in providing intrapartum care for low risk mothers. The center also has a better clinical outcome and higher satisfaction than Tanab Merah hospital therefore Jeli ABC is more effective in providing intrapartum care for low risk mother than Tanah Merah hospital. Jeli ABC is also more cost-effectiveness compared to Tanah Merah hospital

    A study of the determinants of smoking behaviour and the association of smoking with lung function of male secondary school students in Kota Bharu.

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    Smoking in Malaysia has mostly been a male activity and it is among men that there has been a high prevalence of smoking prevalence. This is true for adult as well as for adolescents, based on the National Health and Morbidity Surveys (NHMS) and several studies conducted in Malaysia (Country Report: Malaysia, 2001 ). The high overall smoking prevalence in Malaysia has been actually contributed by the prevalence among male population. In the National Health and Morbidity Survey 1996, the smoking prevalence of Malaysian population aged 18 years and above was 24.8 percent. The prevalence among men was 49.2 percent compared to 3.5 percent among women. This was higher than the previous National Health and Morbidity survey conducted in 1986 that found a total smoking prevalence of 21.5 percent, with male smoking rates at 41 percent compared to 4 percent among women (Country Report: Malaysia, 2001 ). The prevalence can be considered high in both surveys even though they are not comparable due to the differences in population characteristics

    Hubungan Etnik Selepas Perang Dunia Kedua Dan Pengasuh

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    Kajian ini meninjau hubungan etnik di Tanah Melayu selepas Perang Dunia Kedua melalui majalah Pengasuh. oleh kerana Pengasuh adalah sebuah majalah yang didokong oleh kepimpinan ulama, maka secara tidak langsung kajian ini memperlihatkan perspektif pemikiran golongan agama terhadap hubungan etnik di ranah Melayu. penekanan juga diberikan terhadap punca tercetusnya ketegangan kaum di Tanah Melayu selepas Perang Dnnia Kedua. Sumber utama yang digunakan dalam kajian ini ialah majalah Pengasuh dan laporan British Military Administration (BMA). Salinan majalah Pengasuh dan laporan BMA diperolehi daripada Arkib Negara Malaysia, Kuala Lumpur, Perpustakaan Universiti Malaya cawangan Nilampuri, Kelantan dan Perpustakaan Majlis Agama Islam Kelantan, Panji, Kota Bharu. Kajian ini memperlihatkan ketegangan kaum yang berlaku adalah berpunca daripada etnik Cina. Pengasuh mengaitkan hal ini dengan kemasukan orang Cina secara haram dan tanpa kawalan selepas Perang Dunia Kedua. Tambahan pula, tuntutan persamaan hak dan pemberian kerakyatan kepada orang Cina tanpa mengetahui sejauh mana taat setia mereka turut ditentang oleh Pengasuh. Kalian ini cuba menilai kritikan golongan agama terutamanya dalam soal tuntutan persamaan hak orang Cina terhadap kerakyatan dan kuasa politik di Tanah Melayu

    CPM302 - Pengurusan Pangkalan Data / CIS401 - Reka Bentuk dan Pengurusan Pangkalan Data Februari 1999

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    UNIVERSITI SAINS MALAYSIA Peperiksaan Semester Kedua Sidang Akademik 1998/99 February 1999 CPM302 - Pengurusan Pangkalan Data / CIS401 - Reka Bentuk dan Pengurusan Pangkalan Data Masa : [3 jam] ARAHAN KEPADA CALON: • Sila pastikan bahawa kertas peperiksaan ini mengandungi EMPAT soalan di dalam TIGA muka surat yang bercetak sebelum anda memulakan peperiksaan ini. • Jawab SEMUA soalan dalam Bahasa Malaysia

    Contingency Plan For Managing Slope-Related Risks A Case Study For Menora Tunnel In Malaysia

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    Nowadays, the world is witnessing an ever-increasing need for tunnels because of their unique characteristics and potential applications. However, tunnel is facing many problems and risks such as safety, stability and environmental influence in excavation and operation. Around the world, there have been serious failures in tunnel during operation and maintenance stage and these cases have resulted in fatalities, damage to property and other socio-economic consequences. The aim of this study is to identify the potential slope-related risks and determine their risk ranking according to their priority importance towards successful delivery of tunnelling projects. The selected case study tunnelling project is Menora Tunnel which is located at Jelapang, Perak. Throughout the study, the significant risks are identified and then ranked via the Analytic Hierarchy Process (AHP) pairwise comparison, which analyses the criticality and importance of each risk. Most of these risks are identified, quantified, minimized and prioritized to minimize the consequences and their impact on certain projects. There are total five slope-related risks have been identified. Amongst them, slope failure has the greatest importance due to the event of sudden collapse of the slope, there are potential impacts on highway tunnel users, thus resulting towards a higher fatality rate. Heavy rainfall will affect the condition and reduce the strength of soil near to the tunnel. Therefore, a risk contingency plan is needed to lessen the damage of all these risks when they occur. Contingency plan is playing an important role as an adequate preparation in order to make sure the planning will be respond quickly and effectively to a crisis situation when it occurs. Without the plan in place, the full impact of the risk could greatly affect the operation and maintenance of tunnel

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