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Archive for September 13, 2013

6區病例增 甲中央縣最多 10週149宗蚊症

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衛生局執法人員前往空屋檢查,並在糞池積水,發現孑孓繁殖。

 

(馬六甲20日訊)甲州蚊症病例從6月3日至8月17日出現明顯上升情況,共有149宗,較去年同期的69宗增加80宗,飆升116%,令人擔憂。

甲衛生局局長拿督張祥正說,根據該局數據顯示,甲州蚊症從去年12月30日至今年8月17日,共有339宗,其中329宗是骨痛熱症,10宗為骨痛溢血症,奪走一條性命。

8個月罰款逾18萬

他說,在339宗蚊症投報中,以馬六甲中央縣最多,共有273宗,包括一宗死亡病例,至于亞羅牙也縣是43宗,以及野新縣23宗。

他說,雖然蚊症病例較去年同時期的345宗,減少6宗,但在過去10週內即6月3日至8月17日,蚊症病例明顯上升,該局共接獲149宗蚊症病例投報。

他指出,州內6個地區的蚊症病例增加,其中4地區位于馬六甲中央縣,即愛極樂慕查化沙花園(3宗包括1死亡病例)、新馬六甲花園(4宗)、愛極樂高原(4宗)、甘榜都玖(6宗),其余兩個地區是在亞羅牙也,即牙力廉價屋(3宗)和瓜拉雙溪峇汝的甘榜拉浪(2宗)。

“衛生局已在上述地區進行清潔活動、噴射蚊霧等,目前,除了甘榜都玖之外,其他5個地區的蚊症疫情已受控。”

他也說,衛生局在過去8個月的嚴厲取締行動中,發現共有1632個地點有黑斑蚊繁殖,以及開出365張傳票,罰款總額達18萬2500令吉,執法人員前往檢查的地點包括住家、工地、空屋及空地等。

他今早主持甲衛生局蚊症取締行動匯報會時,這么指出。在場者包括副局長依斯邁及衛生局官員等。該局也在匯報會后動員逾20名執法人員,分成3組,前往甘榜都玖展開蚊症取締行動。

甘榜都玖10單位養蚊

甲衛生局在甘榜都玖展開蚊症取締行動中,共檢查580間建築,其中10間被發現有黑斑蚊孳生。

當地最近蚊症病例數據上升,甲衛生局共接獲6宗蚊症投報,週二(20日)在副局長依斯邁帶隊下,前往當地檢查,被檢查的範圍包括住家、店面及空屋。

執法人員是在門栓、浴室、塑膠瓶、花瓶及回收物等,發現黑斑蚊的蹤跡。該局也發出傳票通知給10間被發現黑斑蚊滋生的建築,其中4間是接獲最高500令吉罰款的傳票,2間是清理通知,另外4間無人在內的建築則接獲重新檢查的通知信。

若沒繳交罰款,可被控上法庭,罪成可被罰款不超過1萬令吉或坐牢不超過2年,或兩者兼施。

較早時,該局局長張祥正也呼吁民眾定期清理建築範圍,避免成為黑斑蚊繁殖的溫床。

via 【今日馬六甲頭條】 6區病例增 甲中央縣最多 10週149宗蚊症 | 中國報.

中央医院华裔巡察员扮演桥梁 监督改善软硬体设施

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康秀春(左起) 、朱泽华、R.嘉尼斯是中央医院巡察员。

 

马六甲11日讯)马六甲中央医院巡察员22名委员中,超过半数是华裔,扮演公众与医院沟通的桥梁。

马六甲中央医院巡察委员会主席朱泽华今日与委员召开会议后受询时说,该会平均每两个月与中央医院召开一次会议,与会者除该会委员,包括甲中央医院院长及各部门主管等。

“我们会在开会前巡视中央医院,观察医院的软硬体设备,有缺漏或破损的,在会议上提出,要求改善。”

他担任该委员会主席已超过4届,每届任期三年,这一届华裔委员约有15名,他们来自非政府组织、热心人士及政党等。

他说,与一些州属比较,甲中央医院的硬体设施属相当完善,护士的服务态度很好,医生也尽责,环境也很干净,民众对于这方面的投诉并不多。

他说,该会也促进医院与病患的福利工作,每两个月在不同病房举办与病人同欢活动,邀请各表演团体呈现节目。

“我们也常为医院向私人界或团体征求报效病房需要的电视机、冷气机、杂志或是电脑,也曾协助院内的园艺工作等。”

拟月杪到砂州考察

此外,该会也计划在本月杪组团到砂拉越中央医院进行考察。

他说,在甲中央医院领药部门的出入口墙布告栏上,张贴完整的该委员会的人头照及联络方式,若公众欲询问有关中央医院的医疗服务,或欲反映或投诉有中央医院相关事务,可联络该会。

同样但任10多年委员的康秀春感慨现今无论是政府开办的医院或是私人医院,病患人数日益增多,相信是与现代人的饮食习惯、生活作息及承担更多压力有关。

“现在不管是在私人医院或是中央医院,挂诊同样要等,尤其是在私人医院,等上一个小时是常有的事。”

via 2013年09月12日 – 中央医院华裔巡察员扮演桥梁 监督改善软硬体设施 – 地方新闻 – 马六甲 – 南洋网.

Calendars 5

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A week ago, Calendars+ was made available for free by Readdle. Now, though, the app has been pulled from the App Store. In its stead is Readdle’s new flagship calendar app, Calendars 5.

Calendars 5 supports local iOS calendars, Reminders, and Google Calendar. It features natural language input for adding events and a task manager for organizing and tracking to-dos.

Available as a universal iOS app, Calendars 5 is touted as the first smart calendar for iPad. “Its large screen is great for managing your daily schedule and enables richer interaction with your calendar,” says Readdle.

If you can’t see the video embedded above, please click here.

Other key features of Calendars 5 include:

  • Interface focused on events
  • Day, Week, Month and List’ views of your events.
  • Works online and offline
  • All the features you love
  • Act as you feel it
  • Tasks and events are always with you

Compatible with iPhone, iPod touch, and iPad running iOS 6.0 or later, Calendars 5 is available now in the App Store $4.99.

Note that Calendars 5, like the newly released Reeder 2, is a separate app. Existing users of Calendars+ may not upgrade to the new app for free.

via Readdle Launches Calendars 5 Featuring Natural Language Input, iPad Support And More — AppAdvice.

Strip Steak with Japanese Dipping Sauce

strip-steak-with-japanese-dipping-sauce

INGREDIENTS

2 sprigs thyme plus leaves for serving

2 strip steaks (about 1” thick; 1½ lb. total), cut in half crosswise, room temperature

1 Tbsp. olive oil

Kosher salt and freshly ground black pepper

½ cup ponzu

¼ cup finely grated carrot

¼ cup finely grated daikon (Japanese white radish)

2 sprigs rosemary plus leaves for serving

PREPARATION

 

INSTRUCTIONS

  • Prepare grill for medium-high heat. Place rosemary and thyme sprigs on a plate and microwave on high until brittle, about 2 minutes.
  • Rub steaks with oil, season with salt and pepper, and sprinkle with herbs, crushing gently and pressing to adhere. Grill steaks to desired doneness, about 4 minutes per side for medium-rare. Let rest 5 minutes.
  • Meanwhile, mix ponzu, carrot, and daikon in a small bowl. Top steaks with rosemary and thyme leaves; serve with dipping sauce.

via Strip Steak with Japanese Dipping Sauce – Bon Appétit.

NHS patients ‘should not face constant moves’

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Patients often face multiple moves around hospital

 

The era of NHS patients being shunted around hospitals needs to end, an expert group says.

The Future Hospital Commission – set up by the Royal College of Physicians – said a radical revamp in structures was needed to bring care to the patient.

This was particularly true for frail people with complex needs, who often faced multiple moves once admitted to hospital, the report said.

It also recommended closer working with teams in the community.

The commission said this could involve doctors and nurses running clinics in the community and even visiting people in their own homes – as is already happening in a few places.

‘Bold and refreshing’

It also called for an end to the concept of hospitals discharging patients.

Sir Mike Rawlins: “Hospital shouldn’t stop at the walls of the building”

Instead, it argued that many of those seen in hospitals in the 21st Century needed ongoing care that did not end when they left hospital.

So the report recommended that planning for post-hospital care should happen as soon as someone is admitted.

Key to that will be a new hub that should be created in every hospital, called a clinical co-ordination centre, which would act as a central control room, helping to ensure information about patients is shared and their care planned properly.

Once in hospital, patients should not move beds unless their care demanded it, the report said.

That contrasts with the multiple moves many patients with complex conditions often find themselves facing as they are passed from specialism to specialism.

It said this would require a greater emphasis on general wards with specialists visiting patients rather than the other way round.


Case study

The longest Suzie Hughes, who has the auto-immune condition Lupus, has spent in hospital is 21 days.

During her stay, she was moved five times for non-clinical reasons.

“I would find myself being wheeled down the corridor with my flowers and chocolates. Nurses would be with me and I kept thinking, ‘What a waste of their time.’

“And each time I arrived on a new ward I had to explain my condition again. The information does not get passed on and it results in delays.”

The authors – drawn from across the NHS and social-care spectrum – also called for an end to the two-tier weekday and weekend service in many facilities.

They even said it would be preferable to work at 80% capacity across the seven days if extra resources were not available in the short-term.

Commission chairman Sir Michael Rawlins said it was about providing the care patients “deserved”.

Alzheimer’s Society chief executive Jeremy Hughes said too often hospitals were stressful places with patients being moved “from pillar to post”.

“We need nothing less than a revolution… in order to ensure our NHS is fit for the future,” he added.

Health Secretary Jeremy Hunt said the report was “bold and refreshing”.

“I agree completely that we must make services more patient-centred both inside and outside hospital.”

Shadow health secretary Andy Burnham said: “We must turn this system around and help support people where they want to be – at home with their family around them.”

via BBC News – NHS patients ‘should not face constant moves’.

Gel laundry capsule poisonings rise

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The brightly coloured capsules have caused emergency admissions

Free cupboard-catches are to be given to families in the Glasgow area with a three or four-month-old child in an effort to curb liquitab poisonings.

NHS Greater Glasgow and Clyde is worried about a continuing rise in the number of children being harmed after biting the brightly coloured capsules.

Doctors in Glasgow first highlighted the dangers of the gel laundry capsules last year after a spate of admissions.

Consultant Haytham Kubba said the problem had not gone away.


She was kept in overnight for observation and was fine but it’s quite scary to think what could have happened if she’d taken too much”

Mother of 15-month-old Eva Turner who bit into a liquitab

The paediatrician, who works at Glasgow’s Royal Hospital for Sick Children at Yorkhill, said: “Unfortunately we’ve had another three cases through intensive care this year.

“We have seen a lot more cases since we first raised the alarm a year ago.”

A recent survey by the UK’s National Poisons Information Service revealed there had been 1,486 cases involving the capsules between May 2009 and July 2012 – the vast majority involving children under the age of five.

Four children had breathing difficulties, one had a burned airway and four needed a ventilator to help them to breathe.

Eva Turner, a 15 month old, was one of the lucky ones. “I don’t think she swallowed a lot of it but she was sick straight away,” said her mum, Juliet Turner.

Liquitabs warning
Children suffering from chemical burns have been treated in intensive care at a Glasgow hospital

“I had read about the dangers of liquitabs so I brought her straight to Yorkhill. She was kept in overnight for observation and was fine but it’s quite scary to think what could have happened if she’d taken too much.

“It was on a shelf in a utility room and the box they were in had a click-lid on it which I didn’t think she’d be able to open, but she did.”

Health visitors from Greater Glasgow and Clyde Health Board will now hand out 16,000 cupboard catches.

Community safety development officer for the Royal Society for the Prevention of Accidents, Carlene McAvoy, said: “For us the most important part of the campaign is actually the leaflet which is being handed out.

“There’s a cupboard catch for people to put on their cupboards if they want to. These are child resistant, they’re not child-proof. The main thing is to be aware of the issue.”

Packaging change

The manufacturers of gel capsules have now agreed to change their packaging but it will take some time for all brands to comply.


We believe these measures will reduce incidents but should not rule out the vital role that parents have to play when using the products as directed”

Philip MalpassDirector General of the UKCPI

By the end of the year they will be packaged in opaque boxes with child resistant openers and prominent warnings, in a voluntary scheme proposed by the UK Cleaning Products Industry Association (UKCPI).

Philip Malpass, the director general of the UKCPI said: “In addition, manufacturers are working with the authorities to monitor any further incidents and are carrying out regional public awareness campaigns that will be rolled out across the UK.

“We believe these measures will reduce incidents but should not rule out the vital role that parents have to play when using the products as directed and to keep them out of reach of infants when not in use.”

Mr Kubba said he was “heartened” by the changes adopted by the industry but also stressed that the most important thing was for parents to lock liquitabs away.

“The reality is that these things are very concentrated and they are surprisingly dangerous,” he said.

“I was surprised at how dangerous they can be. We’ve had nine children though our intensive care in the last few years, which is nine seriously injured children who need to be on a ventilator to help them breathe.

“One of those children needed reconstructive surgery to their voicebox and windpipe.”

Earlier this summer the charity Children in Wales produced posters urging parents to “lock up your liquitabs” because of an increasing number of poisonings there.

via BBC News – Gel laundry capsule poisonings rise.

NHS whistle-blower guidelines published by NMC

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Helene Donnelly is the “ambassador for cultural change” at an NHS Trust in Staffordshire

 

NHS staff who want to raise concerns about patient care are to be assisted with new guidelines issued by the Nursing and Midwifery Council (NMC).

Nurse Helene Donnelly, who turned whistle-blower to expose failings in care at Stafford Hospital in 2007 and 2008, has backed the guidance.

She said health organisations “needed to do more” to enable nurses to deal with any worries they had.

The NMC has made the guidelines available on its website.

It said the document provides additional resources for people who wanted to raise concerns, including information on organisations that could give “advice and support on how to take matters forward.”

‘Responsibility to speak out’

NMC chief executive Jackie Smith said: “We want a health and social care sector where all staff can raise concerns without fear of reprisals.

“Managers need to understand their professional responsibility also includes taking honestly raised concerns seriously.”

Ms Donnelly, who gave evidence at the Stafford Hospital public inquiry in 2011, worked for six years in the hospital’s accident and emergency department.

The inquiry looked at the reasons why failings in care were missed at the hospital.

She currently works as the ambassador for cultural change at Staffordshire and Stoke-on-Trent Partnership Trust, where she is a community nurse.

She said: “I want to encourage nurses and midwives to understand their own professional responsibility to speak out when they have concerns about standards of care.

“But there is much more that organisations need to do to make raising and dealing with concerns more straightforward.”

via BBC News – NHS whistle-blower guidelines published by NMC.

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