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2013 71 319 20
2014 85 630 57
2015 117 1078 27
2016 165 1088 27
2017 166 852 26
COMMUNITY PSYCHIATRY SERVICE FROM 2013 – 2017
5.4 Psychosocial Rehabilitation (PSR) HOSPITAL UMUM SARAWAK Total number of attendance from 2013-2017
Year New cases Follow-up Total 2013 67 1266 1333
2014 113 1559 1672
2015 164 2267 2431
2016 180 2465 2645
2017 128 2026 2154
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Psychosocial Rehabilitation (PSR) HOSPITAL UMUM SARAWAK
5.5 MENTARI (COMMUNITY MENTAL HEALTH CENTRE) AT KLINIK KESIHATAN PETRA JAYA Year New cases Follow-up Total 2015 121 564 685
2016 112 638 750
2017 164 223 387
MENTARI (COMMUNITY MENTAL HEALTH CENTRE) AT KLINIK PETRA JAYA
(Remark: Mentari Klinik Kesihatan Kesihatan Petra Jaya started late 2014)
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6. ACHIEVEMENT Together with the Malaysian Psychiatric Association, our department was actively involved in
co-hosting the 29th World Congress of the International Association for Suicide Prevention.
Hospital Sentosa and UNIMAS were co-organisers as well. The event was hosted at the Borneo
Convention Centre Kuching (BCCK) from 18th July – 21st July, 2017. The Congress was an
immense success. Delegates and Speakers from more than 47 countries worldwide attended
the Congress.
The department was actively involved in an Industry-sponsored research activity. We
worked together with the CRM Unit (Clinical Research Malaysia) of the hospital. We
managed to recruit three patients and two of them had already completed the Study by
December 2017. The Study was named the “BRILLIANT Study” which is a phase-3 Trial
of the new psychotropic drug called Blonanserin.
The department was offered an opportunity to take part in another phase-3 Study titled,
“ROUTE 6” which is a 6-monthly Depot injection of Paliperidone Palmitate. The due
agreements have been signed and we are about to embark on patient recruitment soon.
7. DEPARTMENT ACTIVITY
Item Activities Number of sessions
1. Medical Officer Teaching 26
2. Grand Ward Round 35
3. Journal Club 17
4. Departmental and middle managers meeting 10
5. In-house training CNE/CME/WORKSHOP 12
6. Courses organised outside 3
7. CME in Auditorium CRC presented by our 1
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department (Community Psychiatric Services)
Workshops for Electroconvulsive Therapy (ECT) and an Addiction Psychiatry course were
conducted by experts from Hospital Kuala Lumpur and Hospital Kuala Pilah.
The Department Family Day was conducted at Lundu Retreat Resort to further enhance the
spirit of togetherness and cooperation among our staff. A number of fun games and activities
together with lots of prize giving were conducted during the event.
8. FUTURE PLAN The year 2017 has seen a number of changes and improvement such as the upgrading of
our psychiatric services via the presence of a Clinical Psychologist. .Our Clinical Psychologist
needs a number of assessment tools and hence, we are looking forward to expanding our
scope of service with the help and the assistance of the very supportive hospital management
committee.
We are also very glad to have been able to acquire the present counselling area and shall
create additional interview rooms to cater more effectively to the ever increasing number of
outpatients that visit our clinic daily. We are hoping to be able to complete building these rooms
as soon as possible.
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HEMATOLOGI LAPORAN TAHUNAN HUS 2015
1. INTRODUCTION:
The Hematology Unit consists of a Hematology Ward and Medical Daycare. Hematology Ward has been located at 5th floor, clinical block since December 2010 with 10 official beds. Medical Daycare Unit are located next to Histopathology Laboratory. Operational hour is from Monday to Friday from 8 am to 5 pm and closed on weekend and public holiday.
2. DEPARTMENT OBJECTIVES:
To provide continuous efficient and caring services for all patients with the theme “Quality patient care with personal touch”, ensuring all patients will receive quality and friendly services with a personal touch.
3. SERVICES PROVIDED:
1. To provide diagnostic, treatment, counseling and supportive care to all hemato-oncology patients.
2. To complement patient’s treatment from the ward by continuation of treatment, diagnostic and counseling for stable patient.
3. Monthly transfusion of patients with Thalasaemia, Aplastic Anaemia and Myelodysplastic Syndrome.
4. Staffing:
This unit is managed by 1 consultant Hematologist,1 trainee haematologist, 3 Medical officers and 2 House officers with the paramedic strength of 16 staff nurses and 3 “Pembantu Perawatan Kesihatan.”
5. Workloads
335
511451 444 415
498
647 646 646 622
163 136195 211 183
0
200
400
600
800
2013 2014 2015 2016 2017
Haematology Workload
Adm Disch New Case Old Case Death
JABATAN : PERUBATAN (HEMATOLOGI)
KETUA JABATAN : DR WONG SEE YIN (DR CHEW LEE PING)
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TEMPLATE LAPORAN TAHUNAN HUS 2014
(3 MUKA SURAT SAHAJA)
68.72%85.64%
72% 78.13% 73.20%
0.00%
50.00%
100.00%
2013 2014 2015 2016 2017
Bed Occupancy rate
251 152 192 149 1100
200
400
2013 2014 2015 2016 2017
Workload on weekends & Public Holiday
BIL HAEMATOLOGI DAYCARE ACTIVITIES NUMBER OF PATIENT VISIT
1 Total patients’ visits 7947 2 No. bone marrow aspirations 137 3 No. blood transfusions 627 4 No. of chemotherapies 715 5 No.daycare clinical review 5749 6 No. of venesection 74 7 No. patients for injections 645
DIAGNOSIS TOTAL PATIENTS 2017
AML/ALL 21 CML 6 LYMPHOMA 70 MYELOMA 12 MDS 5 ITP 20 THALASSEMIA 24 LAIN-LAIN 154 Jumlah keseluruhan: 312
6. Department Activities:
Publications:
1. May Hegglin Anomaly with R1339X Masquerading as Idiopathic Thrombocytopenic Purpura And Dengue Fever (A Presentation of Family), Int. J. Hematol Res 2017 August; 3(1): 1-3 ( ISSN 2409-3548)
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2. Diagnosis and treatment of MYH9-RD in an Australasian cohort with thrombocytopenia. Platelets,
1-8, 1 Nov 2017. 3. Thrombocytopenia and CD34 expression is decoupled from α-granule deficiency with mutation of
the first growth factor-independent 1B zinc finger. J. Thromb. Haemost., 2017 Nov;15(11):2245-2258
Research: IIR
1. Acute Myeloid Leukaemia in Borneo Sarawak : A Developing World’s Experience. 2017 Highlights of ASH in Asia-Pacific, March 10-12 Hong Kong
2. A Thrombotic Thrombocytopenic Purpura -like Syndrome associated with Arcanobacterium Pyogenes Endocarditis in a Post-transplant patient : A Case report, 14th MSH Annual Scientific Meeting, 20-22 April 2017, Johor Bahru
3. B-cell Acute lymphoblastic leukaemia with cytogenetic abnormality t(4;11) and its association with coagulopathy,14th MSH Annual Scientific Meeting, 20-22 April 2017, Johor Bahru
4. Decitabine in the treatment of Acute myeloid Leukaemia and /or Myelodysplastic syndrome in Borneo Sarawak : A single Centre experience, 14th MSH Annual Scientific Meeting, 20-22 April 2017, Johor Bahru
5. Clinical Profile and treatment outcome of patients with Multiple Myeloma: A borneo Sarawak Experience , 14th MSH Annual Scientific Meeting, 20-22 April 2017, Johor Bahru
6. Prevalence of Paroxysmal Nocturnal Haemoglobinuria in Sarawak 2011-2016, 14th MSH Annual Scientific Meeting, 20-22 April 2017, Johor Bahru
7. Review of Non Transfusion Dependent Thalassaemia (NTDT) in Sarawak, Malaysia ,1st ASEAN Thalassaemia Forum Hotel Sunway Putra, Kuala Lumpur, 20-21 May 2017, (Oral, 3rd prize)
8. Hodgkins Lymphoma in Sarawak , NCCR+Reacta 25-27 Sept 2017
Research : ISR
1. TELESTO : A multi center randomized, double-blind,placebo-controlled trial of deferasirox in patients with myelodysplastic syndromes(low/int-1) and transfusional iron overload, PI.
2. Amgen 20090482 : A randomized, double blind multicenter study of denosumab compared with Zoledronic acid in the treatment of bone disease in subjects with newly diagnosed multiple myeloma,
3. Protocol number ALXN1210-PNH-301 “A Phase 3, Randomized, Open-Label, Active-Controlled Study of ALXN1210 Versus Eculizumab in Complement Inhibitor-Naïve Adult Patients with Paroxysmal Nocturnal Hemoglobinuria (PNH)”
4. Celgene ACE-536-B-thal-001. A phase-3 double-blind, randomized , placebo controlled study to determine the efficacy and safety of Luspatercept (ACD-536) vs Placebo in Adults who require Regular blood transfusions due to B-Thalassemia.
5. PNH registry Malaysia,M07-001. 6. Garfield registry, VTE Study TRI08889.
7. FUTURE PLAN:
To improve our manpower especially haematologist physicians and post basic nurses in haematology care in Sarawak and to empower patient to seek treatment earlier to improve patients’ survival.
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Activities :
Fair well party for Dr Leong Tze Shin 17/12/17 Ward Round with German Professor 17/4/17
Video Recording for Sarawak Cancer Advocacy Network 6/4/17 Patient Birthday Celebration 27/12/17
Limbang Thalassaemia Camp 25 March 2017
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DEPARTMENT OF GENERAL SURGERY
HEAD OF DEPARTMENT: MR(DR) NIK AZIM BIN NIK ABDULLAH
General Surgery is headed by Mr(Dr) Nik Azim bin Nik Abdullah, Senior Consultant Hepatobiliary & General Surgeon since 2010. Currently, a number of subspeciality units had established as the requirement for Sarawak General Hospital as the main Tertiary Centre for the whole Sarawak. The Hepatobiliary Unit established its own unit although still under General Surgery pool. The Colorectal Surgery coordinated under the care of Mr Chieng Tiong How (Consultant Colorectal Surgeon). The Upper GI (Gastrointestinal) Surgery coordinated under the care of Ms Hashimah Abdul Rahman (Consultant Upper GI Surgeon). The Visiting Vascular Team and Breast & Endocrine Team from West Malaysia continued rendering their services to Sarawak General Hospital on a monthly basis (for Vascular) and 2 monthly basis (for B&E), in view of such expertise still not available yet in the hospital.
2. Department's Vision and Mission 2.1 To provide an equitable and caring service of the highest quality with professionalism and utmost respect to human dignity which is accessible to all people of Sarawak 2.2 To develop the various subspecialties of surgery to a standard comparable to international units 2.3 To provide an excellent training ground for paramedics, undergraduates and postgraduates in the various fields of surgery 2.4 To provide health education to staffs and publics 3. Manpower 3.1 Doctors In Year 2017, the GS unit run by 13 Surgeons: 1 Jusa B (HPB), 3 Jusa C (GS), 4 UD56 and 5 UD52/54. Most of the Surgeons are fully occupied to cater the increasing daily workload and covering District Hospitals (Sibu, Miri Sarikei and Bintulu Hospital during their shortage)(2 days monthly visit to Serian Hospital). Two Unimas Surgeons also committed in helping with the daily workloads and oncall. With the increasing number of Medical Officers that interested in Surgery, thus enable the surgical services running well throughout the year. In the year under review, the Surgical Department staff strengths stand at: 13 Surgeons, 30 Medical Officers and 5 Master Surgical Candidates with the aim of to reduce morbidity and mortality related surgery. 3.2 Nursing Unfortunately the increase in nursing manpower did not keep in tandem with the rise in the subspecialty services provided and subsequent rise in the workload. The necessity of mechanically ventilating patients due to shortage of ICU beds imposed severe strain on our overworked staff nurses. Overcrowding of the ward with extra beds in every cubicle also contributed to the work stress. Despite the limitations, the staff tries to cope and provide good care to patients.
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3.3 Training and Courses Keeping oneself updated frequently is important in order to provide the best care to our patients. Attending training courses and conferences is part of essential continuing medical education. Most of the conferences are held in Peninsular Malaysia and transportation was very costly but with the help of Modal Insan and Sponsorship, doctors and nurses were able to participate. Most of the Surgeons were also involved in training the Masters Candidates as well as UNIMAS Medical Students, where they were appointed as UNIMAS Adjunct Lecturers. The Visiting Team (Vascular and Breast & Endocrine) also involved in taking classes during their visits. 4. Courses organized by Surgical Department in Year 2017 Refer to Table 1 5. Established Teams/Associations In Surgical Department
Wound Care Team Breast Cancer Support Group Team
(also collaborate with NGO- Pink Ribbon Support Group Kuching)
Nutrition Support Team (NST) Neuroendocrine Awareness Team (NET) PPLASH @ SHISEH (Society For Higher Surgical Education Hospital Umum Sarawak) Sarawak Trauma Life Support Team
6. The Future Plans Of General Surgical Department at SGH 6.1 To establish the proper Day Care Centre as an individual unit to reduce the workload of cases that can be performed as day care (currently the centre still under construction and in progress)
6.2 To improve the scope and level of expertise offered in the field of Colorectal, Upper GI and Breast & Endocrine Surgery especially in regards of Laparoscopic @ Minimally Invasive Surgery. Hope by year 2018, complete subspeciality units (except Vascular) will be established under one roof as SGH is a tertiary center for referral. 6.3 To encourage and train more medical officers in the field of General Surgery especially those in the postgraduate (Masters) training program, by giving them chance to attend courses and workshops.
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Table 1:Courses/Workshops organized by General Surgical Department in 2017
Date Courses @ Workshops
20/1/2017
24/10/2017
Open Hernia Workshop
Venue : Minor OT
17/3/2017 Endoscopic Ultrasound Workshop
Venue : Minor OT
22/4/2017 The Borneo GIST NET Forum : Sarawak NET Alliance
Venue – PJHUS Auditorium
17/5/2017 Advanced Laparoscopic Suturing Workshop (pre-congress CSAMM)
Venue – Dewan Pesona
18/5/2017 Advanced Life Surgery (pre-congress CSAMM)
Venue – Main OT & SGH Auditorium
19/5/2017 Annual Meeting - CSAMM 2017
(In collaboration with Academy Of Medicine Malaysia)
Venue – Pullmann Hotel
11/8/2017 Bloodless Mastectomy Axillary Clearance & Sentinel Lymph Node Biopsy
Venue – Main OT
Invited speaker: Professor Rohaizak Mohammad
19/8/2017 Basic Surgical Trauma Workshop
Venue – SOPD
5/9/2017 An Introduction To Lotus – Ultrasonic Scalpel (Hands-on Session)
Venue – Minor OT
12/9/2017 Surgical Antibiotic Update - Improving Surgical Patient Outcome
Venue – SGH Auditorium
Invited speaker: Dr Charles E.Edmiston.Jr
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7/10/2017 Basic Suturing Skill Course & Bowel Anastomosis Workshop
Venue – Dewan Mesyuarat JKNS Lama
9/10/2017 Nutrition Support Team Workshop 2017
Venue – Dewan Pesona
12/10/2017 Malaysian Wound Ostomy & Continence Care Seminar 2017
Venue – Akademi Percukaian Malaysia, Kuching
Annual event in October
6/10/2017
14/10/2017
18&19/10/17
21/10/2017
27&28/10/17
Breast Cancer Awareness Month in October
CNE on Breast Cancer (Venue – SGH Auditorium)
Breast Cancer Exhibition & Awareness (Venue – Boulevard Shopping Mall)
Breast Cancer Exhibition & Awareness (Venue – Hospital Lobby)
Senamrobic (Venue – Pustaka Library)
Staffs & Public Breast Examination (Venue – SOPD)
Annual event
9/12/2017
16/12/2017
Mass Circumcision
Sunathon Perdana Kuching (organized by JAIS ) 2017
- Credentialling & Privileging For Medical Assisstants
Mass Circumcision Sematan 2017(organized by PLKN)
8/3/2017 – 10/3/2017
The Intercollegiate Basic Surgical Skills Course
RCSI (The Royal College of Surgeons in Ireland
Venue – Research Lab UNIMAS
The Royal College of Surgeons of Edinburgh
MRSC Part B International (OCC)Exam
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Festival Gathering
Gawai Celebration
Hari Raya Celebration – Ramah Tamah Aidilfitri
Gathering Dinner
Farewell Dinner To Leaving Specialists (to district & to subspeciality) & Leaving Master Students
Dinner with Visiting Specialists
PROGRAMMES 2017
HERNIA LIVE 2017 SLNB WORKSHOP 2017
