Purpose: To develop a set of actionable quality indicators for critical care suitable for use in low- or middle-income countries (LMICs). Methods: A list of 84 candidate indicators compiled from a previous literature review and stakeholder recommendations were categorised into three domains (foundation, process, and quality impact). An expert panel

Background: Central line (CL)-associated bloodstream infections (CLABSIs) occurring in the ICU are common and associated with a high burden. Methods: We implemented a multidimensional approach, incorporating an 11-element bundle, education, surveillance of CLABSI rates and clinical outcomes, monitoring compliance with bundle components, feedback of

INTRODUCTION: Obesity has reached pandemic level with higher prevalence among women. Obese pregnant women have higher risk of comorbidities, maternal and fetal complications. This study aimed to determine the prevalence of vaginal delivery and pregnancy outcomes of obese primigravida presented with spontaneous labour at term. MATERIALS AND METHOD:

The main goal of this project is to create a design that can fulfil the requirements of the project objectives. This project aims to redesign the International Islamic University Malaysia, Sultan Haji Ahmad Shah (IIUM, SHAS) Mosque’s lower floor courtyard and the road along the Al-Ghazali Walk. The selected concept for this project is ‘Iqtisad

Aluminum alloys 7075-T651 is a ductile material which may lead to tool damage and machined surface deterioration due to the formation of built-up-edge (BUE) and adhesion layer during machining especially in dry cutting condition. This paper discusses the chip formation of aluminum alloys 7075-T651 during turning in green environment. Uncoated carbi

Children are of paramount importance in our global community as they represent hope for a better future. It is of utmost importance that their well-being and rights be safeguarded and upheld. Orphans in particular are vulnerable members of society who require special attention and protection. A comprehensive legal framework that fortifies their rig

Rheumatoid arthritis (RA) is a multisystemic autoimmune disease which can be associated with visual threatening ocular manifestations. Common ocular associations with RA include necrotising scleritis and peripheral ulcerative keratitis (PUK). Optic nerve involvement otherwise is uncommon, especially as a presenting feature of RA. We report a rare c

INTRODUCTION: Pedobarography has been widely used in developed countries for few decades. However, in Malaysia it is still in its infancy. Studies showed that the normal values of pedobarography vary between races. To the best our knowledge there is no standard value available for Malaysian or Southeast Asia. This study is designed to measure the p

Electro-mechanical impedance method is emerging as an important and powerful technique for structural health monitoring (SHM). Active elements of the technique are Piezoelectric Wafer Active Sensor (PWAS) bonded on the structure. Modeling and simulation of PWAS and host structure play an important role in the SHM applications with PWAS. For decades