Review : Medical Device Control Bureau Ministry of Health Malaysia

Kita sering terdengar berita-berita mengenai kecuaian pihak Hospital dalam menangani kes-kes tertentu, hingga terkadang menyebabkan kematian pesakit. Adakah semua kes yang didakwa berpunca daripada kecuaian individu seperti doktor dan jururawat semata-mata? Pernahkah kita terfikir kadangkala kecuaian atau kemalangan itu sebenarnya berpunca daripada kegagalan peralatan perubatan yang disediakan di setiap hospital dari segi fungsi dan sebagainya. Kes - kes jarum tertinggal dalam badan misalnya, seringkali kita dengar. Kemalangan sebegini kadangkala berpunca daripada jarum yang tidak berkualiti mengikut piawai dari segi keselamatan pengguna. 

Oleh sebab itulah, satu badan kerajaan perlu memainkan peranan dalam mengawal pengeluaran dan kemasukan peralatan perubatan ke hospital supaya kemalangan seperti yang disebut boleh dielak atau dicegah. Saya amat gembira dapat menghadiri taklimat Program Kawalan Peralatan Perubatan yang dianjurkan oleh KKM.   Taklimat ini telah membuka mata saya serta menambahkan ilmu tentang kawalan Peralatan Perubatan. Sebelum ini saya tertanya-tanya tiadakah agensi/badan kerajaan yang bertanggungjawab mengawal kemasukan peratalan perubatan ke hospital ? Walaupun baru sahaja ditubuhkan di Malaysia, saya merasakan ia satu langkah yang baik dan syabas kepada KKM. Masih belum terlambat untuk semua ini. Sudah tiba masanya untuk kerajaan Malaysia bekerja lebih keras untuk mengawal kualiti serta kemasukan peralatan perubatan seperti di kebanyakan negara maju yang lain. Sebagai contoh, Jepun sangat mementingkan keselamatan pesakit mereka. Badan terlibat sudah lama ditubuhkan sejak tahun 1974 lagi. Kita jarang dengar masalah sebegini daripada negara maju kerana mereka sangat sedar akan perkara ini. Ini disebabkan kualiti peralatan perubatan mereka sering dipantau dan dikawal. Bukan sebarangan pengilang yang boleh mendapatkan kelulusan dalam pembuatan peralatan perubatan.

Di dalam taklimat tersebut juga, kami diberitahu, belum ada akta di Malaysia untuk mengawal peralatan perubatan di hospital. Namun begitu, pihak Kawalan Peralatan Perubatan KKM memantau pengilang dan juga menerima aduan pengguna terhadap kualiti barangan yang diguna kepada pesakit. Akta perlu diwujudkan secepat mungkin walaupun saya tahu bahawa bukan mudah untuk mewujudkannya lebih-lebih lagi banyak prosedur yang diperlukan. Pada pandangan saya, keselamatan pesakit adalah tanggungjawab pihak hospital. Oleh itu, jikalau akta kawalan peralatan perubatan diwujudkan, kes-kes kemalangan di hospital lebih cepat selesai, dan pihak hospital tidak akan disalahkan bulat-bulat. Punca masalah juga boleh disiasat samaada daripada kecuaian individu atau "manufacturing defect" peralatan perubatan yang diguna itu sendiri. Pihak pengilang juga tidak boleh lari dari kes ini. Mungkin pengilang tidak mengikut piawai dari segi kualiti yang boleh menyebabkan kemalangan yang tidak diingini berlaku. Program ini juga secara tidak langsung meningkatkan tahap kepercayaan pihak pesakit terhadap pihak hospital semasa menjalani rawatan apabila kualiti peralatan perubatan terjaga. 

p/s: dr jism beli mesin kat china beratus ringgat pastu jual kat pengguna beribu-ribu. 

p/s/s: report taklimat ni baru siap ha ha.

p/s/s/s: banya kerja kosong di bahagian kawalan peralatan perbatan ni!

concern over radiation in sushi

Sejak kejadian gempa bumi melanda Jepun tempoh hari, mak mertua Dart selalu pesan, "Jangan dok pi makan sushi na....(oleh sebab MILku tahu anak dia dan menantu dia sangat gilakan sushi), takut ada radiation dalam isi ikan tu..dahla tak masak..". OK. Noted. Kami bukan jenis melawan cakap orang tua he he. So sekarang tak makan la sushi. Sebab taktau dari mana ikan tu datang. Kadang-kadang bukan semua ikan mentah ni datang dari Jepun. Mahal beb. Baik import dari Rusia ka, bolh dapat lagi murah. Kalau nak tau kena la tanya tuan kedai sushi tu sebenarnya. 

Q: What's the danger?A: Radioactive iodine, from food or the air, can build up in the thyroid, leading to thyroid cancer years later. Young children and pregnant women are at greatest risk. Thyroid cancer is one of the least fatal cancers if treated promptly. Radioactive cesium can build up throughout the body, is harder to eliminate and high levels are thought to be a risk for various other cancers. But it takes quite high exposure to harm, says Mettler: In contaminated villages around Chernobyl, thyroid cancer was documented. But if there was an increase in any other cancer, it was too small to detect, he says.
Q: In what foods in Japan have these radioactive elements been found?A: Iodine has been found mostly in milk and spinach, but also in chrysanthemum greens, leeks and a few other foods. Cesium also has been found in some vegetables. Levels found so far range from trace amounts to milk with iodine levels five times the acceptable limit, and in spinach, iodine levels 27 times the ceiling. Officials soon will test seafood.
Q: If you ate that, what would it mean?A: You'd have to eat 2 pounds of the most contaminated spinach to absorb about as much radiation as you'd get from a CT scan of the head, says Dr. Clifford Chao, radiologist-in-chief at New York-Presbyterian Hospital. People who drank milk with the highest measured levels of iodine for two weeks would absorb less than a year's worth of natural background radiation, according to a report from British environmental radiation group, Mike Thorne and Associates Ltd. But infants would absorb more than adults.

takut tak takut tak?

Ha, tapi baca lah artikel ini.

Every day, hundreds of tons of fish and seaweed are bought and sold at Tokyo's seafood markets. The markets are still bustling, but prices have fallen sharply amid concerns that some products might be contaminated with radioactive material leaking from Japan's troubled Fukushima Dai-ichi nuclear plant. How likely is that?
NPR posed the question to Masashi Kusakabe, director of the Nakaminato Laboratory for Marine Radioecology not far from Tokyo. The research center is devoted to figuring out precisely what happens to radioactive material that gets into the ocean.Kusakabe says what's been getting into the Pacific Ocean near Fukushima is mostly radioactive iodine. It dissolves in water, and experiments have shown that the iodine tends to concentrate in algae. Then it gets even more concentrated as it works its way up the food chain.
Kusakabe says that might sound bad, "but the iodine we're talking about now is iodine -131, which has a very short half-life at eight days."
Every eight days, half of the iodine goes away. So after a few weeks, there's not much iodine-131 left in a fish.
Kusakabe says radioactive cesium is a lot worse: Its half-life is measured in decades, not days. But so far, much less cesium has gotten into the ocean at Fukushima.
So the Japanese fish most likely to become contaminated are the ones that spend their entire lives right near the Fukushima power plant. And the government isn't letting fishing vessels anywhere near the place.
But what about the ocean-going fish that show up on sashimi platters — fish like salmon and tuna? Might they be contaminated by radioactive material from the power plant?
"I don't think so," he says, "because tuna move everywhere. They travel, you know, maybe hundreds of kilometers, so they never stay there."
A tuna might swim by the Fukushima plant. But it wouldn't hang around long enough to become seriously contaminated.
Kusakabe says the biggest threat to the Japanese fishing industry right now isn't radiation. It's fear."Most people now think, 'Oh, it's very dangerous to eat fish in Japan or fish around this coast.' But I think it's very safe. So now is your chance to eat fish, because it's cheap," he says.

source : NPR.org

hee...dah dapat penjelasan dari Japanese Radioecology kan? Boleh dipercayai kan(memang sangat). So, It's not radiation that we are concerning on, but it's more on FEAR. Ya la, mestilah takut kan!

Yang sebetulnya, tak sompat nak p makan sushi. By the time spend time dengan hubby weekend, mesti rasa nak masak sebab kesiankan dia dah macam orang bujang. So, sushi tu entah ke mana. Tapi memang teringin sangat sekarang ni. Ya, SEKARANG! Eh, mengidam pulak ka aku? huwaaaaaaaa~

 Hayyan ready for sushi

top : baby gap

Belum boleh makan la yan....eheh. 

Tudia....buat perangai masa kat Jepun dulu. 

Mami dia makan belas2 pinggan.

Jom balik!

top : japan

bag : mbmj

pants : scarlet maternity

(senang pakai, getah! ha ha)

shoes : bonia

Semua gambar di atas adalah sebelum kejadian gempa ya. heh.