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Welcome to

Terengganu
Waktu Solat bagi Daerah Kuala Terengganu/Kuala Nerus
Khamis 4hb Mei 2017
Subuh 5:25 Zohor 13:06 Asar 16:25 Maghrib 19:15 Isya 20:27
Jumaat 5hb Mei 2017
Subuh 5:25 Zohor 13:06 Asar 16:25 Maghrib 19:15 Isya 20:27
Sabtu 6hb Mei 2017
Subuh 5:25 Zohor 13:06 Asar 16:25 Maghrib 19:15 Isya 20:28

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Table of Contents
Message by HOD ..................................................................................................................... 3
Message by the Director of MUT ............................................................................................ 4
Committee members............................................................................................................... 5
Programme Tentatives............................................................................................................. 6
Speakers ……………………………………………….……………………………………………………………………………10
Acknowledgement ……………………………………………………………………………………………………………..12

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Message from the advisor of the MUT
It is with great pleasure that I welcome all of you to the
5th Terengganu Medical Update organised by Kelab Medik
HSNZ with the association of the Medical Department HSNZ.
This is an annual event which was started in the year 2011.
This educational event has been well received and attended by
different categories of health care professionals .

The main purpose of this event is to update health care


professionals on the current evidence based management of
different type of diseases, either communicable or non
communicable. The advances of treatment and the
development of new guidelines necessitate all health care Dr Asmah Mohd
professionals to improve the standard of care for our patients .
President of Kelab Medik,

Head of Medical Department


The 5th Terengganu Medical update promised to highlight
diverse medical conditions spanned in different specialities Hospital Sultanah Nur Zahirah
that sings along the medical discipline itself. The topics are
carefully chosen to suit the current melodies of medicine.
Sessions on case discussions and data interpretations meant
to be interactive and practical hence promote better
understanding. We have invited local as well as national
speakers.

The working committee lead by Dr Zamri Mohamed has been


working very hard to realise the 5th Terengganu Medical
Update. Congratulations to the team for their best effort. This
event receives participation of delegates from all over
Malaysia. We would like to thank our invited speakers in
advance for their willingness to participate in the
5th Terengganu Medical Update. We also like to thank the
pharmaceutical companies for their contributions.

We hope to continue this effort annually in years to come. Do


enjoy our "MELODIES OF MEDICINE’

Thank you.

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Message from the organizing chairman
“The life so short, the craft so long to learn. ”
~Hippocrates

Buckminster Fuller created the “Knowledge Doubling Curve”.


He noticed that until 1900 human knowledge doubled
approximately every century. By the end of World War II
knowledge was doubling every 25 years. Today,
Dr Zamri Mohamed nanotechnology knowledge is doubling every two years and
Chairman, MUT 2015 clinical knowledge every 18 months and on average human
knowledge is doubling every 13 months.

In the rapidly evolving world of medicine, state-of-the-art


practice requires us as health personnel to update our
knowledge. MUT 2015 will provide you with comprehensive,
up-to-date, evidence-based therapeutic concepts that you will
be able to implement into your daily practice, our scientific
committee had highlighted the important topics and issues
which covers all major Internal Medicine subspecialty and wide
range of common medical disorder that is relevant with our
practice.

Apart from the opportunities afforded by the conference’s


scientific session, the participant especially those from outside
Terengganu will also have the chance to experience myriad of
Terengganu tourist and cultural attraction such as idyllic
beaches and islands, delicious culinary delights, fabulous
shopping bargains as well as a chance to renew acquaintances
and make new friends.

The ancient Greeks certainly thought music and health is


interlinked. Recent medical studies seems to confirm what
the Greek thought. Music exert these benefits by promoting the
brains ability to make new connections between nerve cells and
works its magic through its rhythms.

We hope that you will enjoy the rhythm and melodies that will
be sung your way.
resent to you the “MELODIES OF MEDICINE..” 4
Medical Update 2017 Organising Committee

Patron
Advisor
Chairman
Deputy Chairman Dr
Secretary Dr.
Assistant Secretary
Treasurer
Vice Treasurer D

Committee Members
Scientific Program
Logistic
Registration
Publication
Audio Visual
Protocol
Social
Equipment
Refreshment
Sourvenir

Other Committee Members

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ProgrammeTentatives
THURSDAY, 4TH MAY – PRE CONGRESS : ACUTE MEDICINE, VENUE: DEWAN BAIDURI 2 & 3

0730 - 0830 REGISTRATION

0830 - 0915 ECG PEARLS


Dr. Zulkifli bin Mustapha
Cardiologist, Hospital Sultanah Nur Zahirah

0915 - 1000 ULTRASOUND IN ACUTE MEDICINE


Dr. Nik Ahmad Shaiffudin Bin Nik Him
Emergency Physician, Universiti Sultan Zainal Abidin, Kuala Terengganu

1000 - 1045 SEPSIS BUNDLE


Dr. Ahmad Kashfi bin Haji Abdul Rahman
Consultant Infectious Disease Physician, Hospital Sultanah Nur Zahirah

1045 - 1115 TEA BREAK

1115 – 1200 APPROACH TO THROMBOCYTOPENIA


Dr. Ong Tee Chuan
Consultant Haematologist, Hospital Ampang

1200 - 1245 GOING ABOUT HEMOPTYSIS


Dr. Termizy Bin Hassan Mashat
Chest Physician, Hospital Sultanah Nur Zahirah

1245 - 1330 LUNCH SYMPOSIUM : THROMBOLYSIS IN ACUTE STROKE


Dr. Khairul Azmi Bin Ibrahim
Neurologist, Hospital Sultanah Nur Zahirah

1315 - 1415 THYROID EMERGENCIES


Dr. Yogeswari A/P Venugopal
Endocrinologist, Hospital Sultanah Nur Zahirah

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FRIDAY, 5TH MAY –CONGRESS, VENUE: DEWAN BAIDURI 2 & 3

BREAKFAST SYMPOSIUM :
0830 – 0915 UPDATE ON HAEMATOLOGY : BLOOD & MARROW TRANSPLANT
Dr. Ong Tee Chuan Consultant Hematologist, Hospital Ampang

0915 – 1000 KEY NOTE ADDRESS AND LAUNCHING :


MAIN CHALLENGES AND FUTURE DIRECTIONS OF MEDICINE IN MALAYSIA
Dato’ Dr. Haji Azman bin Haji Abu Bakar
Director Of Development Division, Ministry of Health, Malaysia

1000 – 1030 TEA BREAK AND TRADE EXHIBITION

CONCURRENT SESSION
SYMPOSIUM 1 (Doctors) SYMPOSIUM 2 (Paramedics)
Venue: Dewan Baiduri 3 Venue: Dewan Baiduri 2

1030 - 1100 PEARLS OF NEUROLOGY OPTIMISING HOMECARE SERVICES


Dr. Zariah Bt Abdul Aziz Sister Zaini bt Md Noor
Consultant Neurologist, Hospital Sultanah Nur Zahirah
Hospital Sultanah Nur Zahirah

1100 - 1140 IS THIS THE WAY TO DIE? CONTROLLING THE BUG


Dr. Richard Lim Boon Leong Matron Nutan bt Ali
Consultant Palliative Medicine Physician, Hospital Sultanah Nur Zahirah
Hospital Selayang

LUNCH SYMPOSIUM : ENDOCRINE HYPERTENSION


1140 - 1210 Dr. Yogeswari A/P Venugopal
Endocrinologist, Hospital Sultanah Nur Zahirah

1210 - 1415 FRIDAY PRAYER AND LUNCH BREAK

1415 - 1515 POWERFUL SECRETS TO MOTIVATE YOUR PATIENTS


Dr.Umi Adzlin bt Silim
Psychiatrist, Hospital Kuala Lumpur

1515 - 1600 UPDATE ON COLORECTAL CANCER SCREENING REHABILITATION


Datuk Dr. Haji Ahmad Shukri Bin Md Salleh @ Embat Dr. Nor Aida Binti Musa
Consultant Gastroenterologist Pakar Perubatan Rehabilitasi
Hospital Sultanah Nur Zahirah Hospital Sultanah Nur Zahirah

1600- 1645 PSORIASIS : WHAT’S NEW? HOW TO REDUCE TRANSFUSION ERROR


Dr. Norazura Bt Mohamad Dr. Mohd Muhaimin Bin Kambali
Dermatologist Pakar Perubatan Transfusi
Hospital Sultanah Nur Zahirah Hospital Sultanah Nur Zahirah

`
TEA SYMPOSIUM : UPDATE ON HEART FAILURE NURSING ETHICS
1645 - 1730 Dr. Mohd Sapawi bin Mohamed, Matron Rosimah Binti Mat Saad

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SATURDAY, MAY – CONGRESS, VENUE: DEWAN BAIDURI
6THCardiologist
Consultant 2 &Negeri3 Terengganu
Jabatan Kesihatan
Hospital Raja Perempuan Zainab II

UPDATES IN VASCULITIS
0800 - 0845 Dr. Asmah bt Mohd
Consultant Rheumatologist
Hospital Sultanah Nur Zahirah

0845 - 0930 Stroke Prevention with NOACs--Trial and Tested Protection Against Stroke
(SPONSORED BY BAYER)
Speaker : Dr Muhammad Dzafir bin Ismail
Pusat Perubatan Universiti Malaysia

0930 - 1015 DEBATE: ROAD TO CLINICAL EXCELLENCE : GUIDELINE OR EXPERIENCE?


Moderator: Dr. Asmah bt Mohd
(Consultant Rheumatologist, Hospital Sultanah Nur Zahirah)
Speaker 1: Dato’ Dr. Syed Muhammad Salleh
(General Practitioner, President of MMA Terengganu)
Speaker 2: Prof. Dr. Zawawi bin Nordin
( Consultant Nephrologist, UNISZA)

1030 - 1045 TEA BREAK AND TRADE EXHIBITION

CONCURRENT SESSION

SYMPOSIUM 1 (Doctors) SYMPOSIUM 2 (Paramedics)


Venue: Dewan Baiduri 3 Venue: Dewan Baiduri 2

1045 - 1130 HOW NOT TO GET BREATHLESS AGAIN RECOGNIZING UNSTABLE PATIENT
Dr. Norhaya bt Mohd Razali Dr. Zamri bin Mohamed
Consultant Respiratory Physician Physician
Hospital Sultanah Nur Zahirah Hospital Sultanah Nur Zahirah

THE HOT JOINTS MEDICATION ERROR


1130 -1215 Dr. Asmah Bt Mohd SN Siti Zuridah bt Ibrahim
Consultant Rheumatologist Hospital Sultanah Nur Zahirah
Hospital Sultanah Nur Zahirah

THE RED FROTHY URINE IN PREGNANT LADY NOTIFICATION OF COMMUNICABLE


1215 - 1300 Dr. Zaiha Bt Harun DISEASE
Consultant Nephrologist Dr. Kasmani Binti Embong
Hospital Sultanah Nur Zahirah Pakar Perubatan Kesihatan Awam
Jabatan Kesihatan Negeri Terengganu
LUNCH SYMPOSIUM : INVASIVE FUNGAL INFECTION IN THE CRITICALLY ILL PATIENT
Dr. Ahmad Kashfi Bin Haji Abdul Rahman
1300 – 1330 Consultant Infectious Disease Physician
Hospital Sultanah Nur Zahirah

END OF CONGRESS

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Faculty Biodata
DR ASMAH MOHD
Dr Asmah is currently the Head of Department of Medicine and also a Consultant Rheumatologist in
HSNZ. Before current appointment, our Malacca - born HOD had done her fellowship training in
Rheumatology in Hospital Tuanku Jaafar, Seremban before she went for a 1 year attachment at
Rheumatology and Immunology Department in Tan Tock Seng Hospital, Singapore in 2008. She actively
contributes in clinical work and social work . She has published many research papers and presented at
local and international conferences. A caring and dedicated rheumatologist in HSNZ.

DR ZARIAH ABDUL AZIZ

Dr Zariah is a well known national Neurologist, currently practicing in HSNZ. She obtained her
specialist registrar in Clinical Neurophysiology from National Hospital for Neurology &
Neurosurgery, London in 2001 and pursued in Neurophysiology NCS/EMG at University
Hospital, Uppsala, Sweden in 2004. She is also a committee member and trainer of various
societies related to neurology. Furthermore, she has published many papers and clinical trials.
Energetic and stylish neurologist that is very committed in her field.

DR NORHAYA MOHD RAZALI

Dr Norhaya is a Senior Consultant Respiratory Physician in Hospital Sultanah Nur Zahirah (HSNZ), Kuala
Terengganu. She graduated from University Malaya and then received her post graduate training at UKM.
Dr Norhaya then pursued her subspecialty in Respiratory Medicine at Imperial College London & Brompton
Hospital, London. She is a life member of Malaysian Thoracic Society and also chairperson of Subspecialty
Respiratory Credentialing Committee, Malaysia.

DATUK DR AHMAD SHUKRI BIN DATO’ MD SALLEH

Datuk Dr Ahmad Shukri is a Senior Consultant Physician and also Gastroenterologist in


HSNZ. He graduated in 1989 from University Malaya. He did his gasteroenterology training
at Royal Liverpool University Hospital, UK. He is an expert in endoscopic stenting and
endoscopic ultrasound. Besides practicing as Gasteroenterologist, he is also involved in
Infection Control Team and member of Occupational Safety and Health unit.

DR ZAIHA HARUN

Dr Zaiha is a Senior Consultant Nephrologist who received her MBBS from Adelaide University,
Australia in year 1994. Before completing her fellowship in Nephrology in 2008, she obtained her
MMed in Internal medicine in 2003 in USM. Now she is the Head of Nephrology Department in HSNZ
and actively involved in various projects related to medical and also for social development. 9
DR ZULKIFLI MUSTAPHA
Dr Zulkifli Mustapha received his Medical degree in 1997 from USM. He completed his Master in
Internal Medicine in 2009 from the same university and pursued in Fellowship training in
Cardiology for 3years. He is now our beloved Cardiologist with interest in Coronary Intervention.

DR KHAIRUL AZMI IBRAHIM


Dr Khairul Azmi is graduated from University College Cork, Ireland in 1999. He underwent his
housemanship in HKL then continued his service as a medical officer in Hospital Sibu. He obtained his
Master in Internal Medicine from USM in 2009. He then pursued his training in Neurology in HSNZ, HKL
and PPUM. He did his fellowship in stroke medicine in Derriford Hospital, Plymouth, United Kingdom for
a year until May 2014 and now is our neurologist with interest in Stroke Medicine.

DR ZAMRI MOHAMED

Dr Zamri is a senior physician in HSNZ. He obtained his MMED in Internal Medicine in 2008 and
previously had various working experience in many hospital all over the country. His area of
expertise is medical disorders in pregnancy. He leads a lot of subunit in our department and is
very active in social and clinical activities. He loves to teach and it reflects as he is also a part-time
lecturer and clinical supervisor for UCSI and UniSZA.

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NIK AHMAD SHAIFFUDIN BIN NIK HIM
MD, MMed (Emer. Med., USM), AM(Mal)

Dr Nik Ahmad is an alumni of USM since 1998. After completing housemanship in 1999, he was
posted to Emergency Department, HKL where he was introduce to emergency and trauma
services that creating a deep interest in emergency medicine. He obtained his masters in
emergency medicine in 2005. During post graduate training, he was involved immensely with
life support courses and currently a certified instructor trainer with vast experience in basic
and advanced life support training.
At present, he is a medical lecturer and Consultant Emergency Physician at Faculty Of
Medicine, University Sultan Zainal Abidin. He is a member of College of Emergency Physician,
Academy of Medicine Malaysia, trainer for Malaysian Society for Traumatology and Emergency
Medicine, Life Member PGMES Hospital Sultanah Nur Zahirah and Terengganu Resuscitation
Society. Currently he was appointed as Director of Hospital Development Centre, UniSZA and
spearheading the development of a modern Teaching Hospital of UniSZA.

Dr Asmah Mohd, Senior Consultant Rheumatologist


Dr Zariah Abdul Aziz, Senior Consultant Neurologist
Dato’ Dr Ahmad Shukri Datuk Mohd Salleh,
Senior Consultant Gastroenterologist
Dr Norhaya Mohd Razali, Senior Consultant Repiratory
Dr Zaiha Harun, Senior Consultant Nephrologist
Dr Zulkifli Mustapha, Cardiologist
Dr Khairul Azmi Ibrahim, Neurology Specialist
Dr Zamri Mohamed, Senior General Physician
Dr Nurul ‘Ain Hj Yusoff, General Physician
Dr Siti Mariam Ab Rahim, General Physician
Dr Syuhada Dan Adnan, General Physician
Dr Kurnia Prima Sawai, General Physician
Dr Tuan Saripah Tuan Hadi, Consultant Psychiatrist
Dr Nik Azman Nik Adib, Intensivist
Dr Nor Aida Musa, Head of Rehabilitation Medicin
Sister Adibah Idris
Mrs Norsima Nazifah Sidek, Pharmacist

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Acknowledgements
The committee wishes to express its heartfelt appreciation and thanks to the
following for their invaluable support and generous sponsorship

Ministry of Health, Malaysia


Hospital Sultanah Nur Zahirah Kuala Terengganu
Medical Department HSNZ
TH Hotel and Convention Centre Kuala Nerus

Sun Pharmaceutical Sdn Bhd


Mundipharma Sdn Bhd
Pharmaniaga Sdn Bhd
Beurotech Sdn Bhd
Astra Zeneca Sdn Bhd
Prudential Takaful Sdn Bhd

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Platinum sponsor

Gold sponsor

Silver sponsors

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