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Tuesday, 26 November 2024

An app for any medical emergency

 With a tap, MyresQ, can quickly have life-saving help on its way

Improving the odds: The MyresQ app helps connect to 5,805 qualified and certified rescuers while giving the precise location of the emergency after activation. — IZZRAFIQ ALIAS/The Star

PETALING JAYA: When rescuing someone in cardiac arrest, every second counts towards saving their life.

With that in mind, the MyresQ medical app was created to quickly alert nearby rescuers to hasten emergency response times.

The app provides the public with the last-mile emergency response, which is a vital link in the chain of survival.

Launched in March, the first-of-its-kind app has already been activated in 459 emergency cases nationwide, of which 127 or nearly 28% were related to sudden cardiac arrest. The others were medical emergencies such as fainting and chest pain.

It also has one of the most comprehensive databases for automated external defibrillators (AEDs), with 360 registered under the app.

MyresQ helps connect to 5,805 qualified and certified rescuers while giving the precise location of the emergency after activation.

Its co-founder Dr Mohd Afiq Mohd Nor said the idea for the app came in late 2022 after a person collapsed and nobody around could perform cardiopulmonary resuscitation (CPR).

Dr Afiq is an emergency physician consultant currently working in Universiti Malaya Medical Centre’s emergency medicine department, which is one of MyresQ’s partners.

ALSO READ: Digital solutions crucial for quick response, says Red Crescent

Following the incident, he said his colleagues and a few others thought about developing an app to activate responders.

“There was no system to activate responders to help people in need while waiting for an ambulance to arrive.

“It took us about three months to develop the app and we ran tests in 2023 to fine-tune it.

“We have yet to see the next part following the hospitalisation of the patients,” he said.

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“Our focus is to increase the number of responders, to train and get people to use the app.

“A key performance index for an ambulance is to reach in 15 minutes after a call is made, but a study has found that it takes about 17 to 20 minutes on average,” said Dr Afiq.

He said the app team’s aim was to get those who received the notification within a 500m radius to reach the victim in four minutes.

Dr Afiq said emergency assistance for someone in cardiac arrest should be conducted within four to 10 minutes.

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“This is because when the heart stops and there is no oxygen supply to the brain, it (the brain) will begin suffering damage,” he said.

As such, when the heart stops or someone has an attack, CPR and subsequent use of an AED are vital, he reiterated.

Regarding the AED, he said users could upload information of their locations to help people find and access them via the app.

When asked about the importance of having such an app, Dr Afiq said the activation of the system and CPR increased the survival rate.

“Even if you are not a responder, as a bystander you can activate the system, which helps tremendously as it notifies those within 500m.

“Among Malaysians, knowledge of CPR is taught in schools but there is no practical training for it, thus it becomes difficult for someone to perform it when needed.

“With the MyresQ app, one can start the CPR, activate the system and if there is an AED nearby, they can use it as well.

“Once you activate the system, you will be directed to 999 via the phone app call network,” he said, adding that the app can function nationwide.

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Monday, 25 November 2024

JAB AGAINST PNEUMONIA, TIME FOR ANOTHER VAX DRIVE

Stay covered: It’s suggested that a broader respiratory health strategy is needed, including promoting pneumococcal and influenza vaccinations and ensuring early diagnosis and treatment of respiratory infections.


There is a rise in deaths related to pneumonia, which is a highly avoidable disease. It has surpassed heart disease to become Malaysia’s leading cause of death in 2023. Health experts recommend pneumococcal vaccinations for adults and high-risk groups.

Ageing population calls for focus on adult pneumonia, say docs

PETALING JAYA: Malaysia should introduce pneumococcal vaccines for adults and high-risk groups following the steady rise in pneumonia-related deaths, say health experts.

While pneumococcal vaccination is already part of the National Immunisation Programme for children, they said there is no such programme yet for adults, the elderly, and those with chronic conditions.

Federation of Private Medical Practitioners’ Associations Malaysia president Dr Shanmuganathan Ganeson said Malaysia should integrate this vaccine as it has great public health benefits.

“Many countries have successfully reduced pneumonia-related morbidity and mortality by integrating pneumococcal vaccines. Malaysia should follow suit.

ALSO READ: Understanding Malaysia’s No. 1 killer

“It will help reduce hospital admissions by preventing severe pneumonia and invasive diseases, decrease healthcare costs by minimising complications and intensive care needs, and promote herd immunity by lowering bacterial transmission to protect unvaccinated individuals.

“Cost-effectiveness studies in other nations suggest that national-level vaccinations could have a long-term economic benefit alongside improved health outcomes,” he said in an interview yesterday.

Calling pneumonia a “highly avoidable disease”, Dr Shanmuganathan noted a rise in pneumonia-related deaths, particularly in 2021, due to Covid-19.

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“Even after recovery, some individuals experienced secondary bacterial infections, further increasing pneumonia risks,” he added.

He pointed out that strained healthcare capacity also delayed treatment for other respiratory conditions.

At the same time, an ageing population and prevalent non-communicable diseases like diabetes and heart disease heightened pneumonia risks.

“The rise of antibiotic-resistant strains like Streptococcus pneumoniae has complicated treatment.

“Also, the lack of widespread adoption of the pneumococcal vaccine, especially among high-risk groups, leaves a significant portion of the population vulnerable,” he said.

Dr Shanmuganathan said the pneumococcal vaccine effectively reduces the risk of severe pneumococcal disease.

He added that the pneumococcal conjugate vaccine (PCV) can prevent up to 80% of invasive diseases in children.

“For the elderly and high-risk groups, the vaccine significantly lowers the risk of complications and death.

“Its efficacy varies depending on the individual health status and the vaccine type – either the PCV or the pneumococcal polysaccharide vaccine (PPSV).

“Importantly, it offers protection against antibiotic-resistant strains of pneumococcus, addressing a growing concern.

“Malaysians, especially high-risk groups, should get the pneumococcal vaccine available in hospitals and clinics.

“This includes children under two, adults over 65, those with chronic diseases and the immunocompromised,” he said, adding that increasing the awareness of the benefits of the vaccine and its availability at most clinics is important.

With pneumonia now the leading cause of death, Dr Shanmuganathan said it is essential to update the Covid-19 vaccination programme, focusing on new variants like XEC and vulnerable populations.

He emphasised that a broader respiratory health strategy is needed, including promoting pneumococcal and influenza vaccinations and ensuring early diagnosis and treatment of respiratory infections.

“Private general practitioners should be kept informed of these developments.

“The Health Ministry must remain proactive, despite diverting staff to address the doctor shortage in clinical sectors,” he said.

Association of Private Hospitals Malaysia president Datuk Dr Kuljit Singh said while Covid-19 infections may have been reduced, influenza cases are rising, with respiratory syncytial virus (RSV) becoming more recognised as a significant infection.

As such, he said the government should consider including pneumococcal vaccines in Malaysia’s national vaccination programme.

The vaccines, he added, should also be made readily available at private medical facilities and selected clinics.

“Such a programme should be introduced as it would help reduce morbidity and mortality, especially in the high-risk population.

“Vaccines should be made widely available to reduce the cost and burden of treating illnesses,” he said.

Dr Kuljit suggested that those in the high-risk group consider getting vaccinated to better protect themselves against pneumonia.

He said private medical centres are currently using the latest vaccine, Vaxneuvance, which helps protect against 15 types of pneumococcus.

The cost of pneumococcal vaccines ranges between RM280 and RM400, depending on the type used.

When asked, Dr Kuljit said the steady rise in pneumonia-related deaths in the past decade could be from the large number of high-risk populations due to the nation’s ageing population and those suffering from non-communicable diseases, which result in compromised immune systems.

He also said the increase in cigarette and e-cigarette smoking could also be a factor in the rise of such cases.

Smoking damages the cilia (tiny hair-like structures) in the respiratory tract that help clear pathogens and debris.

“This dysfunction can lead to a higher risk of respiratory infections, including pneumonia,” he said.

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Sunday, 24 November 2024

Equal opportunity in accounting

Rising support for gender diversity, inclusivity in profession

The importance of diversity and gender balance in professional fields, including accounting, has gained recognition in recent times.

The accounting profession, as a crucial component of the business world, said Association of Chartered Certified Accountants (ACCA) chief executive officer Helen Brand (OBE), greatly benefits from incorporating varied perspectives and experiences into its decision-making processes.

As one of the most influential voices in the profession, Brand, who was in Kuala Lumpur on Sept 6 for the 88th ACCA Anniversary Gala Dinner, sat down with StarEdu to talk about the evolving landscape of accountancy, particularly in relation to diversity, inclusion, and the future of work.

As of October 2024, women make up a substantial 62% of the accounting workforce in Malaysia, compared to 38% for men, according to ACCA’s member demographics.

“Diversity of thought and inclusive representation are not just moral imperatives – they are essential for driving better business performance and innovative solutions.

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“Different perspectives can also lead to better solutions by avoiding groupthink and by ensuring a comprehensive understanding of customer needs,” Brand shared.

Brand, who is a founding member of the International Integrated Reporting Council (IIRC), is also a member of the United Kingdom government’s Professional and Business Services Council, and has participated in a number of trade advisory forums and university advisory boards.

Many businesses, she pointed out, are now committed to the United Nations Sustainable Development Goals (SDGs) due to increasing pressure from the public, governments and regulators, requiring them to demonstrate social inclusion alongside profitability.

SDG 5, she said, is one of the 17 SDGs that seeks to achieve gender equality and empower women and girls.

BrandBrand

Gender equality is a basic human right and an essential factor for building a peaceful, prosperous and sustainable world, she added.

“It’s becoming increasingly important for businesses to show they include all parts of society in their workforce and have a positive impact.

“Inclusive slogans, however, must be backed up with tangible achievements.“Reporting on gender diversity in annual and integrated reports has become as essential as financial performance reporting,” she said, noting that companies excelling in gender diversity often see better financial results due to a broader talent pool that gives employers the biggest opportunity to recruit the best person.“Inclusion means recognising different attributes as equal, not lesser, and that’s what we can achieve by making sure that there’s equal representation with women,” she explained.

Brand emphasised that the UN SDGs play an important role, providing a clear framework to guide people’s actions and assess their progress.

The focus, she said, should not just be on financial performance.

“The ongoing discussion about sustainability, including the impact businesses have on people and the significance of human capital, is a major step forward, extending beyond the scope of the SDGs,” she said.

Gender diverse teams, said Universiti Tunku Abdul Rahman (UTAR) Faculty of Business and Finance Department of Commerce and Accountancy head Dr Sonia Johanthan, bring varied perspectives that enhance problem-solving and decision-making.

“In accounting, this means better risk assessments, financial planning, and client relations.

“Diversity also fosters creativity, which is critical for addressing complex client needs and adapting to evolving regulations in the accounting industry.

“According to a prior study, diverse board members often excel in building strong client relationships, leading to improved client satisfaction and retention, consequently increase in the firm’s value.

“The study also showed that organisations with gender diversity often outperform less diverse ones in profitability and operational efficiency,” she said.

Driving change

ACCA, said Brand, has made significant strides in promoting gender parity and broader diversity within its ranks.

“Of the 46 members on ACCA’s governing council, 26 are women, with the overall membership at 52% male and 48% female, which is nearing parity. The majority of our students are women,” she said, adding that this shift is not merely symbolic; it reflects a concerted effort to cultivate an inclusive culture and provide equal opportunities for professional advancement.

“It’s important to understand that driving diversity and inclusion is a cultural issue within an organisational business.

“Implementing systems and processes to support this culture doesn’t yield instant results; it takes time. For example, you may have a single woman on the board or at the executive level, but it does not make a difference when they’re in the minority, and their voice often isn’t heard.

“While one is better than none, achieving true diversity is a gradual process that requires continuous effort,” she said.

The real disparity, she said, is when women tend not to progress to more senior roles, despite having extensive educational and professional experience.

“In order to be a female leader, maybe about 30 years ago, you had to take on the attributes associated with men, because you had to show that you were strong, decisive, and could move things forward.

“Now, we understand that there are different styles of leadership that are equally valid, more consultative, collaborative, solutions focused, less driven by ego and more driven by outcomes, and this opens up possibilities to men and women who want to lead in a different way,” she said.

She added that it is essential for everyone to be on board and aligned to the organisation’s purpose to be a successful business, and one way to achieve this is by ensuring that every person feels supported and able to reach their full potential.

“Sometimes, interventions – whether through new laws or regulatory changes – can help drive the change that is necessary, because you need a shock to the system for it to change.

“For example, if things like board membership and leadership positions were left to develop organically, it might take many more years before we are able to reach parity,” she said.

Diversity in all aspects

Brand explained that while gender is a significant issue, particularly in some countries, there are many other important aspects of diversity that also need attention.

These include individuals from less privileged economic backgrounds, people of different ethnicities, and those with neurodiversity, as there are various ways in which certain groups have been excluded or not provided the same opportunities as others, both in society and in the workplace.

“There is a growing focus on the broader concept of diversity and inclusion, which ensures that everybody has the best possible opportunity to thrive,” she said.

She added that ACCA has implemented a range of initiatives to foster an inclusive environment and provide women with the tools and support they need to thrive, including offering specific training programmes to help women develop the confidence and skills to apply for roles they might not have considered before.

“We’ve also put in place flexible working arrangements that support both women and men in balancing their professional and personal commitments,” she said.

Alongside its diversity initiatives, she said, ACCA is also at the forefront of equipping its members with the competencies needed to navigate the profession’s evolving landscape, proving that diversity in skillsets is also valued.

“The integration of technology into the skillsets of professional accountants will become even more crucial moving forward.

“We’ve launched continuous professional development courses for members who are already qualified to make sure that they update their skills to remain relevant, and that covers top topics such as data science, data analytics, internal audit, new standards, and sustainability,” she said.

Brand believes that the profession’s ability to harness these technologies in an ethical and inclusive manner will be a defining factor in its long-term success.

“We need to ensure that the algorithms and data used are free from bias, and that the governance frameworks protect individual privacy and promote transparency.

“Accountants will play a pivotal role in navigating these complex ethical considerations,” she said.

Towards better support

“Gender bias still exists in the business world, although it has diminished over time.

The obstruction to career progression and professional growth for women is the challenge of a work-life balance, particularly for those with children. In a fast-paced and high-pressure environment of a professional accounting firm, long hours and constant change are the norm.

During my pregnancy, while working in Malaysia, I was reassigned from client work to the firm’s training centre in my third trimester, where I handled administrative tasks and facilitated in-house training.

When I returned from maternity leave, I was again given client assignments, which made me feel as though I was back on track with my career.

To empower and support women in the profession, firms need to offer greater flexibility in their work options.

This includes the possibility of working from home and flexible working hours. Additionally, firms should be transparent about career development opportunities by providing structured mentorship, professional development programmes, and clear paths to promotion.

This will help women accountants make informed decisions about their careers and achieve their ambitions.

By fostering an environment of support, firms can retain valuable talent and ensure that women can thrive in the profession.”– Sunway Business School Department of Accounting lecturer

Choo Sook Yin“The main issue lies in the persistent stereotype about women’s abilities, which limits their opportunities for growth.

In many Asian countries, where the workforce is predominantly male, the lack of female role models makes it more difficult for women to envision their own career progression.

The demanding nature of accounting roles can be especially challenging for women, particularly those juggling responsibilities in traditional households where they are expected to fulfil domestic obligations.

Additionally, women often face a networking gap, limiting their access to influential professional connections that are crucial for career advancement.

This underscores the need for focused efforts by firms, professional organisations and policymakers to support the career development and professional growth of women in accounting.

For example, the 2023 Global Gender Gap Index highlights Sweden as a leader in promoting gender equality, with high female educational attainment and robust parental leave policies.

Pregnant women in Sweden can take up to 390 days of maternity and parental leave, and women with children under eight are allowed to reduce their work hours by 25%. Such policies could help empower women, encouraging them to grow in their profession.”– UTAR Faculty of Business and Finance Department of Commerce and Accountancy head Dr Sonia Johanthan

Women at the fore

The recent appointment of Datuk Zaiton Mohd Hassan (pic) as vice president of ACCA marks the first time that women have held all three officer posts simultaneously in the global professional accountancy body, founded in 1904.

Zaiton joins fellow senior officers Ayla Majid, president and sustainability strategist from Pakistan, and deputy president Melanie Proffitt, from England, who is the chief financial officer of Farncombe Estate, a hotel group.

Together, they represent more than 252,500 members and 526,000 future members across 180 countries, a press release dated Nov 18 read.

Zaiton is the chief executive officer of the Malaysia Professional Accountancy Centre (MyPAC), a non-profit dedicated to helping students from poorer backgrounds pursue careers in finance. She also holds senior non-executive director positions, including chair of GX Bank, Malaysia’s first digital bank.

She was elected to ACCA’s Council in 2016 and previously served as president of the ACCA Malaysia Advisory Committee. Additionally, she has served as deputy chair of the International Federation of Accountants (IFAC) Professional Accountants in Business (PAIB) Committee.

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