Breaking News

Thursday, 6 April 2017

A Dilemma: Cord Blood Banking


Written by Dr. Alagammai Ramanathan
Obstetrician and Gynecologist, Gleneagles Kota Kinabalu Hospital

What is cord blood?
This is the blood that remains in the umbilical cord and placenta once the baby is born when the cord is clamped. This is discarded as medical waste after the birth of the baby. Banking your baby’s umbilical cord blood means having it saved and stored for (potential) future use.

Why can’t we give all the blood to the baby instead of discarding it as medical waste?
It is given to the baby when it is deemed necessary, example in premature baby, anaemic and so on (delayed cord clamping) it is not advisable in all term babies as it does have its advantages and disadvantages which needs to be discussed on case to case basis.

Can I choose to do delayed cord clamping and cord blood banking?
Yes. Delayed cord clamping allows blood from the umbilical cord to return into your baby’s system, reducing the risk for iron deficiency. The World Health Organization suggests that delayed cord clamping for 1-3 minutes. Medical staff only need about 25% of umbilical cord blood for storage, and at 3 minutes, only half of the blood in your child’s cord has filtered back into their body. This means doctors can delay cord clamping for several minutes and your child should still have more than enough stem cells left over for banking.

What is cord blood storage and the cord storage? Is it the same?
Umbilical cord is made of 2 arteries, 1 vein and surrounded by the Wharton’s jelly. The blood (cord blood) is from the vessels, it is rich in Hematopoietic stem cell(HSC) and the Wharton’s jelly (from the cord lining) is rich in mesenchymal stem cells.

HSC has the potential to differentiate mainly into blood components as red blood cells, white blood cells, platelets which means it is used in diseases such as Thalassemia and leukaemia. These diseases are sometimes treated with high doses of chemotherapy, which destroy the immune system.

Cord blood transplantation or bone marrow transplantation is then used to rebuild the immune system. Cord blood is increasingly being used as an alternative to bone marrow transplantation. MSC has a potential to differentiate wide range of cells and tissues such as bones, nerves, liver and etc.it has a potential to treat heart disease, Parkinson’s and etc.

How much of blood will be collected?
About 80 to 100ml of blood will be collected.

If I opt to store it, is it a guarantee that it will be stored?
No, it depends at birth, if there is a medical emergency, the baby and mum will be given the priority. If the baby looks anaemic (lack of blood) this will be given to the baby as much as possible.

How is cord blood collected?
Collecting a baby’s cord blood is quick and painless. Immediately after the birth of the baby, the umbilical cord is cut and the baby separated from the placenta and mother. The placenta is delivered a few minutes later.

The portion of the umbilical cord still attached to the placenta is clamped and cleaned. A sterile needle is inserted into the umbilical vein and the placental blood is drawn into a sterile blood collection bag containing anticoagulant, which prevents the blood from clotting.

What are the options for storing cord blood?
In Malaysia there are two options for storing cord blood. You may donate to the public cord blood bank (kl) or pay for the services of a private cord blood bank.

In Sabah two options of private banking CryoCord and StemLife. Both collects the blood here and stores it in West Malaysia. You have the options to store stem cells either in bags or vials then store in a vapour phase liquid nitrogen tank at -190°C in West Malaysia.

Is it available in the government?
Yes, it is available in the government set up but it is decided by the doctor in charge....if the need be, the patient is to be sent to Kuala Lumpur and delivery has to be there at a government set up, blood will be stored at the public blood bank. This is only done on special occasions and with the doctor’s approval.

On rare occasions, a hospital will collect and store a baby’s cord blood for a family member who has a medical condition that can be treated with cord blood transplantation.

Can I do cord collection in government and store it at the private cord banking?
Yes, but is also on case to case basis, which needs the attending doctor’s prior approval and counselling.

How long can I store cord blood cells?
Researchers believe cord blood cells will remain useable indefinitely. The longest-stored unit of
cord blood is several decades old, and the cells are in perfect condition.

If I have multiple children, should I save cord blood for each?
Yes. Your children can use each other’s stem cells for treatment, and having access to more cells means you have a greater amount of treatment options in the future.

If my family has a good medical history, should I still store cord blood?
It depends on the family. With new treatments emerging every year, your family has a chance of using cord blood cells during their lifetime. Even with a perfect medical history, choosing to bank your child’s cord blood is still a safe decision. Certain illnesses, like leukaemia, are not hereditary and can happen at any time.

How does cord tissue banking work?
After cord blood is taken from your baby’s umbilical cord, up to 8 inches of cord are cut and stored in a medical container. This piece of tissue travels – along with the cord blood – to a storage facility, where the cells are removed and put into cryogenic storage.

Which treatments use cord tissue?
Cord tissue specifically works in the spinal cord, brain and cartilage. Clinical trials are currently underway for treatments using cord tissue, and new therapies may only be a few years away. However, most research for cord tissue is still untested.

FACTS TO CONSIDER

a) Many experts insist that it is very unlikely that anyone in your family will ever need your baby’s cord blood. Dr Sarah Buckey, Australian GP estimates the likelihood of low-risk children needing their own stored stem cells is 1 in 20,000. So it is like an insurance... you can get it and hopefully not use it for our own. The exception is those families who already have a child with an illness that could be treated with cord blood from a newborn sibling.

b) Cost of treatments: Approximately RM70,000 for the blood diseases which can be done in Malaysia’s semi government hospitals.

c) However, apart from blood disorders, the use of cord blood for other diseases is not a routine clinical modality and remains a major challenge for the stem cell community. Storing your baby’s cord blood is a personal decision that only you can make.

---------------------------------------------------------------------

For more information about Cord Blood Banking or related to pregnancy and birth, you may contact Dr.Alagammai at Gleneagles Kota Kinabalu Hospital. Call 088-518 888 or visit them at Sembulan@Riverson.

Learn more about the endless benefits of your baby's stem cell and cord blood by contacting our Cord Blood Bank partner at StemLife Berhad. Call 03-2166 3636 (Kuala Lumpur) or 016-832 9392 (Lisa, StemLife Consultant based in Kota Kinabalu)

For more information on StemLife, visit www.stemlife.com




Sunday, 26 February 2017

Educating a Gen Z Child


I may not have all the answers, but what I have come to realise in my 15 years as an education counsellor, is that there is very little we can guarantee about the future. All we can do as parents and educators is to prepare the next generation with skills that will hopefully equip them to take on whatever the future holds. There are no longer secure lifelong jobs that our parents and grandparents used to have. A person going into the workforce in 2016 is predicted to have at least 17 career changes! A little too unstable for my liking but these are the stats!


In Kota Kinabalu alone, we now have alternative education to consider. Home-schooling has become quite the norm, and the rise of private and international schools has shown that parents in KK are looking for alternative education.  There are still parents who will send their little ones off to boarding school in the UK, Australia, Canada or USA but for most parents who cannot ween them off too early, then international school or private home schools would be the option.

So how do we choose?  Let us break it down here:

Public School – let’s start with the obvious. We are very blessed in Malaysia to have primary and secondary school choices in 3 languages. So if you are comfortable with the Malaysian education system which is now mainly in the Malay-language medium from secondary school onwards, then we definitely have enough government schools in KK to apply to. It is also important as a Malaysian to have your SPM certificates for many government posts as well as professional accreditation should you wish to work in that field in the future.

Private School – Should you feel that public school may not give as much attention to your child as you would like, seeing that typically the ratio of teacher to student is 1: 50, then there are a number of private schools in Sabah that offer the government syllabus and lead you to obtain your SPMs but at the same time have a better teacher student ratio.

International School – This option has become increasingly popular over recent years with institutions sprouting out everywhere in Peninsular Malaysia. In Sabah too, we now have the option to study IGCSEs and A-levels which are the British equivalent to our SPM and STPM qualifications.

Alternative school – This option is where it can get a little more complicated as one has to ensure that they are studying a syllabus that is widely recognised and accepted for progression into tertiary education.

Home schooling / private tuition – There are a number of tuition centres now that are offering IGCSE / A-level private tuition, enabling students to register and take the IGCSEs or A-levels as a private candidate. This can be a great way to monitor your child’s own progress and be able to pace his or her learning according to his or her individual strengths. A number of state or national athletes have had to opt for this option due to their rigorous training regimes. Some have chosen this out of necessity if their child is a slow learner or may have other medical issues that makes it tough to assimilate into a mainstream school environment.

Overseas boarding school  - Finally, should you really wish to have an international education, then there are many boarding schools in the UK, Australia, USA, Canada and New Zealand open to receiving international students into their mix of local students. The environment of each country differs and at IEC, we always aim to find the right fit for the individual as education is really not a one size fits all.


What about the young ones?

Now that we have talked about the different education systems, mainly for primary/high school aged students; what about the Pre-Schoolers or Young Learners between ages 4-6?

YOUNG LEARNERS
The phrase for young learners nowadays is ‘information technology overload’! 

Their minds are absorbing at possibly the fastest rate of any generation due to the overload of information that is available nowadays. Technology has taken over so much of our daily lives that it seems strange to think back to how we managed back in pre-internet days.

So how do you choose the right pre-school for your young learner? 

I would highly recommend a young learners programme that has the right balance of play, creativity, fun as well as solid basics. Starting this coming Januray 2017, we at IEC are working to belp mould our young learners of today by creating a programme that will hopefully meet all of the above aspects and more! 

Any good pre-school learning centre should have the following categories: 

a) Language Skills: English, Malay and Mandarin are a must to learn in Malaysia and this is one of our key advantages as a country. The ability to master all three languages and communicate in them is something unique in our country and we need to continue ensuring our future generation are all 1 Malaysia citizens by teaching them all 3 languages.

b) STEM Skills: STEM stands for Science, Technology, Engineering and Mathematics. These subjects tell us about how our world works and how we can improve and advance as a human race. We do not need to start only in primary school. There is so much to discover about our world early on as a young learner.

c) Creative Arts: If we just engaged the left brain and filled it with knowledge of mathematics and science and ignored the right brain; then the child will not develop fully to realise his or her full potential. Personally speaking, I feel schools focus too much on STEM subjects and ignore the importance of the arts and humanities.  Introducing Social Sciences, Speech & Drama, Dance as well as Creative Arts will balance the knowledge and development of the child as well as instil important communication, leadership as well as creative skills necessary for their future. 

So, before enrolling your child into a learning centre, do take time to go through their subjects, venue as well as teacher qualifications.  Hopefully by choosing the right young learner programme, we can channel all that 21st century technology and information into constructive and conducive learning opportunities.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Written by Jasmine Leong, former National Swimmer, is the Executive Director of IEC, a School of English Language as well as Further Studies Education Consultancy. She has 15 years of education service experience and is also passionate about performing arts, especially musical theatre and dance. Logon to www.iec.com.my to find out more about IEC’s courses and services. 


Sunday, 19 February 2017

SEBANGGA AUTO LAUNCHES SUBARU

Wednesday, 8 February 2017

Nando's Tingles Taste Buds with New Mango & Lime PERi-PERi!

Wednesday, 7 December 2016

ECO-FRIENDLY CHRISTMAS AT HYATT REGENCY KINABALU



Sunday, 27 November 2016

Labuan International School 1st Swimming Championship