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Monday, September 30, 2024

Malaysian pride soars with the ringgit

 

It has been a while since Malaysians began to feel some pride. Certainly, the strengthening of the ringgit against the 

KUALA LUMPUR: It has been a while since Malaysians began to feel some pride. Certainly, the strengthening of the ringgit against the dollar has made a big impact on national confidence.

The Malaysian ringgit, which continues its upward trend, has surged to its highest level against the greenback since March 2022.

Not only is it the best-performing currency in the region, but it also became the world's top-performing currency this month as it rode on the US Federal Reserve's large interest rate cut.

The comeback story of Malaysia, underpinned by an economy that has expanded at its fastest rate in the past 19 months, has attracted global attention.

There is no doubt that the country's political stability under Prime Minister Datuk Seri Anwar Ibrahim is one of the main reasons for Malaysia's economic success compared to Thailand and Indonesia, which fell by the wayside politically.

The ringgit climbed to a 30-month high recently of 4.1815 against the US dollar recently. It ended last week, closing on Friday at 4.1230/1280.

Now, the speculations are that the ringgit could go up to RM4 against the dollar as BMI, a unit of the Fitch group, revised its year-end forecast for the ringgit from 4.55 against the US dollar to 4.0, reflecting the local currency's robust performance in the third quarter of 2024.

Looking beyond the six-month period, BMI even predicted the ringgit to strengthen by nine per cent next year, reaching 3.55 against the dollar by the end of 2025.

It sounds very good, but as we all know, the ringgit depends very much on external factors, especially on the US Fed interest rate trajectory and mainland China's growth, which is our biggest trading partner.

Over the medium view, there will always be some profit taking, which would affect our rate, but it is healthy and natural.

At one time last year, there was fear that the ringgit could hit as low as RM5 against the dollar, but now the ringgit has appreciated more than 12 per cent against the dollar.

Last week, the South China Morning Post (SCMP) reported that "for Malaysians, the exchange rate of the ringgit against the US dollar, as well as regional currencies like the Singapore dollar and the Thai baht, serves as an indicator for how well the economy is doing and reflects confidence in the government."

Whatever the criticisms and misgivings that have been levelled against Anwar Ibrahim for his purported delays in reforms and even making compromises with the conservative groups who didn't vote for him in the last general election, he is on the right track for sure.

Malaysia is politically stable, and his Madani Unity government isn't going to give way soon. His opponents must wait for another three years to challenge him despite the many political noises generated, which Malaysians have grown used to.

The SCMP quoted Mohd Afzanizam Abdul Rashid, the chief economist at Bank Muamalat Malaysia, saying, "The stability has facilitated more effective policymaking and implementation, boosting confidence in the ringgit.

"This has created better reviews by the credit rating agencies and global investment banks."

Reuters reported a news article under the heading "Malaysia shines as foreign investors return, peers stumble."

In its Aug 22 article, the news agency said, "Malaysia is fast becoming a haven in Southeast Asia, and foreign investors are returning to a long-overlooked market as a confluence of improving growth, stable government and rising currency sets it apart among peers grappling with political flux."

"Foreigners have steadily poured more money into Malaysian debt and stocks this year. In July, as political troubles brewed in Thailand and Indonesia, they pumped US$1.75 billion into Malaysian debt markets – the highest in a year.

"The stock market, Bursa Malaysia, is gunning for its strongest yearly performance in well over a decade."

At home, while the cost of living remains a big concern among many Malaysians, the inflation rate has decreased to 1.90 per cent in August from 2 per cent in July 2024.

Trading Economics reported that the inflation rate is expected to be 1.50 per cent by the end of this year, according to its global macro models and expectations from analysts.

More importantly, the number of jobs in the first quarter of this year increased by 1.5 per cent to 8.94 million – the highest recorded since 2018, according to the Employment Statistics, First Quarter 2024.

Chief Statistician Datuk Ser Dr Mohd Uzir Mahidin was quoted by Bernama as saying that 8.81 million jobs were recorded in the first quarter of 2023.

HR Asia reported that Malaysia's job market remains robust throughout 2024, with "companies continuing to hire in line with ongoing economic expansion."

Malaysians now look forward to the annual economic report as well as the Budget to be presented in Parliament next month to have a clearer and more detailed idea of what's in store for us.

 Datuk Seri Wong Chun Wai, an award-winning veteran journalist with over 40 years experience, is the chairman of Bernama.

Sunday, September 29, 2024

Early treatment critical for stroke

 

 

Prof Dr Badrisyah Idris Neurosurgeon

  ACCORDING to the Institute of Health Metrics and Evaluation, stroke is the third leading cause of male mortality after ischaemic heart disease and pneumonia, and the second leading cause of female mortality after ischaemic heart disease in Malaysia.

The leading cause of mortality worldwide is heart disease, which accounts for 16% of all fatalities. Stroke follows closely, accounting for 11% of deaths. In addition, key contributors to disability and the rise in healthcare costs include heart disease and stroke. Heart disease and stroke share many similarities.

Many major risk factors for heart disease and stroke can be altered by implementing several easy lifestyle adjustments such as exercising, maintaining a healthy weight, abstaining from smoking, eating a heart-healthy diet and controlling your blood pressure.

Stroke is expected to become the second leading cause of mortality by 2040, according to the Global Burden of Disease Report. The increasing trends of non-communicable diseases such as diabetes, hypertension and obesity are posing substantial threats to stroke incidences in Malaysia.

On average, there are about 90 stroke admissions at Malaysian hospitals daily; with 40% of cases comprising patients below 60 years of age, and an average of 30 deaths owed to stroke. Almost 70% of stroke survivors live with many disabilities.

Stroke is characterised by a sudden disruption of brain function due to a disturbance in its blood supply. When the blood supply is abruptly cut off, brain cells are deprived of oxygen and essential nutrients, causing them to malfunction and eventually die.

Medical director and consultant neurosurgeon Prof Dr Badrisyah Idris at MSU

Medical Centre explains, “There are two types of stroke; ischaemic and haemorrhagic. Occurring in 80% of stroke cases, ischaemic stroke is owed to a narrowing of blood vessels by fat deposits or blood clots disrupting the blood supply to the brain. The remaining 20%, owed to ruptured blood vessels, can be caused by uncontrolled high blood pressure or a weakened blood vessel wall.

“Stroke survivors suffer different deficits according to the affected brain area. They may suffer from memory or emotional disturbances, or be challenged by speech, vision, sensory or movement difficulties. In a transient ischaemic attack, commonly called a mini-stroke, the symptoms hit for only a few minutes or hours and then disappear. Mini-strokes happen when the blood supply to the brain is interrupted only momentarily, though the chance of getting a permanent stroke within 48 hours rises tenfold and the risk remains high within three months.”

“With increasing age, the likelihood of getting an ischaemic stroke rises with the increased narrowing of the blood vessels. Other factors leading to stroke include smoking, obesity, alcoholism, high blood pressure, high blood cholesterol, and high blood sugar. Lifestyle changes and treatment optimisation may reduce the risk of getting a stroke.”

Anyone who has had a stroke should receive treatment at a hospital within three hours after the onset of stroke signs to reduce further damage to the brain. The majority of stroke patients arrived at the hospital only after seven hours, narrowing the window of opportunity to save the brain.

Recognising the onset of stroke with tools such as ‘BE FAST’ is crucial to reducing deaths and disabilities from delayed stroke treatment.

• B – Balancing difficulties • E – Eye and vision disturbances

• F – Facial weakness

• A – Arm and/or leg weakness

• S – Speech difficulties

• T – Time to call ambulance

When a person with a stroke reaches the hospital, a doctor will establish the circumstances leading to the stroke event by taking its history and then performing a physical examination to identify the risks and associated deficits. A brain scan will be performed to determine whether the stroke is ischaemic or haemorrhagic and which part of the brain is involved. Another scan or investigation called angiography may be performed to assess the brain’s blood flow pattern and blood vessel structure.

“The leading cause of mortality worldwide is heart disease, which accounts for 16% of all fatalities. Stroke follows closely, accounting for 11% of deaths. In addition, key contributors to disability and the rise in healthcare costs include heart disease and stroke.”

Stroke treatment

Treatment for stroke depends on the stroke type. For ischaemic strokes, restoring blood flow to the affected area is crucial and should be carried out within four hours of the stroke’s onset. This can be done by injecting a blood-thinning medication called alteplase into a vein in the arm to dissolve blood clots inside the brain’s blood vessels.

Another technique called endovascular therapy dissolves the blood clot inside the blocked brain vessel by directly injecting alteplase through a small catheter placed inside the affected blood vessel or removing the blood clot by retrieving it with a special device through a catheter placed inside the affected blood vessel.

For haemorrhagic strokes, the main goal of treatment is to control bleeding and to reduce the increased pressure in the brain. The high blood pressure has to be controlled by antihypertensive drugs, and the effect of the blood-thinning medication has to be reversed to reduce further bleeding. Ruptured blood vessels caused by cerebral aneurysms or arteriovenous malformations need to be treated by surgical intervention or endovascular therapy.

Following stroke treatment, the recovery phase for each stroke patient will depend on the extent of disabilities resulting from the stroke. Most stroke patients need to undergo physical therapy to regain limb functions or prevent severe limb spasticity. Some may also need speech therapy to improve their ability to speak and understand conversations.

By Prof Dr Badrisya Idris

Let’s meet our specialist!
Consultant Neurosurgeon (Brain & Spine), Prof. Dr. Badrisyah Idris.


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Blood-brain barrier

What is the Blood-Brain Barrier?

The blood vessels that vascularize the central nervous system exhibit unique properties which control the flow of cells, ions, and molecules from plasma to the brain. Referred to as the blood-brain barrier, it is vital for the protection of the brain and maintains homeostasis. Dysfunction of the blood-brain barrier is linked with a range of neurological conditions

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Broader scope of property management


 WE refer to the letter “Tailor management services to meet specific needs” (The Star, Sept 27). It is important to clarify several key points regarding self-management and the broader responsibilities of managing strata properties.

The Valuers, Appraisers, Estate Agents, and Property Managers Act 1981 (Act 242), which regulates professional property managers, does not disallow self-management by joint management bodies (JMBS) and management corporations (MCS).

Similarly, the Strata Management Act 2013 (Act 757) governs the management and maintenance of common properties by JMBS and MCS, and also indirectly grants them the right to self-manage their strata properties. This includes directly employing staff, such as building managers, to carry out property maintenance and other duties. This flexibility allows these bodies to exercise greater control over the management and finances of their developments.

However, it is important to note that building management is merely a subset of the broader discipline of property management. While experienced building managers can competently oversee daily operations such as maintenance, repairs, and security, they may lack the expertise to advise on the full spectrum of property management.

This includes strategic planning, financial oversight and, crucially, ensuring compliance with the complex legal obligations under the SMA 2013.

Property management encompasses a much wider range of responsibilities, including adherence to legal and regulatory frameworks, dispute resolution, and long-term financial planning.

Without professional property management expertise, many MCS and JMBS may struggle to fulfil their legal responsibilities effectively, which can lead to mismanagement and conflicts.

While some self-managed strata developments have been successful in maintaining their properties and serving the interests of owners and occupiers, many others have faced challenges.

Issues such as poor financial control, inadequate maintenance, and failure to comply with the SMA 2013 have led to conditions that negatively impact both property values and residents’ quality of life. The independence and impartiality of property managers become crucial when conflicts arise among committee members.

The flexibility provided by Act 242 and SMA 2013 is intended to empower strata developments to choose the management model that suits them best. However, it also highlights the importance of expertise and proper oversight.

So, while Act 242 and SMA 2013 provide strata developments with options for self-management, the distinction between building management and full-spectrum property management cannot be overlooked.

The broader scope of property management requires specialised knowledge and legal compliance that may exceed the capabilities of those solely focused on building management.

Consequently, MCS and JMBS must carefully assess whether they have the necessary expertise before opting for self-management.

Sr Michael Kong

By SR MICHAEL KONG  PRESIDENT The Association of Valuers, Estate Agents, Property Managers and Property Consultants in the Private Sector Malaysia

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