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  1. Risk mapping of dengue in Selangor and Kuala Lumpur, Malaysia.

    PubMed

    Hassan, Hafiz; Shohaimi, Shamarina; Hashim, Nor R

    2012-11-01

    Dengue fever is a recurring public health problem afflicting thousands of Malaysians annually. In this paper, the risk map for dengue fever in the peninsular Malaysian states of Selangor and Kuala Lumpur was modelled based on co-kriging and geographical information systems. Using population density and rainfall as the model's only input factors, the area with the highest risk for dengue infection was given as Gombak and Petaling, two districts located on opposite sides of Kuala Lumpur city that was also included in the risk assessment. Comparison of the modelled risk map with the dengue case dataset of 2010, obtained from the Ministry of Health of Malaysia, confirmed that the highest number of cases had been found in an area centred on Kuala Lumpur as predicted our risk profiling.

  2. Investigating factors for disaster preparedness among residents of Kuala Lumpur

    NASA Astrophysics Data System (ADS)

    Mohammad-pajooh, E.; Aziz, K. Ab.

    2014-05-01

    The review of past researches discussed that factors such as climate change and movement toward urbanization will result in more frequent and severe disasters in the near future (Yasuhara et al., 2011). Flash flood is the most common type of disaster that residents of Kuala Lumpur (KL) come across, thus in this study, it was desired to discover the factors affecting preparedness among residents of KL as well as assessing the variation of individual preparedness among residents. With the aid of SPSS analysis, the reliability of data, correlation and regression analysis between the investigated factors and disaster preparedness were obtained. According to this research it was found that level of preparedness of residents of KL is still below average; majority of social demographic indicators such as income, education, age, and property ownership showed significant contribution to the variation of disaster preparedness among the residents. For instance men were much more prepared in comparison to women; residents with high level of income and education had also significantly higher preparedness compared to those with low level of income and education. Race was the only factor that differs from the findings of previous studies; since race does not affect the preparedness.

  3. Politics, Economics and Identity: Mapping the Linguistic Landscape of Kuala Lumpur, Malaysia

    ERIC Educational Resources Information Center

    Manan, Syed Abdul; David, Maya Khemlani; Dumanig, Francisco Perlas; Naqeebullah, Khan

    2015-01-01

    This study explores the linguistic landscape of Kuala Lumpur, Malaysia. Using photographs as a source of data, the study collects samples from both government and private signage from five selected neighbourhoods of the city. In addition to photographs, interviews with business owners have been conducted and used for triangulation purposes. The…

  4. Services for urban poor families in Kuala Lumpur, Malaysia: a case study.

    PubMed

    Yun, L W; Yusof, K

    1991-01-01

    With 25% of its population living in over 148 squatter settlements, with a high incidence of communicable diseases, teenage pregnancies, and psychological and familial stress, the city of Kuala Lumpur has sought ways to improve conditions. This article describes one particularly promising approach: community-based centers integrating three socioeconomic components--preschool education, maternal and child health clinics, and income-generating activities.

  5. Acquisition of English Prepositions among Iraqi Secondary School Students in Kuala Lumpur-Malaysia

    ERIC Educational Resources Information Center

    Shakir, Hani; Yaseen, Bilal Huri

    2015-01-01

    The study focuses on the acquisition of English prepositions among students of Iraqi secondary school in Kuala Lumpur, Malaysia. Participants in the study were (20) students all of them at sixth level. The researchers studied the students' responses to the given test to investigate the problematic prepositions of English language that Iraqi…

  6. Predictors of contraceptive use among women in Kuala Lumpur and Petaling Jaya.

    PubMed

    Salleh, N M; Tan Boon Ann; Arshat, H

    1986-12-01

    The purpose of this study is to examine some socioeconomic factors that are associated with family planning practice in a metropolitan area of a developing country, namely Malaysia. Data collected during the 1977 Family and Health Survey in Kuala Lumpur and Petaling Jaya is utilized. The study population comprised currently married women aged 15-49 years residing in Kuala Lumpur and Petaling Jaya, the 2 densely populated, rapidly expanding and adjoining metropolitan areas in Peninsular Malaysia. The study population was selected using a 2-stage systematic sampling technique from specifically defined areas in Kuala Lumpur and Petaling Jaya. These areas were selected accourding to socioeconomic criteria, namely, the squatter or slum areas, the new villages located on the periphery of the metropolitan area, other Kuala Lumpur and other Petaling Jaya. Family planning behavior, specifically, contraceptive use is also associated with socioeconomic variables. It is determined that the best predictors of contraceptive use, in order of importance are ethnicity, age and area. However, the relationship between age and contraceptive use varies across ethnic groups. In particular, among Malay and Chinese women, contraceptive use decreases as age increases, but among Indian women usage is not related to age. For the Malay women, usage decreases rapidly after age 24 years but the decline is more gradual for the Chinese women. In general, Chinese women are more likely to be current users in comparison to Malays, while the Indians occupy an intermediate position. The probability of usage is higher for women residing in Petaling Jaya and squatter areas in comparison to those residing in Kuala Lumpur and new villages.

  7. The probability distribution model of air pollution index and its dominants in Kuala Lumpur

    NASA Astrophysics Data System (ADS)

    AL-Dhurafi, Nasr Ahmed; Razali, Ahmad Mahir; Masseran, Nurulkamal; Zamzuri, Zamira Hasanah

    2016-11-01

    This paper focuses on the statistical modeling for the distributions of air pollution index (API) and its sub-indexes data observed at Kuala Lumpur in Malaysia. Five pollutants or sub-indexes are measured including, carbon monoxide (CO); sulphur dioxide (SO2); nitrogen dioxide (NO2), and; particulate matter (PM10). Four probability distributions are considered, namely log-normal, exponential, Gamma and Weibull in search for the best fit distribution to the Malaysian air pollutants data. In order to determine the best distribution for describing the air pollutants data, five goodness-of-fit criteria's are applied. This will help in minimizing the uncertainty in pollution resource estimates and improving the assessment phase of planning. The conflict in criterion results for selecting the best distribution was overcome by using the weight of ranks method. We found that the Gamma distribution is the best distribution for the majority of air pollutants data in Kuala Lumpur.

  8. Breakfast Eating Pattern and Ready-to-Eat Cereals Consumption among Schoolchildren in Kuala Lumpur

    PubMed Central

    KOO, Hui-Chin; ABDUL JALIL, Siti Nurain; Ruzita, ABD TALIB

    2015-01-01

    Background: Studies from the West have demonstrated that ready-to-eat cereals (RTECs) are a common form of breakfast and more likely to be consumed by children. This study aimed to investigate the breakfast eating pattern and RTECs consumption among schoolchildren in Kuala Lumpur. Methods: In this cross-sectional study, a total of 382 schoolchildren, aged 10 and 11 years old, were recruited from seven randomly selected primary schools in Kuala Lumpur. Information on socio-demographics, breakfast eating patterns, and perceptions of RTECs and dietary intake (24-hour dietary recalls) were obtained. Results: Among the respondents, only 22% of them consumed breakfast on a regular basis. The most commonly eaten food by children at breakfast was bread (27.2%), followed by biscuits (22.2%) and RTECs (20.5%). The majority of them (93%) reported that they consumed RTECs sometimes during the week. Chocolate RTECs (34.1%), corn flake RTECs (30.3%), and RTECs coated with honey (25.1%) were the most popular RTECs chosen by children. Respondents who consumed RTECs showed a significantly higher intake in calories, carbohydrate, vitamin A, vitamin B1, vitamin B2, vitamin B3, folate, vitamin C, calcium, iron, and fibre (P < 0.05), compared to those who skipped breakfast and those who had breakfast foods other than RTECs. Conclusion: The lower levels of breakfast consumption among schoolchildren in Kuala Lumpur need serious attention. RTEC is a nutritious food which is well accepted by a majority of the schoolchildren in Kuala Lumpur. Nutrition intervention should be conducted in the future to include a well-balanced breakfast with the utilisation of RTECs for schoolchildren. PMID:25892948

  9. Seasonal Variation of Indoor Radon Concentration in the Tropics: Comparative studies between Kuala Lumpur, Malaysia and Kerala, India

    SciTech Connect

    Mahat, R. H.; Amin, Y. M.; Jojo, P. J.; Pereira, C. E.

    2011-03-30

    The radiation dose received by man from indoor radon and its progeny is the largest at more than 50% of total dose received. The seasonal variation of indoor radon concentration in Kerala, India and Kuala Lumpur, Malaysia were studied. The Southwest coast of the Kerala state in India is known to have very high levels of natural background radiation owing to the rare earths rich monazite sand available in large amount. Kuala Lumpur, Malaysia used to be a famous tin mining area where it was done using open cast system. One-year measurements of radon concentration in houses were done for these two regions. It was found that there is considerable seasonal variation in the levels of radon in Kerala but the variation in Kuala Lumpur is only less than 10%.

  10. Satellite data for Singapore, Manila and Kuala Lumpur city growth analysis.

    PubMed

    Boori, Mukesh Singh; Choudhary, Komal; Kupriyanov, Alexander; Kovelskiy, Viktor

    2016-06-01

    This data article presents satellite data related to city growth of Singapore, Manila and Kuala Lumpur cities. The data were collected from NASA and USGS websites. A method has been developed for city built-up density from city center to outward till 50 km by using satellite data. These data sets consists three decade Landsat images. A detailed description is given to show how to use this data to produce urban growth maps. The urban growth maps have been used to know the changes and growth pattern in the Southeast Asia Cities.

  11. Satellite data for Singapore, Manila and Kuala Lumpur city growth analysis

    PubMed Central

    Boori, Mukesh Singh; Choudhary, Komal; Kupriyanov, Alexander; Kovelskiy, Viktor

    2016-01-01

    This data article presents satellite data related to city growth of Singapore, Manila and Kuala Lumpur cities. The data were collected from NASA and USGS websites. A method has been developed for city built-up density from city center to outward till 50 km by using satellite data. These data sets consists three decade Landsat images. A detailed description is given to show how to use this data to produce urban growth maps. The urban growth maps have been used to know the changes and growth pattern in the Southeast Asia Cities. PMID:27222856

  12. A retrospective review of cryoprecipitate transfusion practice in Kuala Lumpur Hospital

    PubMed Central

    Iliassa, Intan Iliana; Mohammad, Wan Mohd Zahiruddin Wan; Tan, Jun Jie; Ayob, Yasmin

    2016-01-01

    Background: Cryoprecipitate is generally used to treat bleeding patients with hypofibrinogenemia, and the transfusion decision is guided based on published guidelines. Aim: This study aimed to evaluate the practice appropriateness in accordance to cryoprecipitate transfusion guidelines in Hospital Kuala Lumpur. Methodology: This cross-sectional study of 117 cryoprecipitates transfused adult patients was conducted in Kuala Lumpur Hospital from January to June 2012. The compliance of the indication of cryoprecipitate was considered as appropriate if indicated for patients who have hypofibrinogenemia (<1.0 g/L) with bleeding, or otherwise inappropriate if pretransfusion fibrinogen level was more than 1.0 g/L, pretransfusion fibrinogen level was not examined and posttransfusion fibrinogen level more than 1.5 g/L. Results: Most of the cryoprecipitate prescriptions were found to be inappropriate, which read 81.2% (95% confidence interval = 0.740, 0.880). Patients who underwent neurovascular surgery were the major recipient of cryoprecipitate, but majority of the prescription was found not appropriate. The decision to transfuse cryoprecipitate was found mostly appropriate when was guided by fibrinogen (52.2%), but the percentage dropped to 10.6% when pretransfusion fibrinogen test was not performed. Regrettably, only 19.7% of total cryoprecipitate were given based on pretransfusion fibrinogen level. PMID:27605853

  13. Suburban sprawl in the developing world: duplicating past mistakes? The case of Kuala Lumpur, Malaysia.

    PubMed

    Loh, Lawrence C; Brieger, William B

    Newly affluent developing world cities increasingly adopt the same unfortunate low-density suburban paradigm that shaped cities in the industrialized world. Identified by a World Bank report as a "mini-Los Angeles," Kuala Lumpur is a sentinel example of the results of unrestrained sprawl in the developing world. Factors driving sprawl included government policies favoring foreign investment, "mega-projects," and domestic automobile production; fragmented governance structures allowing federal and state government influence on local planning; increasing middle-class affluence; an oligopoly of local developers; and haphazard municipal zoning and transport planning. The city's present form contributes to Malaysia's dual burden of disease, with inner-city shantytown dwellers facing communicable disease and malnutrition while suburban citizens experience increasing chronic disease, injury, and mental health issues. Despite growing awareness in city plans targeted toward higher density development, Kuala Lumpur presents a warning to other emerging economies of the financial, societal, and population health costs imposed by quickly-built suburban sprawl.

  14. Prevalence of intestinal and blood parasites among wild rats in Kuala Lumpur, Malaysia.

    PubMed

    Siti Shafiyyah, C O; Jamaiah, I; Rohela, M; Lau, Y L; Siti Aminah, F

    2012-12-01

    A survey was undertaken to investigate the prevalence of intestinal and blood parasites among wild rats in urban area of Kuala Lumpur, Malaysia. A total of 137 stool and blood samples were collected from wild rats from Sentul and Chow Kit areas. Five species of rats were captured and supplied by Kuala Lumpur City Hall. The most common was Rattus rattus diardii (Malayan Black rat), 67%, followed by Rattus norvegicus (Norway rat), 10%, Rattus argentiventer (rice-field rat), 10%, Rattus tiomanicus (Malaysian field rat), 9% and Rattus exulans (Polynesian rat), 4%. Rattus rattus diardii is commonly known to live in human environment and they are normally identified as pests to human community. More male rats were captured (61%) compared to female (39%). Out of 137 samples, 81.8% samples were positive with intestinal parasites, with 86.2% from Sentul area and 78.5% from Chow Kit area. Six different parasites were detected. The most common intestinal helminth parasite detected was Nippostrongylus brasiliensis (80.3%), followed by Hymenolepis nana (23.4%), Capillaria hepatica (13.9%) and Hymenolepis diminuta (2.9%). Intestinal protozoan detected was Entamoeba histolytica/E. dispar (8.8%). Trypanosoma lewisi (1.5%) was the only blood parasite detected.

  15. Knowledge and views of secondary school students in Kuala Lumpur on cervical cancer and its prevention.

    PubMed

    Rashwan, Hesham; Ishak, Ismarulyusda; Sawalludin, Nurhidayah

    2013-01-01

    Cervical cancer is one of the most frequent cancers in women worldwide. Persistent infection with a human papillomavirus (HPV) is the main cause for cervical cancer. Vaccination and Pap smear screening are the best methods for prevention of the disease. The objective of this cross-sectional study was to assess the knowledge and views of upper secondary school female students in Kuala Lumpur, Malaysia, toward prevention of cervical cancer. This study was conducted from April 2009 to September 2009 in 8 schools in Kuala Lumpur area using pre-tested and validated questionnaires. Results indicated that the respondents had low knowledge of cervical cancer and its prevention although the majority of students (80.4%) had heard about the disease. The level of knowledge of cervical cancr and its prevention was significantly higher among students from the science stream (p<0.001) compared to students from the art stream. Most students (69.3%) agreed to take the vaccination if the service was available in schools. A high percentage of students (82.2%) agreed that the vaccination should be compulsory to the students. In conclusion, most students had low knowledge of cervical cancer and its prevention but they had positive attitude toward vaccination and agreed that vaccination should be compulsory. Therefore, suitable educational programmes should be developed to improve the knowledge of secondary school students on the prevention of cervical cancer.

  16. Vertical distribution of Aedes mosquitoes in multiple storey buildings in Selangor and Kuala Lumpur, Malaysia.

    PubMed

    Lau, K W; Chen, C D; Lee, H L; Izzul, A A; Asri-Isa, M; Zulfadli, M; Sofian-Azirun, M

    2013-03-01

    The aim of the present study was to determine the vertical distribution and abundance of Aedes mosquitoes in multiple storey buildings in Selangor and Kuala Lumpur, Malaysia. Ovitrap surveillance was conducted for 4 continuous weeks in multiple storey buildings in 4 residential areas located in Selangor [Kg. Baiduri (KB)] and Kuala Lumpur [Student Hostel of University of Malaya (UM), Kg. Kerinchi (KK) and Hang Tuah (HT)]. The results implied that Aedes mosquitoes could be found from ground floor to highest floor of multiple storey buildings and data from different elevation did not show significant difference. Ovitrap index for UM, KB, HT and KK ranged from 0 - 29.17%, 0 - 55.56%, 8.33 - 83.33% and 0 - 91.17% respectively. Aedes aegypti and Aedes albopictus were found breeding in HT, KK and KB; while only Ae. albopictus was obtained from UM. The results indicate that the invasion of Aedes mosquitoes in high-rise apartments could facilitate the transmission of dengue virus and new approaches to vector control in this type of residential area should be developed.

  17. Seasonal prevalence of air-borne pollen and spores in Kuala Lumpur, Malaysia.

    PubMed

    Ho, T M; Tan, B H; Ismail, S; Bujang, M K

    1995-06-01

    Aerosampling using Rotorod samplers was conducted in the Institute for Medical Research, Kuala Lumpur, Malaysia, from December 1991 to November 1993. Samples were collected twice a week between 10.00 hours to 12.00 hours. Rods were stained and examined microscopically. A total of 8 and 20 types of pollens and mold spores were collected, respectively. More mold spores were collected than pollens. Grass pollen constituted more than 40 percent of total pollen counts. Gramineae pollen counts peaked in March and September. The most abundant mold spore was Cladosporium followed by Rust, Nigrospora, Curvularia and Smut. Cladosporium counts peaked in February and August. Rust counts peaked in June and December whereas counts for Nigrospora peaked in February and October. Highest counts of Smut were recorded in March and October. Curvularia counts peaked in January, June and September.

  18. Isodose mapping of terrestrial gamma radiation dose rate of Selangor state, Kuala Lumpur and Putrajaya, Malaysia.

    PubMed

    Sanusi, M S M; Ramli, A T; Gabdo, H T; Garba, N N; Heryanshah, A; Wagiran, H; Said, M N

    2014-09-01

    A terrestrial gamma radiation survey for the state of Selangor, Kuala Lumpur and Putrajaya was conducted to obtain baseline data for environmental radiological health practices. Based on soil type, geological background and information from airborne survey maps, 95 survey points statistically representing the study area were determined. The measured doses varied according to geological background and soil types. They ranged from 17 nGy h(-1) to 500 nGy h(-1). The mean terrestrial gamma dose rate in air above the ground was 182 ± 81 nGy h(-1). This is two times higher than the average dose rate of terrestrial gamma radiation in Malaysia which is 92 nGy h(-1) (UNSCEAR 2000). An isodose map was produced to represent exposure rate from natural sources of terrestrial gamma radiation.

  19. Molecular detection of Entamoeba histolytica and Entamoeba dispar infection among wild rats in Kuala Lumpur, Malaysia.

    PubMed

    Lau, Y L; Jamaiah, I; Rohela, M; Fong, M Y; Siti, C O S; Siti, F A

    2014-12-01

    Entamoeba histolytica infection is the third-greatest parasitic disease responsible for death in the world. Wild rats harbouring E. histolytica can be the possible reservoir hosts for human amoebiasis. There were numerous studies on prevalence of intestinal parasites among wild rats in Malaysia but none has reported E. histolytica. Rats were captured from Sentul and Chow Kit areas, Kuala Lumpur, Malaysia. The preserved stool samples were used for microscopy examination and molecular analysis. Out of 137 samples collected, 12 were positive for E. histolytica / E. dispar / E. moshkovskii microscopically. Two E. histolytica (1.4%), 1 E. dispar (0.7%) and 6 mixed infections of E. histolytica and E. dispar (4.3%) were detected using PCR. This is the first report of molecular detection of E. histolytica/dispar infection among wild rats in Malaysia. This study provides useful information about the potential risks of zoonotic agents and the importance of developing control measures to prevent zoonotic transmission.

  20. Socio-economic correlates of contraceptive knowledge among women in Kuala Lumpur and Petaling Jaya, Malaysia.

    PubMed

    Salleh, N M; Peng, T N; Arshat, H

    1986-12-01

    Knowledge about contraception was examined in relation to selected socioeconomic variables. A total of 2567 currently married women aged 15-49 years residing in Kuala Lumpur and Petaling Jaya were interviewed. The majority of the women knew of at least 1 contraceptive method. An index termed Contraceptive Knowledge Score (CKS) was used to measure the level of knowledge about contraception. The CKS achieved differed significantly by age, area of residence and ethnic group. The other socioeconomic variables significantly associated with CKS are schooling, occupation, income, childhood residence and age at marriage. These relationships persisted even after adjusting for differences in age, ethnicity and area of residence. Overall the CKS attained have a wide range and there is no significant difference of the mean CKS attained, between users and non-users of contraceptives.

  1. Domiciliary cockroaches found in restaurants in five zones of Kuala Lumpur Federal Territory, peninsular Malaysia.

    PubMed

    Jeffery, J; Sulaiman, S; Oothuman, P; Vellayan, S; Zainol-Ariffin, P; Paramaswaran, S; Razak, A; Muslimin, M; Kamil-Ali, O B; Rohela, M; Abdul-Aziz, N M

    2012-03-01

    The following domiciliary cockroaches were collected from restaurants in five zones of Kuala Lumpur Federal Territory, Malaysia using 1L glass beaker traps baited with ground mouse-pellets: Periplaneta americana (Linnaeus) (n = 820), Periplaneta brunnea Burmeister (n = 46), Blattella germanica (Linnaeus) (n = 12504), Supella longipalpa (Fabricius) (n = 321), Symploce pallens Stephens (n = 29) and Neostylopyga rhombifolia (Stoll) (n = 5). The following bacteria were isolated from 10 cockroach specimens: Enterobacter cloacae, Klebsiella pneumoniae ssp. pneumoniae, Klebsiella pneumoniae ssp. rhinoscleromatis and Serratia liquefaciens from 5 B. germanica; Acinetobacter calcoaceticus var. anitratus, Citrobacter diversus/amalonaticus, Escherichia vulneris and K.p. pneumoniae from 3 P. brunnea; and Citrobacter freundii, Enterobacter agglomerans 4, Escherichia adecarboxylate, E. vulneris, K. p. pneumonia, K. p. rhinoscleromatis and Proteus vulgeris from 2 P. americana.

  2. Occurrence of Cryptosporidium oocysts in Wrinkled Hornbill and other birds in the Kuala Lumpur National Zoo.

    PubMed

    Rohela, M; Lim, Y A L; Jamaiah, I; Khadijah, P Y Y; Laang, S T; Nazri, M H Mohd; Nurulhuda, Z

    2005-01-01

    The occurrence of a coccidian parasite, Cryptosporidium, among birds in the Kuala Lumpur National Zoo was investigated in this study. A hundred bird fecal samples were taken from various locations of the zoo. Fecal smears prepared using direct smear and formalin ethyl acetate concentration technique were stained with modified Ziehl-Neelsen stain. Samples positive for Cryptosporidium with Ziehl-Neelsen stain were later confirmed using the immunofluorescence technique and viewed under the epifluorescence microscope. Six species of bird feces were confirmed positive with Cryptosporidium oocysts. They included Wrinkled Hornbill (Aceros corrugatus), Great Argus Pheasant (Argusianus argus), Black Swan (Cygnus atratus), Swan Goose (Anser cygnoides), Marabou Stork (Leptoptilos crumeniferus), and Moluccan Cockatoo (Cacatua moluccencis). These birds were located in the aviary and lake, with the Moluccan Cockatoo routinely used as a show bird. Results obtained in this study indicated that animal sanctuaries like zoos and bird parks are important sources of Cryptosporidium infection to humans, especially children and other animals.

  3. Phylogenetic analysis of human metapneumovirus among children with acute respiratory infections in Kuala Lumpur, Malaysia.

    PubMed

    Nor'e, S S; Sam, I C; Mohamad Fakri, E F; Hooi, P S; Nathan, A M; de Bruyne, J A; Jafar, F; Hassan, A; AbuBakar, S; Chan, Y F

    2014-09-01

    Human metapneumovirus (HMPV) is a recently discovered cause of viral respiratory infections. We describe clinical and molecular epidemiology of HMPV cases diagnosed in children with respiratory infection at University of Malaya Medical Centre, Kuala Lumpur, Malaysia. The prevalence rate of HMPV between 2010 and 2012 was 1.1%, and HMPV contributed 6.5% of confirmed viral respiratory infections. The HMPV patients had a median age of 1.6 years, and a median hospital admission of 4 days. The most common clinical presentations were fever, rhinitis, pneumonia, vomiting/diarrhoea, and bronchiolitis. Based on the partial sequences of F fusion gene from 26 HMPV strains, 14 (54%) were subgenotype A2b, which was predominant in 2010; 11 (42%) were subgenotype B1, which was predominant in 2012; and 1 (4%) was subgenotype A2a. Knowledge of the circulating subgenotypes in Malaysia, and the displacement of predominant subgenotypes within 3 years, is useful data for future vaccine planning.

  4. Helminth communities from two urban rat populations in Kuala Lumpur, Malaysia

    PubMed Central

    2012-01-01

    Background The prevalence of parasitic infections among commensal animals such as black and brown rats in many tropical countries is high and in comparison with studies on rodents in temperate climates, little is known about the community structure of their parasites. Rodent borne parasites pose threats to human health since people living in close proximity to rodent populations can be exposed to infection. Methods The helminth community structures of two urban rat populations in Kuala Lumpur, Malaysia were investigated. The rats were from two contrasting sites in the city caught over a period of 21 months in 2000-2002. Results Eleven species of helminth parasites comprising seven nematodes (Heterakis spumosum, Mastophorus muris, Nippostrongylus brasiliensis, Syphacia muris, Pterygodermatites tani/whartoni, Gongylonema neoplasticum, Angiostrongylus malaysiensis), three cestodes (Hymenolepis (Rodentolepis) nana, H. diminuta and Taenia taeniaeformis) and one acanthocephalan (Moniliformis moniliformis) were recovered from 346 Rattus rattus and 104 R. norvegicus from two urban sites, Bangsar and Chow Kit, during 2000-2002. Rattus rattus harboured over 60% of all helminths compared with R. norvegicus, although both host species played a dominant role in the different sites with, for example R. norvegicus at Bangsar and R. rattus at Chow Kit accounting for most of the nematodes. Overall 80% of rats carried at least one species of helminth, with the highest prevalences being shown by H. diminuta (35%), H. spumosum (29.8%) and H. nana (28.4%). Nevertheless, there were marked differences in prevalence rates between sites and hosts. The influence of extrinsic (year, season and site) and intrinsic (species, sex and age) factors affecting infracommunity structure (abundance and prevalence of infection) and measures of component community structure were analyzed. Conclusions Since at least two species of rat borne helminths in Kuala Lumpur have the potential to infect humans

  5. Correlates of anal sex roles among Malay and Chinese MSM in Kuala Lumpur, Malaysia.

    PubMed

    Dangerfield, Derek T; Gravitt, Patti; Rompalo, Anne M; Tai, Raymond; Lim, Sin How

    2016-03-01

    Identifying roles for anal sex is an important issue for populations of MSM. We describe the prevalence of identifying as being 'top', 'bottom', 'versatile', or 'don't know/not applicable' among Malay and Chinese MSM in Kuala Lumpur, Malaysia, and behavioural outcomes according to these labels for sexual role identity. Data analysis was conducted on a survey administered during weekly outreach throughout Kuala Lumpur in 2012. Pearson's Chi square tests were used to compare demographic and behavioural characteristics of MSM who reported roles for anal sex. Binary logistic regression was used to explore the odds of behavioural outcomes among MSM who identified as 'bottom', 'versatile,' and 'don't know' compared to MSM who reported that 'top' was their sexual role. Labels for anal sex roles were significantly associated with condom use for last anal sex. Among MSM who used labels for anal sex roles, MSM who identified as 'bottom' had highest level of not using condoms for last anal sex (24.1%, p = .045). In binary logistic regression model, identifying as 'top' was significantly associated with reporting using a condom during last anal sex and reported consistent condom use for anal sex in the past six months (p = .039 and .017, respectively). With regard to sexual role identity, some MSM may be a part of a special subgroup of at-risk men to be targeted. Future research should evaluate the origins, meanings, and perceptions of these labels, and the developmental process of how these MSM identify with any of these categories. Research should also uncover condom use decision making with regard to these labels for sexual positioning.

  6. Lifestyle factors and breast cancer: a case-control study in Kuala Lumpur, Malaysia.

    PubMed

    Kamarudin, Rozanim; Shah, Shamsul Azhar; Hidayah, Noor

    2006-01-01

    Breast cancer is the most common female cancer and the commonest cause of death due to cancer for women in Malaysia. This study was performed to identify the relationship with lifestyle factors. A case-control study was conducted among females with breast cancer who came for treatment to the Breast Clinic Hospital Kuala Lumpur in July until September 2004. A total of 203 female patients were recruited as cases along with 203 patients who attended the Outpatient Clinic, Hospital Kuala Lumpur during the study period as the controls. The study showed women who did not exercise regularly to have four times higher risk (adjusted odds ratio is 3.49, 95% CI is 1.84 to 6.62) compared to those who exercised regularly. Women with a high fat diet were also at elevated risk (adjusted odds ratio 3.84, 95% CI is 1.20 to 12.34) compared to those consuming a low fat diet. Women without breast cancer generally had a longer duration of lifetime lactation with a median of thirty-three months compared to women with breast cancer (twenty months, p<0.05). Women who did not take oral contraceptive pills but had breast-fed their child have a 56.0% lower risk (crude odds ratio 0.44, CI is 0.22 to 0.87) compared to women who did not take oral contraceptive pill and also did not breast-feed their child. If they had breast fed for thirteen months and above, they faced a 61.0% lower risk (crude odds ratio 0.39, 95% CI is 0.17 to 0.87). There was a significant inverse trend for lifetime lactation and breast cancer risk. In conclusion certain life styles of women are associated with a higher risk of breast cancer development. Therefore, the promotion of a healthy life style should be emphasized.

  7. Effects of indoor air pollution on lung function of primary school children in Kuala Lumpur

    SciTech Connect

    Azizi, B.H.; Henry, R.L. )

    1990-01-01

    In a cross-sectional study of 7-12 year-old primary school children in Kuala Lumpur city, lung function was assessed by spirometric and peak expiratory flow measurements. Spirometric and peak expiratory flow measurements were successfully performed in 1,214 and 1,414 children, respectively. As expected, the main predictors of forced vital capacity (FVC), forced expiratory volume in one second (FEV1), forced expiratory flow between 25% and 75% of vital capacity (FEF25-75), and peak expiratory flow rate (PEFR) were standing height, weight, age, and sex. In addition, lung function values of Chinese and Malays were generally higher than those of Indians. In multiple regression models which included host and environmental factors, asthma was associated with significant decreases in FEV1, FEF25-75, and PEFR. However, family history of chest illness, history of allergies, low paternal education, and hospitalization during the neonatal period were not independent predictors of lung function. Children sharing rooms with adult smokers had significantly lower levels of FEF25-75. Exposures to wood or kerosene stoves were, but to mosquito repellents were not, associated with decreased lung function.

  8. Development of permethrin resistance in Culex quinquefasciatus Say in Kuala Lumpur, Malaysia

    PubMed Central

    Wan-Norafikah, Othman; Nazni, Wasi Ahmad; Lee, Han Lim; Zainol-Ariffin, Pawanchee; Sofian-Azirun, Mohd

    2013-01-01

    The resistance status towards permethrin among the laboratory strain, the permethrin-selected strain and four field strains of Culex quinquefasciatus collected in Kuala Lumpur, Malaysia was determined using three standard laboratory methods: WHO larval bioassay, WHO adult bioassay and biochemical microplate assay. Cx. quinquefasciatus permethrin-selected strain larvae were the least susceptible to permethrin with a resistance ratio of 47.28-folds, whereas all field strain larvae of the same species were tolerant to permethrin with resistance ratios of more than 3-folds. In contrast, in adult stage, the permethrin exposed permethrin-selected strain (resistance ratio = 1.27) was found to be more susceptible to permethrin than all permethrin-exposed field strains (resistance ratios = 2.23–2.48). Complete mortalities for all strains of Cx. quinquefasciatus adults proved the effectiveness of the synergist; piperonyl butoxide (PBO). For the biochemical microplate assay, the reduction of the mean optical density of elevated oxidase activity of three field strains upon exposure to PBO confirmed the association between oxidase activity and permethrin tolerance. On the other hand, irregular patterns of the mean optical density of elevated oxidase activity in the laboratory strain, permethrin-selected strain and Jalan Fletcher strain illustrated the gene variation within these mosquito colonies as well as the involvement of other enzyme activities in the permethrin resistance occurred. PMID:23961241

  9. Healthcare Provider-Patient Communication: A Satisfaction Study in the Outpatient Clinic at Hospital Kuala Lumpur

    PubMed Central

    AZIZAM, Nor Azmaniza; SHAMSUDDIN, Khadija

    2015-01-01

    Background: There is growing interest in research on patient satisfaction with healthcare provider (HCP) communication as a measure of healthcare quality and HCPs’ communication competency. This study aimed to determine the levels of patient satisfaction with healthcare provider-patient communication (HCP-PC) and its associated factors at the outpatient clinic at Hospital Kuala Lumpur. Methods: A cross-sectional study was conducted on a convenience sample in July 2012 using self-administered questionnaires for the data collection. Both overall and domain-specific satisfaction were measured, with the three domains being exchanging information (EI), socio-emotional behaviour (SB), and communication style (CS). Results: The findings show that 92.8% of the 283 respondents were satisfied with overall HCP-PC, 89.5% with EI, 91.3% with SB, and 72.2% with CS. Satisfaction was statistically higher among Malays for CS and higher among those with low education and poor health for EI, SB and CS. EI and overall communication satisfaction were also higher among patients who reported short wait times, and patients who were in gender concordance with their HCPs showed higher SB satisfaction. Conclusion: Basic and continuous communication skills training and patient activation programs should be established to increase patient satisfaction. Health information technology use should be actively promoted to allow for structured and standardised information exchange between HCPs and patients. PMID:26715897

  10. Using a contingent valuation approach for improved solid waste management facility: Evidence from Kuala Lumpur, Malaysia

    SciTech Connect

    Afroz, Rafia; Masud, Muhammad Mehedi

    2011-04-15

    This study employed contingent valuation method to estimate the willingness to pay (WTP) of the households to improve the waste collection system in Kuala Lumpur, Malaysia. The objective of this study is to evaluate how household WTP changes when recycling and waste separation at source is made mandatory. The methodology consisted of asking people directly about their WTP for an additional waste collection service charge to cover the costs of a new waste management project. The new waste management project consisted of two versions: version A (recycling and waste separation is mandatory) and version B (recycling and waste separation is not mandatory). The households declined their WTP for version A when they were asked to separate the waste at source although all the facilities would be given to them for waste separation. The result of this study indicates that the households were not conscious about the benefits of recycling and waste separation. Concerted efforts should be taken to raise environmental consciousness of the households through education and more publicity regarding waste separation, reducing and recycling.

  11. Evaluating Kuala Lumpur stock exchange oriented bank performance with stochastic frontiers

    SciTech Connect

    Baten, M. A.; Maznah, M. K.; Razamin, R.; Jastini, M. J.

    2014-12-04

    Banks play an essential role in the economic development and banks need to be efficient; otherwise, they may create blockage in the process of development in any country. The efficiency of banks in Malaysia is important and should receive greater attention. This study formulated an appropriate stochastic frontier model to investigate the efficiency of banks which are traded on Kuala Lumpur Stock Exchange (KLSE) market during the period 2005–2009. All data were analyzed to obtain the maximum likelihood method to estimate the parameters of stochastic production. Unlike the earlier studies which use balance sheet and income statements data, this study used market data as the input and output variables. It was observed that banks listed in KLSE exhibited a commendable overall efficiency level of 96.2% during 2005–2009 hence suggesting minimal input waste of 3.8%. Among the banks, the COMS (Cimb Group Holdings) bank is found to be highly efficient with a score of 0.9715 and BIMB (Bimb Holdings) bank is noted to have the lowest efficiency with a score of 0.9582. The results also show that Cobb-Douglas stochastic frontier model with truncated normal distributional assumption is preferable than Translog stochastic frontier model.

  12. Intrinsic and extrinsic motivation among adolescent ten-pin bowlers in kuala lumpur, malaysia.

    PubMed

    Teo, Eng-Wah; Khoo, Selina; Wong, Rebecca; Wee, Eng-Hoe; Lim, Boon-Hooi; Rengasamy, Shabesan Sit

    2015-03-29

    Motivation has long been associated with sports engagement. However, to date no research has been performed to understand the domain of motivation among ten-pin bowlers. The purpose of this study was to investigate different types of motivation (i.e., intrinsic vs. extrinsic) based on self-determination theory from the perspective of gender and the bowler type (competitive vs. casual). A total of 240 bowlers (104 male, 136 female; 152 competitive, 88 casual) with a mean age of 16.61 ± 0.78 years were recruited in Kuala Lumpur. The Sport Motivation Scale, a 28-item self-report questionnaire measuring seven subscales (i.e., intrinsic motivation to know, intrinsic motivation to accomplish, intrinsic motivation to experience stimulation, extrinsic motivation to identify regulation, extrinsic motivation for introjection regulation, extrinsic motivation to external regulation, and amotivation) was administered. Results showed significant differences (t=10.43, df=239, p=0.01) between total scores of intrinsic and extrinsic motivation among ten-pin bowlers. There were significant gender differences with respect to intrinsic motivation to know, intrinsic motivation to accomplish, intrinsic motivation to experience stimulation, and extrinsic motivation to identify regulation. However, no significant bowler type differences were found for either the intrinsic (t=-1.15, df=238, p=0.25) or extrinsic (t=-0.51, df=238, p=0.61) motivation dimensions. In conclusion, our study demonstrated substantial intrinsic motivation for gender effects, but no bowler type effects among adolescent ten-pin bowlers.

  13. Effects of indoor air pollution on lung function of primary school children in Kuala Lumpur.

    PubMed

    Azizi, B H; Henry, R L

    1990-01-01

    In a cross-sectional study of 7-12 year-old primary school children in Kuala Lumpur city, lung function was assessed by spirometric and peak expiratory flow measurements. Spirometric and peak expiratory flow measurements were successfully performed in 1,214 and 1,414 children, respectively. As expected, the main predictors of forced vital capacity (FVC), forced expiratory volume in one second (FEV1), forced expiratory flow between 25% and 75% of vital capacity (FEF25-75), and peak expiratory flow rate (PEFR) were standing height, weight, age, and sex. In addition, lung function values of Chinese and Malays were generally higher than those of Indians. In multiple regression models which included host and environmental factors, asthma was associated with significant decreases in FEV1, FEF25-75, and PEFR. However, family history of chest illness, history of allergies, low paternal education, and hospitalization during the neonatal period were not independent predictors of lung function. Children sharing rooms with adult smokers had significantly lower levels of FEF25-75. Exposures to wood or kerosene stoves were, but to mosquito repellents were not, associated with decreased lung function.

  14. Birds communities of fragmented forest within highly urbanized landscape in Kuala Lumpur, Malaysia

    NASA Astrophysics Data System (ADS)

    Mohd-Taib, F. S.; Rabiatul-Adawiyah, S.; Md-Nor, S.

    2014-09-01

    Urbanization is one form of forest modification for development purposes. It produces forest fragments scattered in the landscape with different intensity of disturbance. We want to determine the effect of forest fragmentation towards bird community in urbanized landscapes in Kuala Lumpur, namely Sungai Besi Forest Reserve (FR), Bukit Nenas FR and Bukit Sungei Puteh FR. We used mist-netting and direct observation method along established trails. These forests differ in size, vegetation composition and land use history. Results show that these forests show relatively low number of species compared to other secondary forest with only 39 bird species recorded. The largest fragment, Sg. Besi encompassed the highest species richness and abundance with 69% species but lower in diversity. Bukit Nenas, the next smallest fragment besides being the only remaining primary forest has the highest diversity index with 1.866. Bkt. Sg. Puteh the smallest fragment has the lowest species richness and diversity with Shanon diversity index of 1.332. The presence of introduced species such as Corvus splendens (House crow) in all study areas suggest high disturbance encountered by these forests. Nonetheless, these patches comprised of considerably high proportion of native species. In conclusion, different intensity of disturbance due to logging activities and urbanization surrounding the forest directly influenced bird species richness and diversity. These effects however can be compensated by maintaining habitat complexity including high vegetation composition and habitat structure at the landscape level.

  15. Isolation and characterization of Acanthamoeba spp. from air-conditioners in Kuala Lumpur, Malaysia.

    PubMed

    Chan, Li-Li; Mak, Joon-Wah; Low, Yoon-Tong; Koh, Thuan-Tzen; Ithoi, Init; Mohamed, Shar Mariam

    2011-01-01

    During a study on the quality of the indoor environment, Acanthamoeba spp. were detected in 20 out of 87 dust samples collected from air-conditioners installed in a four-story campus building located in Kuala Lumpur, Malaysia. Twenty-one cloned Acanthamoeba isolates designated as IMU1 to IMU21 were established from the positive primary cultures. Five species were identified from the 16 isolates according to the morphological criteria of Pussard and Pons; i.e. A. castellanii, A. culbertsoni, A. griffini, A. hatchetti and A. polyphaga. Species identities for the remaining five isolates (IMU4, IMU5, IMU15, IMU20 and IMU21), however, could not be determined morphologically. At genotypic characterization, these isolates were placed into T3 (IMU14); T5 (IMU16 and IMU17) and T4 (all the remaining isolates). To predict the potential pathogenicity of these Acanthamoeba isolates, thermo- and osmotolerance tests were employed; many isolates were predicted as potential human pathogens based on the outcome of these tests. This is the first time potentially pathogenic Acanthamoeba have been isolated from air-conditioners in Malaysia.

  16. Assessment of municipal solid waste generation and recyclable materials potential in Kuala Lumpur, Malaysia.

    PubMed

    Saeed, Mohamed Osman; Hassan, Mohd Nasir; Mujeebu, M Abdul

    2009-07-01

    This paper presents a forecasting study of municipal solid waste generation (MSWG) rate and potential of its recyclable components in Kuala Lumpur (KL), the capital city of Malaysia. The generation rates and composition of solid wastes of various classes such as street cleansing, landscape and garden, industrial and constructional, institutional, residential and commercial are analyzed. The past and present trends are studied and extrapolated for the coming years using Microsoft office 2003 Excel spreadsheet assuming a linear behavior. The study shows that increased solid waste generation of KL is alarming. For instance, the amount of daily residential SWG is found to be about 1.62 kg/capita; with the national average at 0.8-0.9 kg/capita and is expected to be increasing linearly, reaching to 2.23 kg/capita by 2024. This figure seems reasonable for an urban developing area like KL city. It is also found that, food (organic) waste is the major recyclable component followed by mix paper and mix plastics. Along with estimated population growth and their business activities, it has been observed that the city is still lacking in terms of efficient waste treatment technology, sufficient fund, public awareness, maintaining the established norms of industrial waste treatment etc. Hence it is recommended that the concerned authority (DBKL) shall view this issue seriously.

  17. Integration of geospatial multi-mode transportation Systems in Kuala Lumpur

    NASA Astrophysics Data System (ADS)

    Ismail, M. A.; Said, M. N.

    2014-06-01

    Public transportation serves people with mobility and accessibility to workplaces, health facilities, community resources, and recreational areas across the country. Development in the application of Geographical Information Systems (GIS) to transportation problems represents one of the most important areas of GIS-technology today. To show the importance of GIS network analysis, this paper highlights the determination of the optimal path between two or more destinations based on multi-mode concepts. The abstract connector is introduced in this research as an approach to integrate urban public transportation in Kuala Lumpur, Malaysia including facilities such as Light Rapid Transit (LRT), Keretapi Tanah Melayu (KTM) Komuter, Express Rail Link (ERL), KL Monorail, road driving as well as pedestrian modes into a single intelligent data model. To assist such analysis, ArcGIS's Network Analyst functions are used whereby the final output includes the total distance, total travelled time, directional maps produced to find the quickest, shortest paths, and closest facilities based on either time or distance impedance for multi-mode route analysis.

  18. Prediction of cardiovascular disease risk among low-income urban dwellers in metropolitan Kuala Lumpur, Malaysia.

    PubMed

    Su, Tin Tin; Amiri, Mohammadreza; Mohd Hairi, Farizah; Thangiah, Nithiah; Bulgiba, Awang; Majid, Hazreen Abdul

    2015-01-01

    We aimed to predict the ten-year cardiovascular disease (CVD) risk among low-income urban dwellers of metropolitan Malaysia. Participants were selected from a cross-sectional survey conducted in Kuala Lumpur. To assess the 10-year CVD risk, we employed the Framingham risk scoring (FRS) models. Significant determinants of the ten-year CVD risk were identified using General Linear Model (GLM). Altogether 882 adults (≥30 years old with no CVD history) were randomly selected. The classic FRS model (figures in parentheses are from the modified model) revealed that 20.5% (21.8%) and 38.46% (38.9%) of respondents were at high and moderate risk of CVD. The GLM models identified the importance of education, occupation, and marital status in predicting the future CVD risk. Our study indicated that one out of five low-income urban dwellers has high chance of having CVD within ten years. Health care expenditure, other illness related costs and loss of productivity due to CVD would worsen the current situation of low-income urban population. As such, the public health professionals and policy makers should establish substantial effort to formulate the public health policy and community-based intervention to minimize the upcoming possible high mortality and morbidity due to CVD among the low-income urban dwellers.

  19. Evaluating Kuala Lumpur stock exchange oriented bank performance with stochastic frontiers

    NASA Astrophysics Data System (ADS)

    Baten, M. A.; Maznah, M. K.; Razamin, R.; Jastini, M. J.

    2014-12-01

    Banks play an essential role in the economic development and banks need to be efficient; otherwise, they may create blockage in the process of development in any country. The efficiency of banks in Malaysia is important and should receive greater attention. This study formulated an appropriate stochastic frontier model to investigate the efficiency of banks which are traded on Kuala Lumpur Stock Exchange (KLSE) market during the period 2005-2009. All data were analyzed to obtain the maximum likelihood method to estimate the parameters of stochastic production. Unlike the earlier studies which use balance sheet and income statements data, this study used market data as the input and output variables. It was observed that banks listed in KLSE exhibited a commendable overall efficiency level of 96.2% during 2005-2009 hence suggesting minimal input waste of 3.8%. Among the banks, the COMS (Cimb Group Holdings) bank is found to be highly efficient with a score of 0.9715 and BIMB (Bimb Holdings) bank is noted to have the lowest efficiency with a score of 0.9582. The results also show that Cobb-Douglas stochastic frontier model with truncated normal distributional assumption is preferable than Translog stochastic frontier model.

  20. Pathways to services for children with cerebral palsy in Selangor and the Federal Territory, Kuala Lumpur.

    PubMed

    Lim, V W L; Staines, A

    2007-12-01

    Cerebral Palsy (CP) describes a group of chronic conditions affecting body movement and muscle coordination caused by damage to one or more areas of the brain, occurring at any time during foetal development to infancy. This research was carried out to learn how parents of children with cerebral palsy (CP) had found and accessed services provided for them in Selangor and Kuala Lumpur. It was based in the Spastic Children's Association of Selangor and Federal Territory (SCAS&FT) among 96 of 201 parents of children who use the facilities and services provided by the SCAS&FT through questionnaires and face-to-face interviews. There was a satisfactory level of availability and accessibility of contacting and using the services provided by SCAS&FT in terms of respondent satisfaction. However, parents had varying levels of awareness of the different classes and activities carried out by the school. Efforts to improve knowledge regarding the services available for children with CP in the general population and among parents of these children should be promoted.

  1. Effects of plateletpheresis on blood coagulation parameters in healthy donors at National Blood Centre, Kuala Lumpur, Malaysia.

    PubMed

    Siti Nadiah, A K; Nor Asiah, M; Nur Syimah, A T; Normi, M; Anza, E; Aini, A Nor; Mohd Zahari, T H; Shahnaz, M; Faraizah, A K; Faisal, M A

    2013-12-01

    Plateletpheresis is a method used to remove platelet from the body either from random volunteer donors, patient's family members or HLA matched donors. A cross sectional study was carried out on 59 plateletpheresis donors aged between 18 and 55 years at National Blood Center (NBC), Kuala Lumpur. We compared the blood parameters before and after plateletpheresis and we found that the platelet count, FVIII, fibrinogen and thrombophilia markers anti-thrombin (AT), protein C and protein S were significantly reduced (p<0.05) with prolonged PT and APTT. There were significant changes in blood coagulation parameters but it is within acceptable range.

  2. Trend extraction using empirical mode decomposition and statistical empirical mode decomposition: Case study: Kuala Lumpur stock market

    NASA Astrophysics Data System (ADS)

    Jaber, Abobaker M.

    2014-12-01

    Two nonparametric methods for prediction and modeling of financial time series signals are proposed. The proposed techniques are designed to handle non-stationary and non-linearity behave and to extract meaningful signals for reliable prediction. Due to Fourier Transform (FT), the methods select significant decomposed signals that will be employed for signal prediction. The proposed techniques developed by coupling Holt-winter method with Empirical Mode Decomposition (EMD) and it is Extending the scope of empirical mode decomposition by smoothing (SEMD). To show performance of proposed techniques, we analyze daily closed price of Kuala Lumpur stock market index.

  3. Intrinsic and Extrinsic Motivation Among Adolescent Ten-Pin Bowlers in Kuala Lumpur, Malaysia

    PubMed Central

    Teo, Eng-Wah; Khoo, Selina; Wong, Rebecca; Wee, Eng-Hoe; Lim, Boon-Hooi; Rengasamy, Shabesan Sit

    2015-01-01

    Motivation has long been associated with sports engagement. However, to date no research has been performed to understand the domain of motivation among ten-pin bowlers. The purpose of this study was to investigate different types of motivation (i.e., intrinsic vs. extrinsic) based on self-determination theory from the perspective of gender and the bowler type (competitive vs. casual). A total of 240 bowlers (104 male, 136 female; 152 competitive, 88 casual) with a mean age of 16.61 ± 0.78 years were recruited in Kuala Lumpur. The Sport Motivation Scale, a 28-item self-report questionnaire measuring seven subscales (i.e., intrinsic motivation to know, intrinsic motivation to accomplish, intrinsic motivation to experience stimulation, extrinsic motivation to identify regulation, extrinsic motivation for introjection regulation, extrinsic motivation to external regulation, and amotivation) was administered. Results showed significant differences (t=10.43, df=239, p=0.01) between total scores of intrinsic and extrinsic motivation among ten-pin bowlers. There were significant gender differences with respect to intrinsic motivation to know, intrinsic motivation to accomplish, intrinsic motivation to experience stimulation, and extrinsic motivation to identify regulation. However, no significant bowler type differences were found for either the intrinsic (t=−1.15, df=238, p=0.25) or extrinsic (t=−0.51, df=238, p=0.61) motivation dimensions. In conclusion, our study demonstrated substantial intrinsic motivation for gender effects, but no bowler type effects among adolescent ten-pin bowlers. PMID:25964827

  4. Nutritional anemia in pregnancy: a study at the maternity hospital, Kuala Lumpur.

    PubMed

    Tee E Siong; Kandiah, M; Ali, J; Kandiah, V; Zahari, M R; Kuladevan, R; Hamzah, Z

    1984-06-01

    The study presents recent data on the prevalence and pattern of nutritional anemia in the Maternity Hospital, Kuala Lumpur. A total of 309 pregnant women in their 3rd trimester, of Malay, Chinese and Indian origin from the lower socio-economic strata were randomly selected for the study. Hematological indices (including Hb, PCV, MCHC, and TRBC), serum iron, transferrin saturation and ferritin, serum folate as well as protein and albumin were determined. Based on Hb and PCV values, 30-40% of the women could be considered anemic; approximately 50% of them presented with unsatisfactory serum iron, transferrin saturation and ferritin values; 60.9% had low serum folate levels; and about 30% may be considered to be of poor protein nutriture. Anemia in the study population was seen to be related mostly to iron and to a lesser extent, folate deficiency. Hematological, iron, folate and protein status was observed to be the poorest amongst the Indian women, better in the Malay group and generally the best amongst the Chinese women. Birth records of 169 of these women revealed that all of them had live births. Nearly all the infants were delivered by normal vaginal delivery (NVD). The mean gestational age was 38.6 weeks. One of the infants had a birth weight of 2.0 kg; incidence of low birth weight, 2.5 kg, was 8.3%. Although there was a trend of deteriorating hematological, iron and protein status of women from the 0, 1-3 and 4 parity groups, these differences were not statistically significant.

  5. Quality indicators for discarding blood in the National Blood Center, Kuala Lumpur

    PubMed Central

    Morish, Mohammed; Ayob, Yasmin; Naim, Noris; Salman, Huda; Muhamad, Nor Asiah; Yusoff, Narazah Mohd

    2012-01-01

    Background and Objective: The implementation of quality system and continuous evaluation of all activities of the Blood Transfusion Services (BTS) can help to achieve the maximum quantity and quality of safe blood. Optimizing blood collection and processing would reduce the rate of discard and improve the efficiency of the BTS. The objective of this study is to determine the rate of discard of blood and blood component and identify its reasons at the National Blood Centre (NBC), Kuala Lumpur, during the year of 2007 in order to introduce appropriate intervention. Study Designs and Methods: Data on the number of discarded whole blood units and its components, reasons for discard, and the number of blood components processed as well as the number of collected blood units were obtained from the Blood Bank Information System - NBC database. These were analyzed. Results: The total number of blood units collected in 2007 was 171169 from which 390636 units of components were prepared. The total number of discarded whole blood units and its components was 8968 (2.3%). Platelet concentrate recorded the highest of discard at 6% (3909) followed by whole blood at 3.7% (647), fresh frozen plasma (FFP) at 2.5% (2839), and cryoprecipitate at 2% (620). The rate of discarded packed red blood cells RBCs, plasma aphaeresis, and PLT aphaeresis was less than 1% at 0.6% (902), 0.6% (37), and 0.29% (14), respectively. RBC contamination of PLT and plasma were the major cause of discard at 40% (3558). Other causes include leakage (26% - 2306), lipemia (25% - 2208), and underweight (4% - 353). Conclusion: Good donor selection, training and evaluation of the staff, as well as implementation of automation will help to improve processes and output of BTS. This would reduce discard of blood components and wastage caused by non conformance. PMID:22623837

  6. Complex Network Theory Applied to the Growth of Kuala Lumpur's Public Urban Rail Transit Network.

    PubMed

    Ding, Rui; Ujang, Norsidah; Hamid, Hussain Bin; Wu, Jianjun

    2015-01-01

    Recently, the number of studies involving complex network applications in transportation has increased steadily as scholars from various fields analyze traffic networks. Nonetheless, research on rail network growth is relatively rare. This research examines the evolution of the Public Urban Rail Transit Networks of Kuala Lumpur (PURTNoKL) based on complex network theory and covers both the topological structure of the rail system and future trends in network growth. In addition, network performance when facing different attack strategies is also assessed. Three topological network characteristics are considered: connections, clustering and centrality. In PURTNoKL, we found that the total number of nodes and edges exhibit a linear relationship and that the average degree stays within the interval [2.0488, 2.6774] with heavy-tailed distributions. The evolutionary process shows that the cumulative probability distribution (CPD) of degree and the average shortest path length show good fit with exponential distribution and normal distribution, respectively. Moreover, PURTNoKL exhibits clear cluster characteristics; most of the nodes have a 2-core value, and the CPDs of the centrality's closeness and betweenness follow a normal distribution function and an exponential distribution, respectively. Finally, we discuss four different types of network growth styles and the line extension process, which reveal that the rail network's growth is likely based on the nodes with the biggest lengths of the shortest path and that network protection should emphasize those nodes with the largest degrees and the highest betweenness values. This research may enhance the networkability of the rail system and better shape the future growth of public rail networks.

  7. Body mass status of school children and adolescents in Kuala Lumpur, Malaysia.

    PubMed

    Moy, Foong Ming; Gan, Chong Ying; Zaleha, Mohd Kassim Siti

    2004-01-01

    Lifestyle and disease patterns in Malaysia have changed following rapid economic development. It is important to find out how these changes have affected the nutritional status and health behaviour of the population, especially school children and adolescents. Therefore a survey on school children's and adolescents' health behaviours and perception in Kuala Lumpur was initiated. This paper only reports the observed body mass status of the school children. A total of 3620 school children were selected in this survey using the method of multi-stage sampling. The students were surveyed using pre-tested questionnaires while weight and height were measured by the research team in the field. Using the cut-off of BMI-for-age >or= 95th percentile and <5th percentile for overweight and underweight respectively, there were a total of 7.3% of overweight students and 14.8% of underweight students. When analysed by gender; 7.5% of boys and 7.1% girls were overweight, while 16.2% of the boys and 13.3% of the girls were underweight. The youngest age group (11 years old) had the highest prevalence of underweight as well as overweight. With increasing age, the prevalence of underweight and overweight decreased and more children were in the normal weight range. The overall prevalence of overweight among the three ethnic groups was similar. However the prevalence of underweight was highest among the Indian students (24.9%), followed by Malays (18.9%) and Chinese (9.5%) (P <0.001). The results showed that both the problems of under- and over-nutrition co-exist in the capital city of Malaysia. The promotion of healthy eating and physical activities is required to address the problems of under- and over-nutrition in order to build up a strong and healthy nation in the future.

  8. Determination of some heavy metal concentrations in razor clam (Solen brevis) from Tanjung Lumpur coastal waters, Pahang, Malaysia.

    PubMed

    Kamaruzzaman, B Y; Zahir, M S; John, B Akbar; Waznah, A Siti; Jalal, K C A; Shahbudin, S; Al-Barwani, S M; Goddard, J S

    2010-12-15

    An effort to analyze selected heavy metal accumulation by the razor clam (Solen brevis) from Tanjung Lumpur was conducted on January to April 2010. A total of fifty individuals of Razor clam Solen brevis were sampled and metals such as Iron (Fe), Zinc (Zn), Copper (Cu), Manganese (Mn), Lead (Pb) and Cadmium (Cd) Concentrations were determined using Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Among the metals Fe occurred in elevated concentration in the soft tissue of razor clam followed by Zn. Cd was found to be in least concentration in the sample. Mean concentration of Fe, Zn, Mn, Cu, Cd and Pb in the soft tissue were 415.2 +/- 56.52, 87.74 +/- 11.85, 18.71 +/- 2.10, 8.64 +/- 1.75, 0.67 +/- 0.29 and 1.61 +/- 0.45 microg g(-1) dw, respectively indicating that the bioaccumulation of essential metals in the soft tissue was greater than the non essential heavy metals. Metal accumulation in the soft tissue of razor clam followed Fe > Zn > Mn > Cu > Pb > Cd order in present study. The observed concentration of acute toxicity of metals in Solen brevis (Family: Solenidae) from Tanjung Lumpur Coastal waters was lower than the permissible limit recommended by National and international standards proved that this species could be utilized for human consumption.

  9. Cutaneous larva migrans in Hospital Kuala Lumpur, Malaysia: rate of correct diagnosis made by the referring primary care doctors.

    PubMed

    Yap, Felix Boon-Bin

    2011-07-01

    A retrospective study was undertaken to determine the clinical features of cutaneous larva migrans (CLM) seen in the Department of Dermatology, Hospital Kuala Lumpur (Kuala Lumpur, Malaysia) and to assess the rate of correct diagnosis made by the referring primary care doctors. Clinical records of all 31 patients with CLM seen between January 2006 and June 2010 were retrieved. The majority of patients were male. The mean age was 32.2 years. Pruritus was reported in 83.9% of cases and serpiginous tracts in 100%. The mean lesion count was 4.4 and the mean duration of disease before presentation was 3.1 weeks. The majority of skin lesions were on the buttock and lower extremities. Only 45.2% of patients had the correct diagnosis made by the referring primary care doctors. Older age of patients and lower number of lesions were associated with a higher rate of correct diagnosis. The low rate of correct diagnosis made by the referring primary care doctors to the dermatologists in this study warrants the need for education of not only primary care doctors but also future primary care providers, consisting of medical students, house officers and junior medical officers.

  10. Vertical infestation of the dengue vectors Aedes aegypti and Aedes albopictus in apartments in Kuala Lumpur, Malaysia.

    PubMed

    Roslan, Muhammad Aidil; Shafie, Aziz; Ngui, Romano; Lim, Yvonne Ai Lian; Sulaiman, Wan Yusoff Wan

    2013-12-01

    Dengue is a serious public health problem in Malaysia. The aim of this study was to compare the vertical infestation of Aedes population in 2 apartments in Kuala Lumpur with different status of dengue incidence (i.e., high-dengue-incidence area and area with no reported dengue cases). The study was also conducted to assess the relationship between environmental factors such as rainfall, temperature, and humidity and Aedes population that may influence Aedes infestation. Surveillance with a mosquito larvae trapping device was conducted for 28 continuous weeks (January to July 2012) in Vista Angkasa (VA) and Inderaloka (IL) apartments located in Kuala Lumpur, Malaysia. The results indicated that both Aedes spp. could be found from ground to higher floor levels of the apartments, with Aedes aegypti being more predominant than Ae. albopictus. Data based on mixed and single breeding of Aedes spp. on different floors did not show any significant difference. Both rainfall (R3; i.e., the amount of rainfall collected during the previous 3 wk before the surveillance period began) and RH data showed significant relationship with the number of Aedes larvae collected in VA and IL. No significant difference was found between the numbers of Aedes larvae in both study areas as well as maximum and minimum temperatures. Results also indicated adaptations of Ae. aegypti to the ecosystem at each elevation of high-rise buildings, with Ae. albopictus staying inside of apartment units.

  11. Proceedings of the International Conference on Educational Technologies 2013 (ICEduTech 2013) (Kuala Lumpur, Malaysia, November 29-December 1, 2013)

    ERIC Educational Resources Information Center

    Kommers, Piet, Ed.; Issa, Tomayess, Ed.; Sharef, Nurfadhlina Mohd, Ed.; Isaías, Pedro, Ed.

    2013-01-01

    These proceedings contain the papers of the International Conference on Educational Technologies 2013 (ICEduTech 2013), which has been organised by the International Association for Development of the Information Society and co-organised by the Faculty of Computer Science & Information Technology, Universiti Putra Malaysia, Kuala Lumpur,…

  12. School Evaluation for Quality Improvement. Meeting of the Asian Network of Training and Research Institutions in Educational Planning (ANTRIEP) (Kuala Lumpur, Malaysia, July 2-4, 2002)

    ERIC Educational Resources Information Center

    De Grauwe, Anton, Ed.; Naidoo, Jordan P., Ed.

    2004-01-01

    The papers brought together in this volume are a selection from among those presented at the seminar organized in Kuala Lumpur, in July 2002 by the Asian Network of Training and Research Institutions in Educational Planning (ANTRIEP). The network consists of institutions whose main mandate includes training and research in educational planning and…

  13. Evaluation of diet quality and its associated factors among adolescents in Kuala Lumpur, Malaysia

    PubMed Central

    Rezali, Fara Wahida; Mohd Shariff, Zalilah; Mohd Yusof, Barakatun Nisak; Sanker, Kaartina; Woon, Fui Chee

    2015-01-01

    BACKGROUND/OBJECTIVES This study aims to determine contribution of meal frequency, self-efficacy for healthy eating, and availability of healthy foods towards diet quality of adolescents in Kuala Lumpur, Malaysia. SUBJECTS/METHODS This study was conducted among 373 adolescents aged from 13 to 16 years old. Diet quality of the respondents was assessed using the Healthy Eating Index for Malaysians. Meal frequency, self-efficacy for healthy eating, and availability of healthy foods were assessed through the Eating Behaviours Questionnaire (EBQ), self-efficacy for healthy eating scale, and availability of healthy foods scale, respectively. RESULTS The majority of the respondents (80.7%) were at risk of poor diet quality. Males (mean = 34.2 ± 8.2%) had poorer diet quality than females (mean = 39.9 ± 9.0%) (t = -5.941, P < 0.05). Malay respondents (mean = 36.9 ± 8.7%) had poorer diet quality than Indian respondents (mean = 41.3 ± 10.0%) (F = 2.762, P < 0.05). Age (r = 0.123, P < 0.05), self-efficacy for healthy eating (r = 0.129, P < 0.05), and availability of healthy foods (r = 0.159, P < 0.05) were positively correlated with the diet quality of the respondents. However, meal frequency was not correlated with the diet quality of the respondents. Multiple linear regression analysis showed that being a male, being a Malay, low self-efficacy for healthy eating, and low availability of healthy foods contributed significantly towards poor diet quality among respondents. CONCLUSIONS In short, sex, ethnicity, self-efficacy for healthy eating, and availability of healthy foods were associated with diet quality among adolescents. Health practitioners should take into consideration of differences in sex and ethnicity during implementation of nutrition-related intervention programs. Self-efficacy for healthy eating and availability of healthy foods should be included as important components in improving diet quality of adolescents. PMID:26425281

  14. Feasibility of piezoelectric tiles adoption: A case study at Kuala Lumpur International Airport (KLIA) Malaysia

    NASA Astrophysics Data System (ADS)

    Chew, Boon Cheong; Loo, Heoy Shin; Bohari, Izyan Adilah; Hamid, Syaiful Rizal; Sukri, Fatin Hafizah; Kusumarwadani, Rini

    2017-03-01

    The basic function of an international airport is an aerodrome, provides not only the facilities for flights management, but also for customs and passport control. Nowadays, most of the international airports have established commercial outlets for food, products and services. As such, these airports are built with larger scale and more sophisticated on both infrastructure and infostructure which aim to be the most extensive air-travel service providers that connect the nations to the international gateways. Looking at the daily operations of an international airport, the energy consumption is apprehended to be enormous. Besides, knowing the fact that reliance on fossil fuels to power the airport buildings and to run the operations daily, this has led to many negative socioenvironmental implications. To date, some of the world major international airports have begun in renewable energy adoption-which mainly focused on solar energy as a way to reduce fossil energy consumption and towards greenhouse gases reduction. Inspired by thinking differently since solar energy has been adopted in Kuala Lumpur International Airport (KLIA) in 2014, through this study we proposed another form of renewable energy-piezoelectric technology adoption into our KLIA as a feasibility study. We believe that piezoelectric technology could complement the renewable energy mix, by tapping the crowd kinetic energy gathered internally in the airport buildings particularly at a few main entrances. Hence, the objectives of this study are (a) to examine the potential factors that will foster piezoelectric tiles adoption at KLIA and (b) to propose the ways for KLIA in speeding up piezoelectric tiles adoption within the airport terminals. The case study on the Malaysia Airports Holding Berhad (MAHB which manages the KLIA) was based on primary data collected through a series of qualitative focus group conducted on 14 (8 senior managers and 6 technical professionals) who were interested and supportive

  15. Age-related prevalence, intensity and frequency distribution of gastrointestinal helminth infection in urban slum children from Kuala Lumpur, Malaysia.

    PubMed

    Bundy, D A; Kan, S P; Rose, R

    1988-01-01

    The gastrointestinal helminth infection status of 1574 children living in a slum area of Kuala Lumpur, Malaysia was assessed by quantitative coprology. Almost two-thirds were infected with Trichuris trichiura, 49.6% with Ascaris lumbricoides, and 5.3% with hookworm. Infection prevalence rose rapidly to a stable asymptote at 7 years of age, and the age-intensity profile was convex with maximal values in the 5-10 year age classes. This pattern was the same for males and females, but differed markedly between different ethnic groups. The frequency distributions of A. lumbricoides and T. trichiura were highly overdispersed (k values were 0.21 and 0.27, respectively), and age-dependent over the 0-8 year age classes. This suggests that the force of infection with these nematodes is lower in infants than in older children.

  16. Effects of age, sex, and ethnicity on bone health status of the elderly in Kuala Lumpur, Malaysia

    PubMed Central

    Chin, Kok-Yong; Kamaruddin, Alia Annessa Ain; Low, Nie Yen; Ima-Nirwana, Soelaiman

    2016-01-01

    Background Osteoporosis is a significant health problem in the developing countries and its prevalence data are important for the estimation of health care burden and policy making. This study aimed to determine the age-related changes in bone health and the prevalence of osteoporosis in males and females aged 50 years or above living in Kuala Lumpur, Malaysia. Methods A cross-sectional study was conducted between December 2014 and December 2015. Subjects answered a demographic questionnaire and underwent body anthropometric and bone health measurement. Assessment of bone health was performed using a quantitative ultrasound device that generated speed of sound, broadband ultrasound attenuation, stiffness index, and T-score based on stiffness index value as bone health indices. Results The prevalence of osteoporosis was 10.6% in males and 8.0% in females. Significant age-related decline of bone health indices (speed of sound, broadband ultrasound attenuation, stiffness index, and T-score) and a concurrent increase in the prevalence of osteoporosis and osteopenia were observed in females (P<0.05) but not in males (P>0.05). Ethnic differences in bone health indices and prevalence of osteoporosis/osteopenia were not observed (P>0.05). Conclusion A significant proportion of males and females age 50 years or above have suboptimal bone health. Preventive measures such as early screening should be implemented to retard the progression of osteoporosis. PMID:27358558

  17. Effect of Internet-based Intervention on Obesity among Adolescents in Kuala Lumpur: A School-based Cluster Randomised Trial

    PubMed Central

    Mohammed Nawi, AZMAWATI; Che Jamaludin, FARRAH ILYANI

    2015-01-01

    Background: Co-morbidities in adulthood is a significant problem and is associated with obesity during adolescent. Methods: This 3-months randomised controlled trial was aimed at determining the effectiveness of having internet-based intervention (obeseGO!) toward obesity among adolescents in Kuala Lumpur. Forty seven students were assigned randomly to the obeseGO! (intervention) group for internet-based intervention i.e., information on healthy lifestyle and diet were provided via the internet. Fifty students were assigned to the control group, where pamphlets containing health education were provided to these students. The measurement of body mass index (BMI), waist circumference, and the body fat percentage was taken at baseline and after 12 weeks of intervention. Results: The multivariate analysis of variance (MANOVA) analysis found that obeseGO! had a small effect in reducing BMI, waist circumference and body fat percentage. Conclusion: The internet-based obesity intervention program may be an effective medium for promoting healthy diet and physical activity among the obese adolescents. PMID:26715908

  18. Awareness and utilization of HIV services of an AIDS community-based organization in Kuala Lumpur, Malaysia.

    PubMed

    Dangerfield, Derek T; Gravitt, Patti; Rompalo, Anne M; Yap, Ivan; Tai, Raymond; Lim, Sin H

    2015-01-01

    In Malaysia, homosexuality is illegal; little is known about access to HIV prevention services among Malaysian men who have sex with men (MSM). We analysed PT Foundation outreach data to describe the profiles among MSM who accessed PT Foundation services and to examine factors associated with being aware of PT Foundation and having visited the organization. A survey was administered during weekly outreach throughout Kuala Lumpur from March-December 2012. Pearson's Chi square tests were used to compare demographic and behavioural characteristics of participants who were and were not aware of the PT Foundation. Binary logistic regression was used to identify correlates of MSM visiting the PT Foundation among those who had heard of the organization. Of 614 MSM, this study found significantly higher awareness of the PT Foundation among MSM who perceived they had "good" HIV knowledge (p = .026) and participants who reported always using condoms (p = .009). MSM who reported being paid for sex were 2.81 times as likely to visit the PT Foundation compared to men who did not. A subgroup of MSM known to be at high risk for HIV infection is accessing prevention services. Future studies should uncover motivations and barriers of accessing these services among MSM in Malaysia.

  19. Awareness on ex-gratia compensation scheme among medical department staff in a tertiary government hospital in Kuala Lumpur.

    PubMed

    Su, T; Hoe, V C W

    2008-10-01

    The Ex-Gratia Compensation Scheme was introduced by the Government of Malaysia in 1994 to provide compensation, which is not covered by any prior legislation, for all its workers suffering from injuries and illnesses due to work. Despite more than ten years of implementation, the submission for claims is still minimal and there is an impression that awareness on the provision of Ex-Gratia benefit among government employees, especially health care staff, is poor. A cross sectional survey was conducted at a medical department of a government hospital in Kuala Lumpur to assess the knowledge and awareness level on Ex-Gratia among a representative group of front line health care workers. The results show that the respondents' knowledge on Ex-Gratia is generally poor as compared to knowledge on the Social Security (SOCSO) Schemes. Majority of the respondents are unsure whether they will be compensated in case of occupational illness and injuries. They also do not know what kind of compensation scheme they are currently eligible. There is an urgent need for the Treasury and health care managers to expand the knowledge and awareness on Ex-Gratia among health care workers.

  20. Waste management and recycling practices of the urban poor: a case study in Kuala lumpur city, Malaysia.

    PubMed

    Murad, Md Wahid; Siwar, Chamhuri

    2007-02-01

    This study assesses waste management and recycling practices of the urban poor households residing as squatters and in low-cost flats of Kuala Lumpur city, Malaysia. To attain the objective, the study employed some statistical techniques such as t-tests of equality of means, one-way analysis of variance, chi-squared 'likelihood ratio' tests, and simple descriptive statistics. The statistical techniques were used to determine and analyse the factors that significantly influence the environmental behaviour of the urban poor concerning solid waste management, particularly their recycling practices. The findings of the study show that the urban poor and low-income communities have been proved to behave in ways that are consistent with and conducive to environmentally friendly solid waste management. This study provides evidence that the urban poor and low-income communities are the main recyclers, re-users, and source-reducers of their household solid waste. The study, however, suggests that policies should be formulated to focus on promoting knowledge, education, and the skills of the urban poor and, in addition, to empower them as a means of improving their quality of life.

  1. Clinical audit teaching in record-keeping for dental undergraduates at International Medical University, Kuala Lumpur, Malaysia.

    PubMed

    Chong, Jun A; Chew, Jamie K Y; Ravindranath, Sneha; Pau, Allan

    2014-02-01

    This study investigated the impact of clinical audit training on record-keeping behavior of dental students and students' perceptions of the clinical audit training. The training was delivered to Year 4 and Year 5 undergraduates at the School of Dentistry, International Medical University, Kuala Lumpur, Malaysia. It included a practical audit exercise on patient records. The results were presented by the undergraduates, and guidelines were framed from the recommendations proposed. Following this, an audit of Year 4 and Year 5 students' patient records before and after the audit training was carried out. A total of 100 records were audited against a predetermined set of criteria by two examiners. An email survey of the students was also conducted to explore their views of the audit training. Results showed statistically significant improvements in record-keeping following audit training. Responses to the email survey were analyzed qualitatively. Respondents reported that the audit training helped them to identify deficiencies in their record-keeping practice, increased their knowledge in record-keeping, and improved their record-keeping skills. Improvements in clinical audit teaching were also proposed.

  2. Determination of lead, cations, and anions concentration in indoor and outdoor air at the primary schools in Kuala Lumpur.

    PubMed

    Awang, Normah; Jamaluddin, Farhana

    2014-01-01

    This study was carried out to determine the concentration of lead (Pb), anions, and cations at six primary schools located around Kuala Lumpur. Low volume sampler (MiniVol PM10) was used to collect the suspended particulates in indoor and outdoor air. Results showed that the concentration of Pb in indoor air was in the range of 5.18 ± 1.08 μg/g-7.01 ± 0.08 μg/g. All the concentrations of Pb in indoor air were higher than in outdoor air at all sampling stations. The concentrations of cations and anions were higher in outdoor air than in indoor air. The concentration of Ca(2+) (39.51 ± 5.01 mg/g-65.13 ± 9.42 mg/g) was the highest because the cation existed naturally in soil dusts, while the concentrations of NO3 (-) and SO4 (2-) were higher in outdoor air because there were more sources of exposure for anions in outdoor air, such as highly congested traffic and motor vehicles emissions. In comparison, the concentration of NO3 (-) (29.72 ± 0.31 μg/g-32.00 ± 0.75 μg/g) was slightly higher than SO4 (2-). The concentrations of most of the parameters in this study, such as Mg(2+), Ca(2+), NO3 (-), SO4 (2-), and Pb(2+), were higher in outdoor air than in indoor air at all sampling stations.

  3. Evaluation of self-reported medication adherence and its associated factors among epilepsy patients in Hospital Kuala Lumpur

    PubMed Central

    Molugulu, Nagashekhara; Gubbiyappa, Kumar Shiva; Vasudeva Murthy, C. R.; Lumae, Lim; Mruthyunjaya, Anil Tumkur

    2016-01-01

    Introduction: Reports on medication adherence and its associated factors in patients with epilepsy in South East Asian countries are lacking. The primary purpose of this study was to assess the degree of medication adherence and its relationship with patient's satisfaction, psychosocial factors, quality of life and mental health in a sample of Malaysian epilepsy patients. Methodology: It is a cross-sectional study and was carried out in the outpatient Neurology Department of Hospital Kuala Lumpur, Malaysia (n=272). Data was collected by administering the structured questionnaire. Results and Discussion: Results showed that 49.3% of the epilepsy patients were non-adherent to their prescribed regimen. Univariate analysis showed significant associations between medication adherence and the following factors: race, seizure frequency, overall patient satisfaction, medication taste and smell, medication cost and physical appearance, medication effectiveness, complexity of medication regimen, patient barrier, patient understanding, patient role functioning, patient positivity, vitality and general interest. Multiple regression analysis indicated that factors that are influencing medication adherence are seizure frequency (P = 0.048), overall patient satisfaction (P = 0.043) and patient understanding about their illness (P = 0.001). The model chosen for testing the relationship between medication adherence and its associated factors give an R2 value of 25.2% with an adjusted R2 of 21.4%. The F value was also significant (P = 0.000). Based on the research findings, the researchers recommends that clinicians need to play a vital role in educating the patients on their disease conditions. By educating the patients on nature of epilepsy, different modalities of treatment and benefits of adherence to treatment will help in the better adherence and management. PMID:27999469

  4. Patterns of risk behaviour for patients with sexually transmitted diseases and surveillance for human immunodeficiency virus in Kuala Lumpur, Malaysia.

    PubMed

    Lye, M S; Archibald, C; Ghazali, A A; Low, B T; Teoh, B H; Sinniah, M; Rus, S C; Singh, J; Nair, R C

    1994-01-01

    A study was conducted to determine the feasibility of establishing a sentinel human immunodeficiency virus (HIV) surveillance system involving patients with sexually transmitted diseases attending private clinics and a government sexually transmitted disease clinic in Kuala Lumpur, Malaysia. Information on risk behaviours for HIV infection were also collected. A total of 84 female and 91 male patients were interviewed and tested for HIV infection; 41.7% of the women reported working as prostitutes, other occupations included masseuses, hairdressers, waitresses, salesgirls, receptionists, factory workers, and others. The most common diagnosis was gonorrhoea. Other diagnoses included non-specific genital infection, pelvic inflammatory disease, genital herpes and syphilis. 58.3% of the women had a hundred or more sex partners during the previous month; 99% had 6 or more sex partners. Only 4.8% of female patients had their male partners using condoms most of the time, 11.9% hardly used condoms at all. Of the males, 93.3% were heterosexual, while 6.7% were bisexuals, 41.1% had between 6-20 different partners in the previous year. 78.0% of them had prostitutes as their sex partners most of the time. 41.8% had experiences in Thailand and the Philippines. 73.6% never used condoms, while 19.8% only used condoms rarely. Although all patients were tested negative for HIV antibodies, lot quality assurance sampling methods indicate that the upper limits of prevalences for females and males were 3.5% and 3.3% respectively, at a 5% type I error. The study has shown that it is feasible to carry out a sentinel surveillance programme among STD patients and provided useful baseline data for future comparisons.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Risk behaviour and HIV prevalence among men who have sex with men in a multiethnic society: a venue-based study in Kuala Lumpur, Malaysia.

    PubMed

    Kanter, J; Koh, C; Razali, K; Tai, R; Izenberg, J; Rajan, L; Van Griensven, F; Kamarulzaman, A

    2011-01-01

    This research aimed to determine HIV prevalence, risk behaviour and knowledge of transmission methods among men who have sex with men (MSM) in Kuala Lumpur, Malaysia. Venue-day-time sampling (VDTS) was applied to identify venues where men congregate to solicit sex from other men. Participants recruited from clubs, massage parlours, saunas and one park self-completed a computerized behavioural questionnaire, were administered an oral rapid HIV test and given the opportunity to return later to receive full counselling and learn their HIV status. A total of 517 men were enrolled into the study. The majority were Malays (47.0%) and Chinese (43.7%). Twenty tested HIV positive (3.9%). Significant predictors of HIV infection included having unprotected anal sex with a casual partner (44.9% of participants, odds ratio [OR] = 2.99; 95% confidence interval [CI] 1.13-7.90; P = 0.027), having unprotected receptive anal sex (27.9%, OR = 2.71; 95% CI 1.10-6.54; P = 0.030) and having group sex (33.3%, OR = 3.95; 95% CI 1.55-10.09; P = 0.004). One in five participants (20.1% and 19.5%) did not believe that HIV could be transmitted through insertive or receptive anal sex, respectively. Risk behaviour is high and knowledge of HIV transmission methods was low among MSM in Kuala Lumpur. Future prevention efforts should focus on providing risk reduction education to this community.

  6. Level of knowledge, attitude and practice of night market food outlet operators in Kuala Lumpur regarding the usage of repeatedly heated cooking oil.

    PubMed

    Azman, A; Mohd Shahrul, S; Chan, S X; Noorhazliza, A P; Khairunnisak, M; Nur Azlina, M F; Qodriyah, H M S; Kamisah, Y; Jaarin, K

    2012-02-01

    Consumption of repeatedly heated oil can be detrimental to health. The objective of this study was to determine the level of knowledge, attitude and practice of night market food outlet operators in Kuala Lumpur regarding the usage of repeatedly heated cooking oil. The quality of cooking oil was also investigated. A cross-sectional study involving pretested questionnaire was undertaken in April 2009. The questionnaire was designed as a tool to collect data from the respondents (n=100) by face-to-face interview. The results showed that majority of respondents had only moderate (53.0%) or low (18.0%) level of knowledge regarding this issue. Most respondents (67.0%) agreed that it is not a good practice. The majority (69.0%) agreed that the usage of repeatedly heated cooking oil is detrimental to health. Despite that, most respondents (63.0%) admitted that they had used cooking oil repeatedly. Most (62.0%) of the cooking oil samples taken from the night market food outlets were considered fit for human consumption. In conclusion, the level of knowledge of night market food outlet operators in Kuala Lumpur regarding this issue needs to be improved in order to ensure the safety of fried food purchased from such establishments.

  7. Susceptibility of Aedes aegypti and Aedes albopictus to temephos in four study sites in Kuala Lumpur City Center and Selangor State, Malaysia.

    PubMed

    Chen, C D; Nazni, W A; Lee, H L; Sofian-Azirun, M

    2005-12-01

    Larvae obtained from Taman Samudera (Gombak, Selangor), Kampung Banjar (Gombak, Selangor), Taman Lembah Maju (Cheras, Kuala Lumpur) and Kampung Baru (City centre, Kuala Lumpur) were bioassayed with diagnostic dosage (0.012 mg/L) and operational dosage (1 mg/L) of temephos. All strains of Aedes aegypti and Aedes albopictus showed percentage mortality in the range of 16.00 to 59.05 and 6.4 to 59.50 respectively, after 24 hours. LT50 values for the 6 strains of Ae. aegypti and Ae. albopictus were between 41.25 to 54.42 minutes and 52.67 to 141.76 minutes respectively, and the resistance ratio for both Aedes species were in the range of 0.68 to 1.82 when tested with operational dosage, 1 mg/L temephos. These results indicate that Aedes mosquitoes have developed some degree of resistance. However, complete mortality for all strains were achieved after 24 hours when tested against 1 mg/L temephos.

  8. Genetic study of 12 X-STRs in Malay population living in and around Kuala Lumpur using Investigator Argus X-12 kit.

    PubMed

    Samejima, Michinaga; Nakamura, Yasutaka; Nambiar, Phrabhakaran; Minaguchi, Kiyoshi

    2012-07-01

    We investigated 12 X-chromosomal short tandem repeat (STR) polymorphisms in 283 unrelated Malay individuals (160 males and 123 females) living in and around Kuala Lumpur using the Investigator Argus X-12 kit. Heterozygosity among the present 12 X-STRs showed a distribution of from 55.3 to 93.5 %. The diversity values of the haplotypes constructed using four closely linked groups were all higher than 0.9865. A comparison of allelic frequency in each system and haplotype variation indicated that the nature of these X-STRs in the Malay population differed from that in East Asian, European, or African populations. Several microvariant alleles found in the Malay population were characterized and compared with known sequence data. The present data may be helpful in forensic casework such as personal identification and kinship testing in the Malay population in Malaysia.

  9. Evolutionary history of HIV-1 subtype B and CRF01_AE transmission clusters among men who have sex with men (MSM) in Kuala Lumpur, Malaysia.

    PubMed

    Ng, Kim Tien; Ong, Lai Yee; Lim, Sin How; Takebe, Yutaka; Kamarulzaman, Adeeba; Tee, Kok Keng

    2013-01-01

    HIV-1 epidemics among men who have sex with men (MSM) continue to expand in developed and developing countries. Although HIV infection in MSM is amongst the highest of the key affected populations in many countries in Southeast Asia, comprehensive molecular epidemiological study of HIV-1 among MSM remains inadequate in the region including in Malaysia. Here, we reported the phylodynamic profiles of HIV-1 genotypes circulating among MSM population in Kuala Lumpur, Malaysia. A total of n = 459 newly-diagnosed treatment-naïve consenting subjects were recruited between March 2006 and August 2012, of whom 87 (18.9%) were self-reported MSM. Transmitted drug resistance mutations were absent in these isolates. Cumulatively, phylogenetic reconstructions of the pro-rt gene (HXB2∶2253-3275) showed that HIV-1 subtype B and CRF01_AE were predominant and contributed to approximately 80% of the total HIV-1 infection among MSM. In addition to numerous unique transmission lineages within these genotypes, twelve monophyletic transmission clusters of different sizes (2-7 MSM sequences, supported by posterior probability value of 1) were identified in Malaysia. Bayesian coalescent analysis estimated that the divergence times for these clusters were mainly dated between 1995 and 2005 with four major transmission clusters radiating at least 12 years ago suggesting that active spread of multiple sub-epidemic clusters occurred during this period. The changes in effective population size of subtype B showed an exponential growth within 5 years between 1988 and 1993, while CRF01_AE lineage exhibited similar expansion between 1993 and 2003. Our study provides the first insight of the phylodynamic profile of HIV-1 subtype B and CRF01_AE circulating among MSM population in Kuala Lumpur, Malaysia, unravelling the importance of understanding transmission behaviours as well as evolutionary history of HIV-1 in assessing the risk of outbreak or epidemic expansion.

  10. Tobacco use prevalence, knowledge, and attitudes among newly diagnosed tuberculosis patients in Penang State and Wilayah Persekutuan Kuala Lumpur, Malaysia

    PubMed Central

    2010-01-01

    Background There is sufficient evidence to conclude that tobacco smoking is strongly linked to tuberculosis (TB) and a large proportion of TB patients may be active smokers. In addition, a previous analysis has suggested that a considerable proportion of the global burden of TB may be attributable to smoking. However, there is paucity of information on the prevalence of tobacco smoking among TB patients in Malaysia. Moreover, the tobacco-related knowledge, attitudes, and behaviors of TB patients who are smokers have not been previously explored. This study aimed to document the prevalence of smoking among newly diagnosed TB patients and to learn about the tobacco use knowledge and attitudes of those who are smokers among this population. Methods Data were generated on prevalence rates of smoking among newly diagnosed TB patients in the State of Penang from January 2008 to December 2008. The data were obtained based on a review of routinely collated data from the quarterly report on TB case registration. The study setting comprised of five healthcare facilities (TB clinics) located within Penang and Wilayah Persekutuan, Kuala Lumpur health districts in Malaysia, which were involved in a larger project, known as SCIDOTS Project. A 58-item questionnaire was used to assess the tobacco use knowledge, attitudes and behaviors of those TB patients who were smokers. Results Smoking status was determinant in 817 of 943 new cases of TB from January to December 2008. Of this, it was estimated that the prevalence rates of current- and ex-smoking among the TB patients were 40.27% (329/817) and 13.95% (114/817), respectively. The prevalence of ever-smoking among patients with TB was estimated to be 54,220 per 100,000 population. Of 120 eligible participants for the SCIDOTS Project, 88 responded to the survey (73.3% response rate) and 80 surveys were analyzed (66.7% usable rate). The mean (± SD) total score of tobacco use knowledge items was 4.23 ± 2.66 (maximum possible score

  11. Nutritional status and random blood glucose, cholesterol and triglyceride test among Malaysian Army (MA) personnel in Kuala Lumpur

    NASA Astrophysics Data System (ADS)

    Nadiy, I.; Razalee, S.; Zalifah, M. K.; Zulkeffeli, M. J.

    2013-11-01

    With the rising trend of obesity among the general population, it is also important to assess the obesity and health status among military population. The aim of this study was to determine the prevalence of overweight and obesity among Malaysian Army (MA) personnel as well as the relationship between selected socio-demographics factors, antropometric profiles, body composition and random blood test value. A cross sectional study involving 378 male military personnel aged between 20 to 48 years old was conducted at two MA bases in Kuala Lumpur between November and December 2012. Antropometric measurements included height, weight and waist circumference (WC). Body fat percentage was measured using bioelectrical impedance analysis method (Tanita TBF-300A). Mean height, weight, BMI, WC, body fat percentage, age, monthly income and duration of service were 1.71 ± 0.6 m, 71.7 ± 12.2 kg, 24.6 ± 4.1 kg/m2, 87.0 ± 10.0 cm, 23.4 ± 6.6%, 29.1 ± 5.5 years, RM 2115.12 ± 860.70 and 9.9 ± 5.6 years respectively. According to WHO (1998) classification of BMI, 3.2% of the subjects were underweight, 54.8% normal, 32.8% overweight and 9.3% obese. It was obeserved that 40.2% of the subjects had waist circumference value of 90 cm or more and were considered high risk for diebetes and cardiovascular diseases. This study found that BMI was highly correlated with weight (r=0.925, p<0.05), WC (r=0.852, p<0.05) and body fat percentage. Body fat percentage also show high correlation with weight (r=0.759, p<0.05) and WC (r=0.768, p<0.05. The result from 173 of 378 subjects that were selected for random blood test found that 4.6%, 3.5% and 26.0% had diabetes, high cholesterol and high triglyceride respectively. There was a weak correlation between random blood glucose level with weight (r=0.221, p<0.05), BMI (r=0.243, p<0.05), WC (r=0.298, p<0.05), body fat percentage (r=0.163, p<0.05) and age (r=0.223, p<0.05). Random blood cholesterol level had significant correlation with weight (r

  12. Nutritional status and random blood glucose, cholesterol and triglyceride test among Malaysian Army (MA) personnel in Kuala Lumpur

    SciTech Connect

    Nadiy, I.; Razalee, S.; Zalifah, M. K.; Zulkeffeli, M. J.

    2013-11-27

    With the rising trend of obesity among the general population, it is also important to assess the obesity and health status among military population. The aim of this study was to determine the prevalence of overweight and obesity among Malaysian Army (MA) personnel as well as the relationship between selected socio-demographics factors, antropometric profiles, body composition and random blood test value. A cross sectional study involving 378 male military personnel aged between 20 to 48 years old was conducted at two MA bases in Kuala Lumpur between November and December 2012. Antropometric measurements included height, weight and waist circumference (WC). Body fat percentage was measured using bioelectrical impedance analysis method (Tanita TBF-300A). Mean height, weight, BMI, WC, body fat percentage, age, monthly income and duration of service were 1.71 ± 0.6 m, 71.7 ± 12.2 kg, 24.6 ± 4.1 kg/m{sup 2}, 87.0 ± 10.0 cm, 23.4 ± 6.6%, 29.1 ± 5.5 years, RM 2115.12 ± 860.70 and 9.9 ± 5.6 years respectively. According to WHO (1998) classification of BMI, 3.2% of the subjects were underweight, 54.8% normal, 32.8% overweight and 9.3% obese. It was obeserved that 40.2% of the subjects had waist circumference value of 90 cm or more and were considered high risk for diebetes and cardiovascular diseases. This study found that BMI was highly correlated with weight (r=0.925, p<0.05), WC (r=0.852, p<0.05) and body fat percentage. Body fat percentage also show high correlation with weight (r=0.759, p<0.05) and WC (r=0.768, p<0.05. The result from 173 of 378 subjects that were selected for random blood test found that 4.6%, 3.5% and 26.0% had diabetes, high cholesterol and high triglyceride respectively. There was a weak correlation between random blood glucose level with weight (r=0.221, p<0.05), BMI (r=0.243, p<0.05), WC (r=0.298, p<0.05), body fat percentage (r=0.163, p<0.05) and age (r=0.223, p<0.05). Random blood cholesterol level had significant correlation with

  13. Relationship between Frequency of Sugary Food and Drink Consumption with Occurrence of Dental Caries among Preschool Children in Titiwangsa, Kuala Lumpur.

    PubMed

    Zahara, A M; Fashihah, M H; Nurul, A Y

    2010-04-01

    Dental caries are attributed to various factors including diet. The present crosssectional study determined the frequency of sugary food and drink consumption and defined its relationship to dental caries among preschool children. A total of 50 preschoolers (aged 5-6 years) in three kindergartens of the Department of Community Development (KEMAS) in Titiwangsa, Kuala Lumpur participated in this study. A set of structured questionnaires was used to assess the frequency of sugary food and drink consumption. Dental check ups were performed by a dentist. The dft index (decayed, filled teeth) was used to describe incidence of caries in subjects. Results showed that 62% of the subjects had dental caries. with the mean dft score being 3.72. The frequency of sugary food consumption by the majority of subjects was 2 times a day, while the frequency of sugary drink consumption was more than 3 times a day. There was no significant relationship between frequency of sugary food and drink consumption with incidence of caries. Subjects with high dft scores were more likely to report dental pain. The prevalence of dental caries in preschoolers in this study was high, indicating a need for effective dental health promotion to improve dental health status of this age group.

  14. Oral mucosal lesions associated with betel quid, areca nut and tobacco chewing habits: consensus from a workshop held in Kuala Lumpur, Malaysia, November 25-27, 1996.

    PubMed

    Zain, R B; Ikeda, N; Gupta, P C; Warnakulasuriya, S; van Wyk, C W; Shrestha, P; Axéll, T

    1999-01-01

    A variety of betel/areca nut/tobacco habits have been reviewed and categorized because of their possible causal association with oral cancer and various oral precancerous lesions and conditions, and on account of their widespread occurrence in different parts of the world. At a recent workshop in Kuala Lumpur it was recommended that "quid" be defined as "a substance, or mixture of substances, placed in the mouth or chewed and remaining in contact with the mucosa, usually containing one or both of the two basic ingredients, tobacco and/or areca nut, in raw or any manufactured or processed form." Clear delineations on contents of the quid (areca nut quid, tobacco quid, and tobacco and areca nut quid) are recommended as absolute criteria with finer subdivisions to be added if necessary. The betel quid refers to any quid wrapped in betel leaf and is therefore a specific variety of quid. The workshop proposed that quid-related lesions should be categorized conceptually into two categories: first, those that are diffusely outlined and second, those localized at the site where a quid is regularly placed. Additional or expanded criteria and guidelines were proposed to define, describe or identify lesions such as chewer's mucosa, areca nut chewer's lesion, oral submucous fibrosis and other quid-related lesions. A new clinical entity, betel-quid lichenoid lesion, was also proposed to describe an oral lichen planus-like lesion associated with the betel quid habit.

  15. Application of geophysical techniques for 3D geohazard mapping to delineate cavities and potential sinkholes in the northern part of Kuala Lumpur, Malaysia.

    PubMed

    Bakhshipour, Zeinab; Huat, Bujang B K; Ibrahim, Shaharin; Asadi, Afshin; Kura, Nura Umar

    2013-01-01

    This work describes the application of the electrical resistivity (ER) method to delineating subsurface structures and cavities in Kuala Lumpur Limestone within the Batu Cave area of Selangor Darul Ehsan, Malaysia. In all, 17 ER profiles were measured by using a Wenner electrode configuration with 2 m spacing. The field survey was accompanied by laboratory work, which involves taking resistivity measurements of rock, soil, and water samples taken from the field to obtain the formation factor. The relationship between resistivity and the formation factor and porosity for all the samples was established. The porosity values were plotted and contoured. A 2-dimensional and 3-dimensional representation of the subsurface topography of the area was prepared through use of commercial computer software. The results show the presence of cavities and sinkholes in some parts of the study area. This work could help engineers and environmental managers by providing the information necessary to produce a sustainable management plan in order to prevent catastrophic collapses of structures and other related geohazard problems.

  16. There are No Differences between Factors Determining Graft Infection in Autologous Bone Flap Replacement and Acrylic Cranioplasty: A Prospective Observational Study at Hospital Kuala Lumpur

    PubMed Central

    Mohamad, Siti Azleen; Mohd Haspani, Mohd Safari; Idris, Badrisyah

    2016-01-01

    Objectives This study, conducted in 2012, was performed to determine the incidence of graft infection after cranioplasty procedures and factors affecting the graft infection rate at Hospital Kuala Lumpur (HKL). Methodology This was an observational cross-sectional case study of patients who have undergone cranioplasty at HKL over a period of one year (2012). One hundred seventy-two patients were included in the study. A total of 105 (61.8%) cases were autologous bone flap replacements, and 67 (38.2%) were acrylic cranioplasty. Result A total of five infected grafts were identified among the 172 cases included in the study, resulting in an overall infection rate of 2.9%. Of this infected group, three (4.5%) were cases of cranioplasty and two (1.9%) were cases of autologous bone flap replacement. There was high proportion of male patients undergoing cranioplasty (118 [or 68.6%]) and only 54 (or 31.4%) female patients. The primary pathology in the majority of patients (126 [or 73.2%]) was due to trauma; only 46 cases (or 26.8%) did not result from trauma. Of the patients, 123 (or 71.5%) had undergone a single cranial procedure prior to their cranioplasty, and 43 (or 28.5%) had undergone multiple cranial procedures. Most of the patients (114 [or 66.3%]) underwent cranioplasty 90 days after undergoing decompressive craniectomy while 58 (or 33.7%) underwent cranioplasty less than 90 days after decompressive craniectomy. PMID:27904429

  17. A case control study on factors that influence depression among the elderly in Kuala Lumpur Hospital and Universiti Kebangsaan Malaysia Hospital.

    PubMed

    Salimah, O; Rahmah, M A; Rosdinom, R; Azhar, S Shamsul

    2008-12-01

    Depressive illness is common among the aged population. A case control study was conducted, focusing on risk factors influencing depression among the elderly. This study involved 130 elderly patients diagnosed to have depressive illness from the psychiatric clinics of Kuala Lumpur Hospital (HKL) and Universiti Kebangsaan Malaysia Hospital (HUKM). Another group of 130 elderly patients with no history of depressive illness were recruited from the medical specialist clinics. The majority of cases were female (75.4%), aged 60-74 years (92.3%) and from Chinese ethnic group (59.2%). Non-Malay elderly has three times risk (AOR 2.537, 95% CI 1.439-4.471) of suffering the depressive illness compared to the Malay elderly, the elderly with chronic health problems are more likely to be depressed compared to those who do not suffer from any chronic illness (p trend <0.001). Other risk factors identified were family history of depression with four times risk (AOR 4.225, 95% CI 2.017-8.848) and lower social support with eight times risk (AOR 7.949, 95% CI 2.588-24.417). Social support is not only important in encouraging the elderly to practice healthy life style but proven to influence the risk of getting depression among them. Hence, it is very crucial that the elderly is given total attention, respect and love from all parties to ensure prosperity and meaningfulness in life.

  18. Lithium manganese oxide (LiMn2O4) nanoparticles synthesized by hydrothermal method as adsorbent of lithium recovery process from geothermal fluid of Lumpur Sidoarjo

    NASA Astrophysics Data System (ADS)

    Noerochim, Lukman; Sapputra, Gede Panca Ady; Widodo, Amien

    2016-04-01

    Lumpur Sidoarjo is one of geothermal fluid types which has a great potential as source of lithium. Adsorption method with Lithium Manganese Oxide (LiMn2O4) as an adsorbent has been chosen for lithium recovery process due to low production cost and environmental friendly. LiMn2O4 was synthesized by hydrothermal method at 200 °C for 24 hrs, 48 hrs, and 72 hrs. As prepared LiMn2O4 powder is treated by acid treatment with 0.5 M HCl solution for 24 hrs. XRD test result reveals that all of as-prepared samples are indexed as spinel structure of LiMn2O4 (JCPDS card no 35-0782) with no impurity peaks detected. SEM images show that LiMn2O4 has nanoparticles morphology with particle size around 25 nm. The highest adsorption efficiency of adsorbent is obtained by sample hydrothermal for 72 hrs with 42.76%.

  19. Predictors of death among drug-resistant tuberculosis patients in Kuala Lumpur, Malaysia: A retrospective cohort study from 2009 to 2013.

    PubMed

    Mohd Shariff, Noorsuzana; Shah, Shamsul Azhar; Kamaludin, Fadzilah

    2016-09-01

    The emergence of drug-resistant tuberculosis (TB) is a major public health threat. However, little is known about the predictors of death in drug-resistant TB in Malaysia. This study aimed to determine the predictors of death in drug-resistant TB patients, including multidrug-resistant TB (MDR-TB), in Kuala Lumpur, Malaysia. This study adopted a retrospective cohort study design and involved laboratory-confirmed drug-resistant TB patients (n=426) from January 2009 to June 2013. A Cox regression model and Kaplan-Meier curves were used to model the outcome measure. Data were analysed by using SPSS v.20.0 for Windows. In this study, 15.3% (n=65) of the patients died. Among the study patients, 70.9% were monoresistant TB cases, 9.4% were poly-resistant TB and 19.7% were MDR-TB. MDR-TB [adjusted hazard ratio (aHR)=2.23, 95% confidence interval (CI) 1.26-3.95], ethnicity [Malay (aHR=5.95, 95% CI 2.30-15.41), Chinese (aHR=4.01, 95% CI 1.38-11.66) and Indian (aHR=3.76, 95% CI 1.19-11.85)], coronary heart disease (aHR=6.82, 95% CI 2.16-21.50), drug abuse (aHR=3.79, 95% CI 2.07-6.93) and treatment non-compliance (aHR=1.81, 95% CI 1.01-3.27) were independent predictors of poorer survival in the multivariate Cox regression analysis. This study suggests that MDR-TB, local ethnicity, coronary heart disease, history of drug abuse and treatment non-compliance are factors predicting poor survival in drug-resistant TB patients. More emphasis should be given to the management of drug-resistant TB patients with these characteristics to achieve better treatment outcomes.

  20. Diversity and Evolutionary Histories of Human Coronaviruses NL63 and 229E Associated with Acute Upper Respiratory Tract Symptoms in Kuala Lumpur, Malaysia.

    PubMed

    Al-Khannaq, Maryam Nabiel; Ng, Kim Tien; Oong, Xiang Yong; Pang, Yong Kek; Takebe, Yutaka; Chook, Jack Bee; Hanafi, Nik Sherina; Kamarulzaman, Adeeba; Tee, Kok Keng

    2016-05-04

    The human alphacoronaviruses HCoV-NL63 and HCoV-229E are commonly associated with upper respiratory tract infections (URTI). Information on their molecular epidemiology and evolutionary dynamics in the tropical region of southeast Asia however is limited. Here, we analyzed the phylogenetic, temporal distribution, population history, and clinical manifestations among patients infected with HCoV-NL63 and HCoV-229E. Nasopharyngeal swabs were collected from 2,060 consenting adults presented with acute URTI symptoms in Kuala Lumpur, Malaysia, between 2012 and 2013. The presence of HCoV-NL63 and HCoV-229E was detected using multiplex polymerase chain reaction (PCR). The spike glycoprotein, nucleocapsid, and 1a genes were sequenced for phylogenetic reconstruction and Bayesian coalescent inference. A total of 68/2,060 (3.3%) subjects were positive for human alphacoronavirus; HCoV-NL63 and HCoV-229E were detected in 45 (2.2%) and 23 (1.1%) patients, respectively. A peak in the number of HCoV-NL63 infections was recorded between June and October 2012. Phylogenetic inference revealed that 62.8% of HCoV-NL63 infections belonged to genotype B, 37.2% was genotype C, while all HCoV-229E sequences were clustered within group 4. Molecular dating analysis indicated that the origin of HCoV-NL63 was dated to 1921, before it diverged into genotype A (1975), genotype B (1996), and genotype C (2003). The root of the HCoV-229E tree was dated to 1955, before it diverged into groups 1-4 between the 1970s and 1990s. The study described the seasonality, molecular diversity, and evolutionary dynamics of human alphacoronavirus infections in a tropical region.

  1. Cognizance and utilization about breast cancer screening among the health professional female students and staffs of University Kuala Lumpur, Royal College of Medicine Perak, Malaysia

    PubMed Central

    Haque, A. T. M. Emdadul; Mohd Hisham, Muhammad Afif Bin; Ahmad Adzman, Noor Azwa Laili Binti; Azudin, Nur Atiqah Binti; Shafri, Nursakinah Binti; Haque, Mainul

    2016-01-01

    Background: Breast cancer (BC) is a major life-threatening problem and a global concern including Malaysia. BC is an equal threat for both developing and developed countries. The aim of this study was to determine the relationship between sociodemographic factors with knowledge, attitude, and perception on BC screening among the females of University Kuala Lumpur, Royal College of Medicine Perak (UniKL RCMP). Materials and Methods: This cross-sectional study was conducted from 2015 to 2016. The populations included were the students and staff of UniKL RCMP. The simple sampling method was used and a set of questionnaire was prepared and distributed to the participants who were willing to participate. The data were analyzed by using the SPSS version 17. Results: Of the 220 only 203 questionnaires were returned. Nearly 87.7% of participants indicated genetic factors as the cause of BC, followed by exposure to carcinogenic and X-ray. Excessive smoking (54.2%) and sedentary lifestyle (52.2%) were the risk factors of the BC. 100% of participants thought that breast self-examination (BSE) is important to detect a breast lump and most of them (76.8%) knew what a mammogram is but only 2.0% went for a mammogram. Chemotherapy (71.9%) and surgery (71.9%) were treatments options according to study participants. Nearly 91.1% agreed that regular mammogram could help to detect BC at an early stage. Nearly 88.2% thought BC is not easily curable. Finally, for the attitude on BC screening, most of them knew how to perform BSE (69.0%) with the frequency of 36.0% doing it once a year. Conclusions: The majority of the participants found the good knowledge on BC and on how to perform BSE. Although most of them knew what a mammogram is, only a few have gone for it since perhaps it is recommended for those who are above 50-year-old. Therefore, researchers believe and trust that there is an urgent need of state-funded multicenter study to prevent and early diagnosis of BC in Malaysia. PMID

  2. Is forced migration a barrier to treatment success? Similar HIV treatment outcomes among refugees and a surrounding host community in Kuala Lumpur, Malaysia.

    PubMed

    Mendelsohn, Joshua B; Schilperoord, Marian; Spiegel, Paul; Balasundaram, Susheela; Radhakrishnan, Anuradha; Lee, Christopher K C; Larke, Natasha; Grant, Alison D; Sondorp, Egbert; Ross, David A

    2014-02-01

    In response to an absence of studies among refugees and host communities accessing highly active antiretroviral therapy (HAART) in urban settings, our objective was to compare adherence and virological outcomes among clients attending a public clinic in Kuala Lumpur, Malaysia. A cross-sectional survey was conducted among adult clients (≥18 years). Data sources included a structured questionnaire that measured self-reported adherence, a pharmacy-based measure of HAART prescription refills over the previous 24 months, and HIV viral loads. The primary outcome was unsuppressed viral load (≥40 copies/mL). Among a sample of 153 refugees and 148 host community clients, refugees were younger (median age 35 [interquartile range, IQR 31, 39] vs 40 years [IQR 35, 48], p < 0.001), more likely to be female (36 vs 21 %, p = 0.004), and to have been on HAART for less time (61 [IQR 35, 108] vs 153 weeks [IQR 63, 298]; p < 0.001). Among all clients, similar proportions of refugee and host clients were <95 % adherent to pharmacy refills (26 vs 34 %, p = 0.15). When restricting to clients on treatment for ≥25 weeks, similar proportions from each group were not virologically suppressed (19 % of refugees vs 16 % of host clients, p = 0.54). Refugee status was not independently associated with the outcome (adjusted odds ratio, aOR = 1.28, 95 % CI 0.52, 3.14). Overall, the proportions of refugee and host community clients with unsuppressed viral loads and sub-optimal adherence were similar, supporting the idea that refugees in protracted asylum situations are able to sustain good treatment outcomes and should explicitly be included in the HIV strategic plans of host countries with a view to expanding access in accordance with national guidelines for HAART.

  3. HIV Risk Perception, Sexual Behavior, and HIV Prevalence among Men-Who-Have-Sex-with-Men at a Community-Based Voluntary Counseling and Testing Center in Kuala Lumpur, Malaysia

    PubMed Central

    2014-01-01

    We describe the HIV risk perception, sexual behavior, and HIV prevalence among 423 men-who-have-sex-with-men (MSM) clients who received voluntary counseling and testing (VCT) services at a community-based center in Kuala Lumpur, Malaysia. The mean age was 29 years old. One hundred one (23.9%) clients rated themselves as low risk, 118 (27.9%) as medium risk, 36 (8.5%) as high risk, and 168 (39.7%) were unsure of their risk. Twenty-four (9.4%) clients tested HIV positive (4 (4%) low risk, 9 (7.6%) medium risk, 11 (30.6%) high risk, and 13 (7.7%) unsure risk). We found a positive correlation between risk perception and HIV infection in this study. Clients with high HIV risk perception have 17x the odds of testing HIV positive compared to low risk clients. High HIV risk perception was significantly associated with multiple sex partners, multiple types of sex partners, alcohol use before intercourse, unprotected sex beyond 6 months, and inconsistent condom use during anal sex compared to low risk clients. There were no statistically significant differences between medium risk and unsure risk clients compared to low risk clients. Strategies should be targeted towards change in sexual practices among those who are perceived to be at high risk. PMID:25053941

  4. Development Activities Locator and Assessment Method (DALAM)

    DTIC Science & Technology

    2013-11-01

    Project information recognizing DoD and host nation government disseminated in local community? The responses are often “yes/no,” a Likert scale , or a...issues in those areas, or contain information appropriate to all project types. I have identified five such resources. Four of them are available in...are stakeholders, but not all stakeholders are beneficiaries. I would like to highlight two key points . First, “assessment” has two definitions

  5. A study of chest infections in HIV seropositive patients in Kuala Lumpur.

    PubMed

    Wood, E; Cheong, I; Lee, C

    1998-01-01

    A retrospective study of 144 adults with HIV infection was conducted to investigate the prevalence of upper and lower respiratory tract infections (URTIs and LRTIs). The patients were divided into two groups: those with acquired HIV through intravenous drug abuse (IVDA), and those who had acquired HIV through 'other' risk behaviours. LRTIs were more prevalent than URTIs overall, and LRTIs were significantly more common (p < 0.001) in IVDAs than in the other-risk group. Tuberculosis (40%) and bacterial pneumonias (33%) comprised the majority of LRTIs among IVDAs, while Pneumocystis carinii pneumonia (40%) was the commonest LRTI in the other-risk group. Analysis of CD4 T-lymphocyte counts indicated that HIV-seropositive IVDAs are at greater risk of developing chest infections at higher CD4 counts than other-risk patients. The IVDAs were also found to have a much higher rate of co-infection with hepatitis C and B, which may be a factor accelerating the progression from HIV infection to AIDS. The mean time averaged for the two groups from known seroconversion to development of respiratory tract infection is only 1.37 years, which suggests HIV-infected patients are presenting late for treatment in Malaysia.

  6. The Sociolinguistic Realignment in the Chinese Community in Kuala Lumpur: Past, Present and Future

    ERIC Educational Resources Information Center

    Wang, Xiaomei

    2010-01-01

    The language situation in the Malaysian Chinese community has undergone great changes in the past century. This paper aims to account for such changes in the framework of sociolinguistic realignment, which is both descriptive and predictive. The triglossic situation in the colonial period (1859-1957) is described; with the support of a language…

  7. Adult dengue haemorrhagic fever at Kuala Lumpur Hospital: retrospective study of 102 cases.

    PubMed

    Ibrahim, N M; Cheong, I

    1995-01-01

    A retrospective study involving 102 adults with dengue haemorrhagic fever (DHF) was conducted to investigate the demographic aspect, clinical presenting features, laboratory investigations, complications, and mortality associated with the disease. The clinical diagnosis of DHF was in accordance with WHO recommendations. Epistaxis, gingivitis, haematemesis and gastritis were among the common complications. Platelet levels tended to decline from a higher value on admission (mean 67,000/mm3) to lower levels on subsequent days, with the lowest (mean 61,000/mm3) being on day 6 of the fever. Hyponatraemia (46.8%) was commonly observed. Morbidity of DHF was significant (29.4%) but the case fatality rate remained low (2.0%) in our adults, suggesting that adults are less likely than children to suffer from shock syndrome.

  8. Pattern of occupational allergic dermatitis in the Dermatology Clinic, Hospital Kuala Lumpur.

    PubMed

    Rohna, R; Ganesapillai, T; Salbiah, D; Zaiton, I

    1999-03-01

    A two years retrospective analysis of patients diagnosed as contact allergic dermatitis with positive patch test attending the Dermatology clinic was performed. Of the 346 patients with a positive patch test, 14% had occupational dermatitis. This condition affected mainly young and inexperienced workers. An inverse relationship was seen between age and prevalence of occupational allergic dermatitis. Allergic hand dermatitis was the commonest presentation in occupational allergic dermatitis. This was followed by dermatitis of the exposed skin (face, neck, hands and forearms). The common sensitising agents identified were rubber chemicals and nickel. The two main groups at risk were factory workers and medical personnel. The common allergens found in factory workers were epoxy resin, pewter, nickel and rubber chemicals. Exposure dermatitis occurred in patients working in the pewter industry. Two thirds of medical personnel with hand dermatitis were allergic to rubber gloves. One year follow up after patch testing showed that 19% of patients still suffered from chronic dermatitis. Dermatitis improved in 34% of patients. Forty-seven percent were cured and stopped attending the clinic after patch testing and adequate counselling.

  9. Distributions and health risks of polycyclic aromatic hydrocarbons (PAHs) in atmospheric aerosols of Kuala Lumpur, Malaysia.

    PubMed

    Omar, Nasr Yousef M J; Mon, Tan Chin; Rahman, Noorsaadah A; Abas, M Radzi Bin

    2006-10-01

    The concentrations and distributions of particle bound polycyclic aromatic hydrocarbons (PAHs) collected over a 10 month period in ambient environment, at street levels as well as during a hazy episode are reported. Ambient and street level distributions of PAHs were similar and their occurrence was attributed to vehicular emissions. However, in haze particles, a different pattern of PAHs was observed, characterized by relatively low levels of benzo[a]pyrene (BaP) and high levels of benzofluoranthenes (BFs). The BaP equivalency results showed that the potential health risk associated with haze smoke particles was 4 times higher than that of street level particles whereas the lowest health risk was associated with ambient atmospheric particles.

  10. A case of cutaneous larva migrans acquired from soiled toilet floors in urban Kuala Lumpur.

    PubMed

    Robson, N Z; Othman, S

    2008-10-01

    Despite being a common skin dermatosis in the tropics, physicians in the tropics may miss the diagnosis of cutaneous larva migrans for other pruritic skin manifestation. This is especially in those who live in urban housing with no history of travel. Cutaneous larva migrans, an intensely pruritic skin pathology is mainly contracted by people with history of beach holiday or contact with moist soft sand which had been contaminated with dog or cat faeces. This article reports a patient who presented with intensely itchy papular spots over the dorsum of his foot after walking barefooted in an urban toilet soiled with cat faeces. The patient had initially seen an urban general practitioner who diagnosed the papular skin lesion as an allergic reaction, and prescribed antihistamines. The patient subsequently developed creeping skin lesions and was seen by the author who prescribed albendazole 400 mg twice daily for three days. The patient reported reduction in itching after two days of albendazole treatment and a follow up at ten days revealed a healed infection.

  11. Dietary modification in a workplace health promotion program in Kuala Lumpur, Malaysia.

    PubMed

    Moy, Foong Ming; Ab Sallam, Atiya; Wong, Mee Lian

    2008-10-01

    Lifestyle modification is effective in the prevention of cardiovascular diseases. This study aimed to promote healthy lifestyle behaviours to prevent cardiovascular disease. This study was a quasi-experimental trial with a follow up of two years. The intervention group (n = 102) received intensive individual and group counselling on diet and physical activity. The comparison group (n = 84) was given minimal education through mail and group counselling. Following the intervention, both groups reduced their total fat intake through a replacement in carbohydrate intake. The saturated fat and cholesterol intake was also reduced with a larger magnitude in the intervention group. Fruits and vegetables consumption was increased within the intervention group. The intervention group showed a statistically significant reduction in their mean total cholesterol levels with an intervention effect of -0.38 (95% C.I. = -0.63, -0.14) mmol/l. This study has achieved moderate improvement in dietary intakes as well as the total cholesterol of the participants.

  12. A Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility

    PubMed Central

    Mawaddah, Azman; Marina, Mat Baki; Halimuddin, Sawali; Mohd Razif, Mohd Yunus; Abdullah, Sani

    2016-01-01

    Bilateral vocal fold immobility (BVFI) is commonly caused by injury to the recurrent laryngeal nerve (RLN) and leads to stridor and dyspnea of varying onsets. A retrospective study was done at the Department of Otorhinolaryngology of Universiti Kebangsaan Malaysia Medical Centre on laser microsurgical posterior cordectomy for BVFI. The objectives were to identify the average duration of onset of stridor from the time of insult and to evaluate the outcome of laser posterior cordectomy as a surgical option. From 1997 to 2007, a total of 31 patients with BVFI were referred for surgery. Twelve patients had tracheostomy done prior to the procedure, whereas 19 patients were without tracheostomy. Ten patients were successfully decannulated, and only 4 patients had complications related to the procedure. The minimum onset of stridor was 7 months, maximum onset of stridor was 28 years, and the mean onset of stridor was 8.7 years. The commonest complication observed was posterior glottic adhesion following bilateral posterior cordectomy. Laser endolaryngeal posterior cordectomy is an excellent surgical option as it enables successful decannulation or avoidance of tracheostomy in patients with BVFI. The onset of stridor took years after the insult to the recurrent laryngeal nerves. PMID:27660547

  13. Consumer purchase intention towards environmentally friendly vehicles: an empirical investigation in Kuala Lumpur, Malaysia.

    PubMed

    Afroz, Rafia; Masud, Muhammad Mehedi; Akhtar, Rulia; Islam, Md Ashraful; Duasa, Jarita Bt

    2015-10-01

    This paper examines whether attitudes towards electric vehicles (ATEVs), subjective norms (SNs) and perceived behavioural control (PBC) have significant associations with consumer purchase intention (PI) and the purchase behaviour of environmentally friendly vehicles (EFVs). The results from the survey questionnaires are analysed using confirmatory factor analysis (CFA) and structural equation modelling (SEM). The findings of this paper indicate that ATEV, SN and PBC significantly influence PI. This finding also indicates that environmental consequence and individual preferences do not influence the PI of the respondents. We found that Malaysian car owners are largely unaware of the greenhouse effects on the environment or attach to it little importance, which is reflected in their PI towards EFVs. The outcomes of this study could help policymakers design programmes to influence attitudes, subjective norms, perceived behavioural control and purchase behaviour to prevent further air pollution and reduce CO2 emissions from the transportation sector.

  14. Infestation with the cat flea, Ctenocephalides felis felis (Siphonaptera: Pulicidae) among students in Kuala Lumpur, Malaysia.

    PubMed

    Chin, Heo Chong; Ahmad, Nazni Wasi; Lim, Lee Han; Jeffery, John; Hadi, Azahari Abdul; Othman, Hidayatulfathi; Omar, Baharudin

    2010-11-01

    This paper reports six male undergraduate students living at a local university hostel who were infested with cat fleas (Siphonaptera: Pulicidae: Ctenocephalides felis felis) in February 2009. All of them suffered from maculopapular rashes and severe pruritus after the bites. Investigation revealed the presence of a stray cat in the hostel building; five of the students had a history of contact with the cat. Six cat fleas were collected at the hostel and identified as C. felis felis. Most of the students were not aware of this infestation and did not seek medical treatment.

  15. Middle third fractures of facial skeleton at University Hospital, Kuala Lumpur: a retrospective study.

    PubMed

    Nor, G M; Lian, C B

    1988-12-01

    This is a retrospective study of 80 patients with major central and lateral middle third fractures of facial skeleton treated at University Hospital from 1981 to 1985. The most common was the fractures of zygomatic complex. The peak incidence was in the 20-29 year age group and males were involved more than females (ratio 9: 1). Road traffic accidents were to be blamed for most of the fractures which was 82.25%.

  16. Review of patients with multiple injuries treated at University Hospital, Kuala Lumpur.

    PubMed

    Silva, J F

    1984-06-01

    This study has analyzed 260 patients with multiple injuries sustained in road accidents admitted to the University Hospital during the period July 1967 to July 1976, in relation to age, sex, and ethnic distribution. The types of injuries sustained have been discussed to highlight their effects on the community in a developing country. The extremities have been most frequently involved, while head injuries followed closely. The causative factors of multiple injury-producing accidents have been evaluated. The categories of victims most liable to multiple injuries have been discussed. The significance of understanding the mechanism of these accidents and the effect of such knowledge in minimizing diagnostic errors, thus enabling management and the urgent need for regional accident services in developing countries, have been stressed.

  17. Sleep position and infant care practices in an urban community in Kuala Lumpur.

    PubMed

    Lope, R J Raja; Kong, W K; Lee, V W M; Tiew, W T; Wong, S Y

    2010-03-01

    Several modifiable risk factors for sudden infant death syndrome (SIDS) have been identified such as sleeping prone or on the side, sleeping on a soft surface, bed-sharing, no prenatal care and maternal ante-natal smoking. A cross-sectional survey of infant sleep and care practices was conducted among parents of babies aged below 8 months to determine the prevalence and predictors of non-supine sleep position and the prevalence of other high-risk infant care practices for SIDS. Of 263 infants, 24.7% were placed to sleep in the non-supine position and age of infants was a factor positively associated with this (adjusted odds ratio 1.275, 95% CI=1.085, 1.499). The most common modifiable risk factor was the presence of soft toys or bedding in the infants' bed or cot (89.4%). Results from this study indicate that although the predominant sleep position of Malaysian infants in this population is supine, the majority of infants were exposed to other care practices which have been shown to be associated with SIDS.

  18. Barriers faced by healthcare professionals when managing falls in older people in Kuala Lumpur, Malaysia: a qualitative study

    PubMed Central

    Loganathan, Annaletchumy; Ng, Chirk Jenn; Tan, Maw Pin; Low, Wah Yun

    2015-01-01

    Objective To explore the barriers faced by healthcare professionals (HCPs) in managing falls among older people (aged above 60 years) who have a high risk of falling. Research design The study used a qualitative methodology, comprising 10 in-depth interviews and two focus group discussions. A semistructured topic guide was used to facilitate the interviews, which were audio recorded, transcribed verbatim and checked for accuracy. Data were analysed thematically using WeftQDA software. Participants 20 HCPs who managed falls in older people. Setting This study was conducted at the Primary Care Clinic in the University Malaya Medical Centre (UMMC), Malaysia. Results Four categories of barriers emerged—these were related to perceived barriers for older people, HCPs’ barriers, lack of caregiver support and healthcare system barriers. HCPs perceived that older people normalised falls, felt stigmatised, were fatalistic, as well as in denial regarding falls-related advice. HCPs themselves trivialised falls and lacked the skills to manage falls. Rehabilitation was impeded by premature decisions to admit older people to nursing homes. Lastly, there was a lack of healthcare providers as well as a dearth of fall education and training on fall prevention for HCPs. Conclusions This study identified barriers that explain poor fall management in older people with a high risk of falls. The lack of structured fall prevention guidelines and insufficient training in fall management made HCPs unable to advise patients on how to prevent falls. The findings of this study warrant evidence-based structured fall prevention intervention targeted to patients as well as to HCPs. PMID:26546140

  19. Colombo Plan Intra-Regional Technician Training Colloquium (6th, Kuala Lumpur, Malaysia, April 21-25, 1975).

    ERIC Educational Resources Information Center

    Colombo Plan Bureau (Sri Lanka).

    Proceedings of the Sixth Colloquium on Intra-Regional Technical Training sponsored jointly by the Colombo Plan and the Government of Malaysia are presented in this report. Four working papers are presented centered around three main areas of concern: influence of technical education on economic development; how the status of technicians could be…

  20. 75 FR 71075 - Action Affecting Export Privileges; Anvik Technologies Sdn. Bhd., a/k/a Anvik Technologies; Babak...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ..., Menara Citibank, 165 Jalan Ampang, Kuala Lumpur 50450, Malaysia Level 19, Two International Finance... Lumpur 50250, Malaysia Level 36, Menara Citibank, 165 Jalan Ampang, Kuala Lumpur 50450, Malaysia Level 19... Standard Chartered, 30 Jalan Sultan Ismail, Kuala Lumpur 50250, Malaysia. Level 36, Menara Citibank,...

  1. Proceedings of the International Symposium on the Dynamics and Structures of Terrorist Threats in Southeast Asia, Held at Kuala Lumpur, Malaysia

    DTIC Science & Technology

    2005-09-01

    Muslim world, poverty and economic deprivation remain important forces facilitating the spread of violent militant ideologies and sympathies in...increasingly important pre-requisite to success, especially in the hotspots such as Indonesia . In its contemporary history, Southeast has witnessed...the position of robust regional economic integration and global economic leadership that is its aim, regional security is of vital importance

  2. Workshop on Systems Interconnexions: Standardization, Uniformity and Co-ordination in Population/Family Planning Information Network (Kuala Lumpur, Malaysia, April 12-16, 1976).

    ERIC Educational Resources Information Center

    Hawaii Univ., Honolulu. East-West Center.

    The "information explosion" in the field of population has created a need for proper identification, systematization, dissemination, and utilization of population information. To help meet these needs in the Asian and Pacific regions, the Clearinghouse and Information Section of the Population Division of ESCAP (Economic and Social…

  3. The exposure assessment of airborne particulates matter (PM10 & PM2.5) towards building occupants: A case study at KL Sentral, Kuala Lumpur, Malaysia

    NASA Astrophysics Data System (ADS)

    Mohddin, S. A.; Aminuddin, N. M.

    2014-02-01

    Airborne particulates have been recognized as a crucial pollutant of indoor air. These pollutants can contribute towards poor indoor air quality (IAQ), which may affect human health in immediate or long term. This study aims to determine the level of IAQ and the effects of particulate towards occupants of office buildings (the office buildings selected for the case study are SSM, KTMB and MRCB at KL Sentral). The objectives of study are (i) to measure the level of airborne particulates that contribute to the IAQ during working hours, (ii) to compare the level of airborne particulates with the existing guidelines and standards of IAQ in Malaysia and other Asian countries and (iii) to assess the symptoms associated with airborne particulates among the building occupants, which were achieved through primary data collection (case study or site survey, structured interview and questionnaire survey) and supported by literature reviews. The results showed that the mass concentration level of airborne particulates within the areas has exceeded the allowable limit of 0.15mg/m3 by IAQ Code of Practice, 2005 of the Department of Safety and Health (DOSH), Malaysia and 0.05mg/m3 by the Department of Environmental (DOE) (outdoor) of 8 hours continuous sampling. Based on the findings, the highest mass concentration values measured is 2.581 mg/m3 at lobby of SSM building which is the highest recorded 17 times higher from the maximum limit recommended by DOSH than the others. This is due to the nearby construction works and the high numbers of particulates are generated from various types of vehicles for transportation surrounding KL Sentral. Therefore, the development of Malaysian Ambient Air Quality Guidelines on PM2.5 as one of the crucial parameters is highly recommended.

  4. Workshop on the Development of the UNESCO Co-Action Learning Centre Programme (1st, Kuala Lumpur, Malaysia, November 12-18, 1992). Final Report.

    ERIC Educational Resources Information Center

    National Federation of UNESCO Associations in Japan, Tokyo.

    This publication summarizes reports from a workshop to share the experience of UNESCO's literacy program and to learn about other effective experiences in literacy available in the region. The opening of the workshop and election of officers is reported. Summaries of the following reports are given: (1) the role of learning centers to achieve…

  5. Preparation for Adulthood. Proceedings of the Asian Workshop on Child and Adolescent Development (3rd, Kuala Lumpur, Malaysia, April 9-14, 1984).

    ERIC Educational Resources Information Center

    Ching, Leong Yin, Ed.; And Others

    Attended by participants from 19 nations, this conference focused on six topics related to child and adolescent development. Major topics discussed included child development and related issues, curriculum and the adolescent, the adolescent and technological changes, and the preparation of youth for adulthood. Symposia focusing on child…

  6. Ectoparasite fauna of rodents and shrews from four habitats in Kuala Lumpur and the states of Selangor and Negeri Sembilan, Malaysia and its public health significance.

    PubMed

    Paramasvaran, S; Sani, R A; Hassan, L; Krishnasamy, M; Jeffery, J; Oothuman, P; Salleh, I; Lim, K H; Sumarni, M G; Santhana, R L

    2009-12-01

    A total of 204 rodents comprising 14 host species from four different habitats were examined. Nine rodent species were trapped from the forest and another five species were trapped from the coastal, rice field and urban habitats. Rattus rattus diardii (67%) was the predominant rodent species examined. Fifty six (47.3%) rodents and shrews were found to be infested with at least one of the 20 species of ectoparasite recovered. Mites belonging to the family Trombiculidae were the predominant ectoparasite species recovered. Ticks belonging to the family Ixodidae were recovered mainly from the forest dwelling rodents. Polyplax spinulosa and Hoplopleura pacifica were the common lice species found infesting the urban rodents. Xenopsylla cheopis was the only flea species recovered. The following ecto-parasites have been incriminated as important vectors or as mechanical carriers for the transmission of zoonotic diseases: Ixodes granulatus, Dermacentor sp. Haemaphysalis sp., Amblyomma sp. Ascoschoengastia indica, Leptotrombidium deliense, Ornithonyssus bacoti, Laelaps nuttalli, H. pacifica, P. spinulosa and Xenopsylla cheopis. Urban and forest rodents were significantly higher in ecto-parasitic infestation, compared to rats from the other two habitats. However, there was no significant statistical association between male and female rodents infested with ectoparasites.

  7. Case Studies on Technical and Vocational Education in Asia and the Pacific. Report of Regional Meeting (Kuala Lumpur, Malaysia, December 12-15, 1994). Exemplar Curriculum Project Working Group Report.

    ERIC Educational Resources Information Center

    Haas, Adrian, Ed.

    This conference report provides summaries of presentations of country case studies from a project to investigate factors that impinged upon the status of technical and vocational education (TVE) in Asian and Pacific countries. The report includes the case study project terms of reference, a list of delegates, and agenda. Summaries follow of the…

  8. Indonesia, Malaysia, and the Philippines Security Cooperation in the Celebes Sea

    DTIC Science & Technology

    2008-06-01

    creating a forum for the region’s defense ministers to discuss security and defense issues. In May of 2006, the first ADMM was held in Kuala Lumpur ...144 On April of 2008, Datuk Salim, Malaysia’s high Commissioner to Australia mentioned that Kuala Lumpur should seize the vast mutual cooperation...the goals of the Bali Concord II. In May of 2006, the first ADMM was held in Kuala Lumpur Malaysia, where the nations’ representatives declared

  9. Explaining Intervention in Southeast Asia: A Comparison of the Muslim Insurgencies in Thailand and the Philippines

    DTIC Science & Technology

    2007-12-01

    state of Sabah and the Spratly Islands. Despite the strained relationship between Kuala Lumpur and Manila, GRP officials invited Malaysian diplomats...at Bangkok’s request, Kuala Lumpur allowed the United Nations High Commissioner for Refugees (UNHCR) to interview and screen the group. The effort...Muslims, and how this relationship intersects with the broader political realities faced by Kuala Lumpur to produce policies averse to intervention

  10. JPRS Report, East Asia, Southeast Asia.

    DTIC Science & Technology

    1988-10-11

    and Melaka . NLAC To Discuss Draft Amendments to Labor T 9WC 42130176c Kuala Lumpur BERIT A HAR1AN in Malay 12 Jul 88 p 6 [Text] Kuala Lumpur...actions." He made this statement in answer to a supplementary question by Mohamad Noh Rajab (National Front, Tampin [ Melaka ]). According to the prime

  11. 76 FR 19788 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Telemanagement Forum

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-08

    ... GVT; Hello Axiata Company Limited to Hello Axiata Company Ltd., Khan Chamkarmon, Phnom Penh, CAMBODIA... Lumpur, MALAYSIA; Dialog Axiata PLC to Colombo, SRI LANKA; Hello Axiata Company Ltd. to Khan...

  12. JPRS Report, East Asia, Southeast Asia.

    DTIC Science & Technology

    2007-11-02

    Any Issue 4 Counsel: UMNO Plaintiffs Entitled To Sue 4 Report on High Court Proceedings in UMNO Case 5 National Front’s Support for Mahathir...biscuits. Authorities here consider them strategic goods—which could be used to increase the strength of enemy troops. Although the Thai government has...rectified," he said. Report on High Court Proceedings in UMNO Case 42130085b Kuala Lumpur UTUSAN MALAYSIA in Malay 4 Feb 88 p 1 [Text] Kuala Lumpur, 3

  13. Southeast Asia Report

    DTIC Science & Technology

    2007-11-02

    Feature Views Management Errors, Economic Priorities (NOUM LAO, 8-14 Aug, 1-7 Oct 86) ■ MALAYSIA Mahathir Opens ASEAN Economic Congress (Kuala Lumpur...and nonmaterial needs are properly met. 9884/9738 CSO: 4206/62 MALAYSIA MAHATHIR OPENS ASEAN ECONOMIC CONGRESS BK130845 Kuala Lumpur International...is organized by the group of 14 set up to determine ASEAN economic cooperation and integration. /12624 CSO: 4200/418 MALAYSIA COMMENTARY VIEWS

  14. Impact of Strategic Culture on U.S. Policies for East Asia

    DTIC Science & Technology

    2007-11-02

    call for creating a Zone of Peace, Freedom and Neutrality (ZOPFAN) at the 1971 Special Ministerial Meeting in Kuala Lumpur was finally agreed to as a...US Relations: Real or Otherwise?” in Asian Defence and Diplomacy Vol. 9, No. 2, ( Kuala Lumpur , Malaysia, Feb 2003), 37. 58 Ibid., 36. 59 Chandran...This reduced dependence on a great power’s military umbrella has increased the importance of trade, educational, technology, tourism , religious

  15. Understanding of Parents and Adults on the Down Syndrome Female Sexual Reproductive Health

    ERIC Educational Resources Information Center

    Zhagan, Madhya

    2013-01-01

    The purpose of this study is to determine the understanding of reproductive health among parents and female adolescents with Down syndrome. This cross-sectional study involved 22 parents and 22 female adolescents with Down syndrome in Kuala Lumpur, Malaysia. The parents were required to fill up the socio-demographic information in questionnaire…

  16. LANGUAGE POLICY AND HIGHER EDUCATION IN SOUTHEAST ASIA, FINAL DRAFT OF CONSULTANT'S REPORT.

    ERIC Educational Resources Information Center

    NOSS, RICHARD B.

    A FIELD INVESTIGATION FOR THIS REPORT WAS CONDUCTED FROM SEPTEMBER TO DECEMBER 1964 THROUGH THE FACILITIES OF THE JOINT UNESCO-IAU RESEARCH OFFICE ON HIGHER EDUCATION IN KUALA LUMPUR. IN FIVE OF THE EIGHT COUNTRIES COVERD BY THE REPORT (MALAYSIA, THAILAND, CAMBODIA, SOUTH VIETNAM, AND THE PHILIPPINES), IT WAS POSSIBLE TO MAKE "FAIRLY…

  17. 78 FR 7430 - Change in Bank Control Notices; Acquisitions of Shares of a Bank or Bank Holding Company

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ... a family group including Diane M. Hendricks; to retain voting shares of Blackhawk Bancorp, Inc., and... Kuala Lumpur, Malaysia; Min Jie Thian of New York, New York; United Overseas Investment, Inc. and... RBB Bancorp, and thereby indirectly retain voting shares of Royal Business Bank, both in Los...

  18. 78 FR 22237 - Trade Mission to Philippines and Malaysia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ... International Trade Administration Trade Mission to Philippines and Malaysia AGENCY: International Trade... executive led education industry trade mission to Manila, Philippines and Kuala Lumpur, Malaysia from... the Philippines and Malaysia. The mission will include one-on-one appointments with potential...

  19. Islamic Public Infrastructure Financing: An Analysis of Alternative Financing Instruments with Application in Developing Countries

    DTIC Science & Technology

    2004-06-01

    Muhammad Akram Khan suggests ranking higher those projects that lead to greater distribution of income, alleviation of poverty of greater numbers of...Ghazali Sheikh Abod, Syed Omar Syed Agil, and Aidit Hj. Ghazali (Kuala Lumpur: Quill Publishers, 1992), 170. 20 Muhammad Akram Khan, “Time Value of...

  20. Education Policies and Practices to Address Cultural Diversity in Malaysia: Issues and Challenges

    ERIC Educational Resources Information Center

    Malakolunthu, Suseela; Rengasamy, Nagappan C.

    2012-01-01

    The 1969 racial riot in Kuala Lumpur served as a historical landmark in the development of Malaysian education, as it raised concerns about the state of national unity in the country. Subsequently, education was coupled with the socioeconomic restructuring of Malaysian society in line with the New Economic Policy (NEP) that commenced in 1970.…

  1. Army Transformation: Navigating into the Blue Ocean

    DTIC Science & Technology

    2012-03-22

    the Petroliam Nasional Berhad (PETRONAS), Malaysia’s national petroleum corporation, a Government Linked Company (GLC). This attachment of officers...Council, (Kuala Lumpur: Percetakan Nasional Malaysia Berhad, 2009) Part I & II. 21 17 Army and Prisons Officials to Lead New Program, The New

  2. Misconceptions Highlighted among Medical Students in the Annual International Intermedical School Physiology Quiz

    ERIC Educational Resources Information Center

    Cheng, Hwee-Ming; Durairajanayagam, Damayanthi

    2012-01-01

    The annual Intermedical School Physiology Quiz (IMSPQ), initiated in 2003, is now an event that attracts a unique, large gathering of selected medical students from medical schools across the globe. The 8th IMSPQ, in 2010, hosted by the Department of Physiology, University of Malaya, in Kuala Lumpur, Malaysia, had 200 students representing 41…

  3. 78 FR 25532 - Actions Taken Pursuant to Executive Order 13382

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ..., Kuala Lumpur, 50450, Malaysia; SWIFT/BIC FIIB MY KA; alt. SWIFT/BIC FIIB MY KA KUL . 3. INTERNATIONAL SAFE OIL (a.k.a. ``ACCOUNT INTERNATIONAL SAFE OIL''), Tazunit Level 13, Main Office Tower Financial... International Emergency Economic Powers Act (50 U.S.C. 1701-1706) (``IEEPA''), issued Executive Order 13382...

  4. The Learning Management System at the Defence University: Awareness and Application

    ERIC Educational Resources Information Center

    Juhary, Jowati

    2013-01-01

    This brief paper examines the issues of awareness and application of a Learning Management System (LMS) used at the National Defence University of Malaysia (NDUM), Kuala Lumpur Malaysia. The paper argues that due to the discouraging responses from academics at the university on using the LMS, proactive measures must be taken immediately in order…

  5. A Thermal Stability Test for Primary Explosive Stab Sensitizers: Study of the Thermal and Hydrolytic Stability of 2-Picryl-5-Nitrotetrazole,

    DTIC Science & Technology

    1984-02-01

    CRC Press, Ohio, 56th edition, p. E-46. 13. Krien, G. (1976). " Uber die Thermische Zersetzung von Tatrazen" in Proc. 4th. Symp. on Chem. Prob. Conn...Standardisation Representative (4 copies) Director, Defence Research Centre, Kuala Lumpur, Malaysia Exchange Section, British Library, UK Periodicals

  6. Seafloor in the Malaysia Airlines Flight MH370 Search Area

    NASA Astrophysics Data System (ADS)

    Smith, Walter H. F.; Marks, Karen M.

    2014-05-01

    On the morning of 8 March 2014, Malaysia Airlines flight MH370, from Kuala Lumpur to Beijing, lost contact with air traffic control shortly after takeoff and vanished. While the world waited for any sign of the missing aircraft and the 239 people on board, authorities and scientists began to investigate what little information was known about the plane's actual movements.

  7. 78 FR 75458 - Addition of Certain Persons to the Entity List; Amendment of Entity List Entries; and Removal of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-12

    .... --Level 36, Menara Citibank, 165 Jalan Ampang, Kuala Lumpur, Malaysia, 50450; and Level 20, Menara... Jay; --Sam Lee; --Samson Lee; and --David Lee. Level 36, Menara Citibank, 165 Jalan Ampang, Kuala... Engineering Ltd.; and Montana Advanced Engineering. Level 36, Menara Citibank, 165 Jalan Ampang, Kuala...

  8. Effects of New Technology on the Operating Room Team

    DTIC Science & Technology

    2004-06-01

    robotic surgery , on the other hand, surgeon was not only responsible for performing the surgery...Console Console Nurse Verbal Where the tools are? Robotic surgery What’s the information Physical state of robot Coming from the...Lumpur: Damai Sciences. 312 Information conveyed by surgeon Robotic surgery

  9. Human Rights and Internal Security in Malaysia: Rhetoric and Reality

    DTIC Science & Technology

    2006-03-01

    Sarawak occupy the northeast part of the island of Borneo. The total Malaysian population, based on 2002 statistics , is approximately 24 million.45...1999,” (Budget Speech, House of Representatives, Kuala Lumpur, 21 October 1998). 45 Malaysia Department of Statistics , Malaysia: Monthly Statistical

  10. The Mental Skills Training of University Soccer Players

    ERIC Educational Resources Information Center

    Sadeghi, Hassan; Omar-Fauzee, Mohd-Sofian; Jamalis, Marjohan; Ab-Latif, Rozita; Cheric, Majid Chahrdah

    2010-01-01

    The purpose of this study is to identify the kind of mental skills training needed most by the university soccer players. Eight male university football players (aged 25 to 36) from one large university in Kuala Lumpur agreed to participate in this study. On average, they have 10 years of playing experience. All of them have signed the informed…

  11. Preliminary Insight of Information Literacy Competencies among School Library Media Teachers

    ERIC Educational Resources Information Center

    Tan, Shyh-Mee; Diljit, Singh

    2010-01-01

    This study examines library media teachers' perception of information literacy, their current levels of information literacy competencies, and the factors affecting information literacy implementation in secondary schools. 36 library media teachers from Selangor, Negeri Sembilan and Kuala Lumpur participated in this self-report questionnaire-based…

  12. Child Development: Preschool Children.

    ERIC Educational Resources Information Center

    Chiam, Heng Keng, Ed.

    This book reports some of the results of an extensive study of the physical, cognitive, language, social, and emotional development of Malaysian children. Chapter 1 of the book describes the demographics of the sample. Subjects were 3,099 preschool children in the state of Selangor and the federal district of Kuala Lumpur, Malaysia. Data is…

  13. An Exploratory Study of the Language-Learning Style Preferences of Iranian EFL High School Students

    ERIC Educational Resources Information Center

    Ramezani, Afsaneh Effatdokht; Dehgahi, Meysam; Hashemi, Hanie

    2015-01-01

    This study explored the learning style preferences of 40 Iranian students at Marefat Iranian high school in Kuala Lumpur of which, 20 are females and 20 are males. To this end, this study used structured interview to elicit in-depth information from the students. The results of the study showed that learning style preferences of Iranian students…

  14. Empirical and Historical Perspectives on the Growth of Pentecostal-Style Churches in Malaysia, Singapore and Hong Kong

    ERIC Educational Resources Information Center

    Kay, William K.

    2013-01-01

    This article considers the growth of Pentecostal-style churches in Southeast Asia, and specifically in Hong Kong, Kuala Lumpur and Singapore. It outlines four reasons for the growth that occurred and then, using qualitative and quantitative data in a mixed mode, seeks to test the hypotheses it derives. It concludes that each of the hypotheses…

  15. Educational Encouragement, Parenting Styles, Gender and Ethnicity as Predictors of Academic Achievement among Special Education Students

    ERIC Educational Resources Information Center

    Khan, Aqeel; Ahmad, Roslee; Hamdan, Abdul Rahim; Mustaffa, Mohamed Sharif

    2014-01-01

    Current study examines the predictors of academic achievement: role of parenting styles, educational encouragement, gender and ethnicity among special education students. Participants of this study consisted 200 special education students (N = 105 boys and N = 95 girls) age varies 14 to 19 years from one school located at Kuala Lumpur, Malaysia.…

  16. Food Security as a Constraint on National Policy Decision Making in the Arab Region: A Case Study on Food Security in Sudan

    DTIC Science & Technology

    2009-04-17

    appropriate solutions for the crisis. The outcome ofa conference held in Kuala Lumpur titled "Poor Muslims" was resolving the problem in a fundamental way...34 Happy tours travel & Tourism . Website: http://www.happytoursagency.com/english/aboutsudan.htm. (Accessed 12 November 2008). Ibid Ibid "Islamic

  17. Building Maritime Security in Southeast Asia: Outsiders Not Welcome?

    DTIC Science & Technology

    2008-01-01

    Azhar Ghani, “Jakarta Using S’pore, KL as Bogeymen?” Straits Times, 17 March 2007, available at app.mfa.gov.sg. (“KL” refers to Kuala Lumpur , the...strait itself. Malaysia is also concerned with protecting its fishing and tourism industries, which would be adversely affected by collisions and

  18. Visa Security Policy: Roles of the Departments of State and Homeland Security

    DTIC Science & Technology

    2011-06-30

    India; Indonesia; Iraq; Jerusalem, Israel; Jordan; Kuala Lumpur , Malaysia; Kuwait; Lebanon; Mexico; Morocco; Nigeria; Pakistan...merely administer the visa process. They warn that consular officers are too concerned about facilitating tourism and trade to scrutinize visa...consular officers emphasize the promotion of tourism , commerce, and cultural exchange and are lax in screening foreign nationals who want to come

  19. Overcoming the Ulama: Globalizing Iran’s Political Economy

    DTIC Science & Technology

    2008-12-01

    College of Economics, Kuala Lumpur , Malaysia (1983), and the International Association of Islamic Economics (1984), from Mohammad Umar Chapra, “What...personal contact through international trade and tourism . These indicators aside, Iran shows promise on the technology front with increased number of

  20. Enhanced index tracking modeling in portfolio optimization with mixed-integer programming z approach

    NASA Astrophysics Data System (ADS)

    Siew, Lam Weng; Jaaman, Saiful Hafizah Hj.; Ismail, Hamizun bin

    2014-09-01

    Enhanced index tracking is a popular form of portfolio management in stock market investment. Enhanced index tracking aims to construct an optimal portfolio to generate excess return over the return achieved by the stock market index without purchasing all of the stocks that make up the index. The objective of this paper is to construct an optimal portfolio using mixed-integer programming model which adopts regression approach in order to generate higher portfolio mean return than stock market index return. In this study, the data consists of 24 component stocks in Malaysia market index which is FTSE Bursa Malaysia Kuala Lumpur Composite Index from January 2010 until December 2012. The results of this study show that the optimal portfolio of mixed-integer programming model is able to generate higher mean return than FTSE Bursa Malaysia Kuala Lumpur Composite Index return with only selecting 30% out of the total stock market index components.

  1. Southeast Asia Report

    DTIC Science & Technology

    1984-03-14

    Before leaving Kuala Lumpur for home today, Mr Hawke had talks with the Malaysian prime minister, Dr Mahathir, which officials later described as...victorious event even though it was cruelly 30 suppression by the British forces. In the end, Brunei was not included in the Malaysian Federation. In view...has the authority to designate additional registration days to accommodate voters unable to register during the four days fixed by law . Chairman

  2. Southeast Asia Report

    DTIC Science & Technology

    2007-11-02

    16 Mar 87) 22 In Seremban 22 Among Aborigines 22 Foreign Christian Groups Warned 23 Increase in EEC Import Duties on Palm Oil Opposed...MALAYSIA INCREASE IN EEC IMPORT DUTIES ON PALM OIL OPPOSED Kuala Lumpur UTUSAN MALAYSIA in Malay 11 Feb 87 p 8 [Editorial: "Liberate the EEC Market...34] [Text] It is natural that Malaysia, as the leading exporter of palm oil, should give serious attention to the plans of the European Economic

  3. Profiles of men-who-have-sex-with-men seeking anonymous voluntary HIV counseling and testing at a community-based centre in Malaysia.

    PubMed

    Koh, K C; Kamarulzaman, A

    2011-12-01

    Community-based HIV voluntary counseling and testing (VCT) services is an effective alternative for mapping the local demographics of at-risk populations for HIV as well as provide an acceptable and reliable means of early detection of HIV. We describe the profiles of men-who-have-sex-with-men (MSM) who sought VCT services in a community based centre in Kuala Lumpur.

  4. East Asia Summit: Steps toward Community to Prevent Great Power Hegemony and Implications for U.S. Policy

    DTIC Science & Technology

    2006-03-15

    East Asia Forum, in Kuala Lumpur on 6 12 December 2004, Malaysian Prime Minister Abdullah Ahmad Badawi delivered the keynote address on the theme of an...East Asian Community. Mr. Badawi stated: There is no alternative but to take concerted common action in various forms in order to protect and promote...regional cooperation in the past. The way forward must include building blocks for regional integration.58 Mr. Badawi continued by proposing the

  5. Addressing a silent killer - The International Conference on Betel Quid and Areca Nut

    Cancer.gov

    The Center for Global Health, National Cancer Institute, in coordination with the National Institute of Dental and Craniofacial Research , The University of Texas at MD Anderson Cancer Center, Oral Cancer Research Coordinating Center, University of Malaya, Taiwan Health Promotion Administration, Ministry of Health and Welfare, and with the generous support of the Malaysia Ministry of Health, hosted the International Conference on Betel Quid and Areca Nut in Kuala Lumpur Malaysia on April 27-28, 2016.

  6. Contributions to Industrial Development of Science and Technology Institutions in Malaysia and Opportunities for Bilateral Cooperation.

    DTIC Science & Technology

    1979-09-01

    Motorola Research Center in Ft. Lauderdale, Florida. Research activities in the private sector are likely to increase in South - east Asia in response to...Policies. Kuala Lumpur: University of Malaya Cooperative Bookstore, 1975. Hughes, Helen. "The Manufacturing Industry Sector," in South - east Asia’s...Malaysia, or the Peninsula, and East Malaysia, which includes the states of Sabah and Sarawak. Although East Malaysia accounts for 60%b of the nation’s

  7. Measles among U.S.-bound refugees from Malaysia--California, Maryland, North Carolina, and Wisconsin, August-September 2011.

    PubMed

    2011-09-23

    On August 26, 2011, California public health officials notified CDC of a suspected measles case in an unvaccinated male refugee aged 15 years from Burma (the index patient), who had lived in an urban area of Kuala Lumpur, Malaysia, which is experiencing ongoing measles outbreaks. Currently, approximately 92,000 such refugees are living in urban communities in Malaysia. Resettlement programs in the United States and other countries are ongoing. The health and vaccination status of urban refugees are largely unknown.

  8. The Search for Peace in Mindanao: Resolving a Wicked Problem

    DTIC Science & Technology

    2012-03-22

    AD as unconstitutional.16 What began as a singular concern of a Mindanao- based local executive quickly turned public opinion against the MOA-AD...Kuala Lumpur to witness the signing of the agreement.17 In reaction to the collapse of the MOA-AD, base commands of the MILF‘s Bangsamoro Islamic Armed...partisan groups. At the same time, however, there was an imperative to expedite the process based on an order from the Office of the President.28 This

  9. Worldwide Report, Epidemiology

    DTIC Science & Technology

    2007-11-02

    MALAYSIA Malaria Hits Alarming High in Japan (Subhadra Devan; Kuala Lumpur NEW STRATIS TIMES, 4 Sep 85) 32 - b - PAKISTAN Zia Talks About Plans To...waiters or handling food . Mathias said if a restaurant worker was an active carrier of Hepatitis B, a viral disease is often used as a model for...with bodily wastes , move from inside the body to the outside, infecting wounds. Dr. Losos said. Liquid soap dispensers can harbor pseudomo- nas, a

  10. JPRS Report, East Asia, Southeast Asia

    DTIC Science & Technology

    2007-11-02

    Economic Management 7 PASASON Sees Need for Enterprises To Adopt Capitalist Expertise 7 MALAYSIA Mahathir Hands Over $100,000 to PLO 9 Libyan...Diplomats in Malaysia Spearhead Asia-Pacific ’Offensive’ 9 Mahathir Warns Japanese Investors About ’Western Media Distortion’ 10 Negotiations To...9604 JPRS-SEA-88-033 10 August 1988 FIJI Study of Nation’s Leadership 42130148a Kuala Lumpur UTUSAN MALAYSIA in Malay 2 Jun 88 p 6 [Article by

  11. Strategic Art and Energy: An Alternative Ends-Ways-Means View

    DTIC Science & Technology

    2007-05-09

    Conference, Kuala Lumpur, Malaysia , 13 June 2005 3 Energy data from U.S. Energy Information Agency, http://www.eia.doe.gov/pub/international/iealf...STRATEGIC ART AND ENERGY : AN ALTERNATE ENDS-WAYS-MEANS VIEW BY COLONEL JOHN B. WISSLER United States Air Force DISTRIBUTION STATEMENT A...2007 4. TITLE AND SUBTITLE Strategic Art and Energy An Alternative Ends-Ways-Means View 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT

  12. The Growing Prospects for Maritime Security Cooperation in Southeast Asia

    DTIC Science & Technology

    2005-01-01

    vast revenues in such industries as fishing, hydrocarbon extrac- tion, and tourism . In fact, more than 60 percent of Southeast Asians today live in or...Kuala Lumpur Bangkok Phnom Penh Hanoi Vientiane Rangoon (Yangon) Timor Sipadan, Litagan Is. Penang Celebes Bali Borneo Java Sumatra Spratly Islands...international maritime trade was a target. Finally, the 12 October triple bombing in Bali proved that Southeast Asia was on the front lines of

  13. Asia Pacific Economic Cooperation (APEC) and the 2008 Meetings in Lima, Peru

    DTIC Science & Technology

    2009-03-31

    and decides that Individual Action Plans should be updated annually. 1998 - Kuala Lumpur , Malaysia President Clinton does not attend because of the...Resource Conservation, (7) Telecommunications, (8) Transportation, (9) Tourism , and (10) Fisheries. Each working group has one or more shepherds...health problems due to SARS, the economies of both SARS-infected and non-infected members were harmed by the loss of tourism .47 The value of having

  14. Chaotic behavior in Malaysian stock market: A study with recurrence quantification analysis

    NASA Astrophysics Data System (ADS)

    Niu, Betty Voon Wan; Noorani, Mohd Salmi Md; Jaaman, Saiful Hafizah

    2016-11-01

    The dynamics of stock market has been questioned for decades. Its behavior appeared random yet some found it behaves as chaos. Up to 5000 daily adjusted closing data of FTSE Bursa Malaysia Kuala Lumpur Composite Index (KLSE) was investigated through recurrence plot and recurrence quantification analysis. Results were compared between stochastic system, chaotic system and deterministic system. Results show that KLSE daily adjusted closing data behaves chaotically.

  15. 4th International Conference on Electronic Devices, Systems and Applications 2015 (ICEDSA)

    NASA Astrophysics Data System (ADS)

    Herman, Sukreen Hana

    2015-11-01

    On behalf of the Organizing Committee of ICEDSA2015, and with great pleasure, we would like to welcome all delegates to Kuala Lumpur, Malaysia. Being held from 14th to 15th September 2015 at Hotel Istana, Kuala Lumpur, the event is co-sponsored by the Faculty of Electrical Engineering, Universiti Teknologi MARA (UiTM), Malaysia, and the American University of Ras Al Khaimah, (AURAK), United Arab Emirates. This joint conference is an event held under the MoU signed between UiTM and AURAK, the aim being for this conference to be organized by both universities in the future. The conference creates a forum for engineers, scientists and practitioners of varied disciplines and their associated applications. Throughout this event we hope to create an opportunity for researchers, academics and students to get together and, more importantly, to welcome new peers in diverse areas of expertise. On behalf of the organizing committee we would like to take the opportunity to express our gratitude to all reviewers who have been working hard to review the papers on time and share their expertise. Special mention goes to the distinguished Keynote Speakers for their willingness to spend their time and share their valuable knowledge. My deepest gratitude goes to the Organizing Committee who have been working hard behind the scenes for the success of this event. To all participants, we would like to encourage you to fully utilize this platform for knowledge sharing and networking while enjoying your stay in Kuala Lumpur.

  16. Remodeling and Flood Forecasting due to Climate Change and Land Used:

    NASA Astrophysics Data System (ADS)

    Mohammad, Munira; Bárdossy, András.

    2010-05-01

    This study is to review the impact of climate change and land used on flooding through the SMART Project. It also simulate the Flood Forecasting in Klang River Basin in order to compare the changes in the existing river system in Klang River Basin with the Storm water Management and Road Tunnel (SMART) which is now already operating in the city center of Kuala Lumpur.The catchment area of the Klang River basin is 1,288 square kilometers (km2), and it is the most urbanized region in Malaysia, encompassing the Federal Territory of Kuala Lumpur and part of the state of Selangor. The basin spreads over nine local government authorities and faces serious environmental degradation and flooding problems from urbanization, industrialization, and population growth. More than half of the basin has been urbanized, and much of this continuing urban development has taken place on land that is prone to flooding. Flooding problem in Klang River Basin is still exist even measures and numerous flood mitigation projects and programs has been carried out by many parties. Even though that the new drainage guideline has been proposed since year 2000, flood reduction for Klang River basins is not successful enough. This problem contributed to the needs of this research to enhance the existing flood forecasting and mitigation project. This study analyzed and quantified the spatial patterns and time-variability of daily, monthly and yearly rainfall in Kuala Lumpur. An overview of rainfall patterns will be obtained through the analysis of 12 point data sources. Statistical properties of annual, monthly, and daily rainfall were derived. Spatial correlation fields for the annual and monthly rainfalls were studied.

  17. Southeast Asia Report

    DTIC Science & Technology

    2007-11-02

    TIMES, 24 Jul 85) 19 Some NEP Aspects After 1990: Musa (NEW STRAITS TIMES, 2 Aug 85) 20 Upswing Continues in Palm Oil Output (BUSINESS TIMES...tonnes in 1980 to 1.58 million tonnes last year while exports of palm and palm kernel oil in- creased from 2,479,000 tonnes to 3,289,000 tonnes in...34 . CSO: 4200/1503 20 JPRS-SEA-85-143 19 September 1985 MALAYSIA UPSWING CONTINUES IN PALM OIL OUTPUT Kuala Lumpur BUSINESS TIMES in English 19

  18. Translations on South and East Asia, No. 789.

    DTIC Science & Technology

    1978-11-14

    boost in the post-Emergency period. A whole lot of Nau.iawan Sabhas have come up in the rural areas , mem- bership of the Punjab students union...readiness to assist Defense Territorial Commands I -IV in pressing situations. "Now we have a force which can be definitely ready in 6 hours, if...LOAN FOR POWER PROJECT Kuala Lumpur BUSINESS TIMES in English 2 Sep 78 p 1 [Text] MALAYSIAN Am - bassador Lim Talk Choon today signed here a US$82

  19. Cluster Analysis of the Malaysian Hipposideros

    NASA Astrophysics Data System (ADS)

    Sazali, Siti Nurlydia; Laman, Charlie J.; Abdullah, M. T.

    2008-01-01

    A preliminary study on the morphometric variations among species in the genus Hipposideros was conducted using voucher specimens from the Universiti Malaysia Sarawak (UNIMAS) Zoological Museum and the Department of Wildlife and National Park (DWNP) Kuala Lumpur. A total of 24 individuals from six species of this genus were morphologically studied where all related measurements of body, skull and dental were measured and recorded. The statistical data subjected to the cluster analysis shows that the genus Hipposideros is divided into two major clusters where each species was clearly separated. The cluster analysis among Hipposideros species is useful for aiding in species identification.

  20. Development of an Automated Airfield Dynamic Cone Penetrometer (AADCP) Prototype and the Evaluation of Unsurfaced Airfield Seismic Surveying Using Spectral Analysis of Surface Waves (SSW) Technology.

    DTIC Science & Technology

    1993-12-01

    Malaysia ," 4th Southeast Asian Conference on Soil Engineering, Kuala Lumpur, Malaysia , 7-10 April 1975, pp. 3-62 - 3-79. Ayers, M. E., Thompson, M...mnwwrowl «rlpl« Flar* Ijrp«. Longth 8.3 ft V« lgbt 1 lb. Signal Duration 7 soo. Figure 2.21 Aerial Penetrometer (Molineux 1955) 58 springs, for...a third test is required if the number of blows of the first and second tests are not relatively close. In the worst case , a manual DCP test can

  1. JPRS Report, Epidemiology.

    DTIC Science & Technology

    2007-11-02

    Saravane Malaria Mortality, Lack of Funds MALAYSIA Nine AIDS Carriers Identified In Past 10 Months [Kuala Lumpur BERNAMA, 6 May 89] 6 THAILAND...cases of the disease, mainly among homosexuals—giving rise to the titling of the disease as the " Gay Plague." But now, he said, had spread outside...escape what happens in Africa. We must get our house in order and the time to act is now," he said. "The Gay Plague is already turning into disaster for

  2. Insights from the Genome Sequence of a Salmonella enterica Serovar Typhi Strain Associated with a Sporadic Case of Typhoid Fever in Malaysia

    PubMed Central

    Yap, Kien-Pong; Teh, Cindy Shuan Ju; Baddam, Ramani; Chai, Lay-Ching; Kumar, Narender; Avasthi, Tiruvayipati Suma; Ahmed, Niyaz

    2012-01-01

    Salmonella enterica serovar Typhi is the causative agent of typhoid fever, which causes nearly 21.7 million illnesses and 217,000 deaths globally. Herein, we describe the whole-genome sequence of the Salmonella Typhi strain ST0208, isolated from a sporadic case of typhoid fever in Kuala Lumpur, Malaysia. The whole-genome sequence and comparative genomics allow an in-depth understanding of the genetic diversity, and its link to pathogenicity and evolutionary dynamics, of this highly clonal pathogen that is endemic to Malaysia. PMID:22933756

  3. Mortality patterns in Malaysian systemic lupus erythematosus patients.

    PubMed

    Yeap, S S; Chow, S K; Manivasagar, M; Veerapen, K; Wang, F

    2001-09-01

    A retrospective analysis of the case records of 494 systemic lupus erythematosus (SLE) patients under follow-up at University Hospital, Kuala Lumpur during 1976-1990 was performed. Overall mortality was 20.2% (100 patients). The causes of death were infection (30%), renal (15%), respiratory (14%), neurological (5%), cardiovascular (7%), other causes (2%) and unknown (27%). Active SLE was a contributing factor in 19% of the deaths. The patients who died had significantly more renal disease, neurological disease, serositis or thrombocytopenia by the end of the first year of disease compared to the survivors. As in other series, infection and active SLE remain important causes of death.

  4. First Case Report of Canthariasis in an Infant Caused by the Larvae of Lasioderma serricorne (Coleoptera: Anobiidae)

    PubMed Central

    Mokhtar, Aida Syafinaz; Sridhar, Ganiga Srinivasaiah; Mahmud, Rohela; Jeffery, John; Lau, Yee Ling; Wilson, John-James; Abdul-Aziz, Noraishah Mydin

    2016-01-01

    We report an unusual cause of gastrointestinal infection occurring in a 1-year-old infant patient who was brought to a public hospital in Kuala Lumpur, Malaysia. Larvae passed out in the patient’s feces were confirmed by DNA barcoding as belonging to the species, Lasioderma serricorne (F.), known as the cigarette beetle. We postulate that the larvae were acquired from contaminated food and were responsible for gastrointestinal symptoms in the patient. To our knowledge, this the first report of human canthariasis caused by larvae of L. serricorne. PMID:27208008

  5. Trans World Tidal Gravity Profile.

    DTIC Science & Technology

    1976-12-01

    Geodynamics 765 was transferred from Penang to Kuala Lumpur by P. Neichior on november 8. The ins t rument is instal- led in the bascscnt of the i cpartment...stations established in november 197G 3 — Detai led results of the analysis of the new data obtained at Penang , Bandurag, Lauder , Nounea. (Definitive...114 765 0201 BRUXELLES 75 09 14 — 76 03 27 170 1 765 2551 PENANG 76 04 04 — 76 ii 07 164 I 765 * 7550 KUALA LUM°UR 76 11 11 — 1 765 2555 KOTA

  6. Mealybugs (Hemiptera: Coccomorpha: Pseudococcidae) attacking Hibiscus rosa-sinensis L. in Malaysia, with two new country records

    NASA Astrophysics Data System (ADS)

    Sartiami, Dewi; Watson, Gillian W.; Mohamad Roff, M. N.; Idris, A. B.

    2016-11-01

    A survey of mealybugs (Hemiptera: Coccomorpha: Pseudococcidae) attacking the national flower of Malaysia, Hibiscus rosa-sisnensis L. and Hibiscus spp. (Malvaceae) was conducted in Selangor and Kuala Lumpur, Malaysia, from January to March 2016. Adult females were mounted on microscope slides in Canada balsam. The five species identified were Ferrisia dasylirii (Cockerell), Maconellicoccus hirsutus (Green), Paracoccus marginatus Williams and Granara de Willink, Phenacoccus solenopsis (Tinsley) and Pseudococcus jackbeardsleyi Gimpel & Miller. Two of these, the invasive species Ferrisia dasylirii and P. solenopsis were introduced and first recorded in Malaysia.

  7. Time-varying volatility in Malaysian stock exchange: An empirical study using multiple-volatility-shift fractionally integrated model

    NASA Astrophysics Data System (ADS)

    Cheong, Chin Wen

    2008-02-01

    This article investigated the influences of structural breaks on the fractionally integrated time-varying volatility model in the Malaysian stock markets which included the Kuala Lumpur composite index and four major sectoral indices. A fractionally integrated time-varying volatility model combined with sudden changes is developed to study the possibility of structural change in the empirical data sets. Our empirical results showed substantial reduction in fractional differencing parameters after the inclusion of structural change during the Asian financial and currency crises. Moreover, the fractionally integrated model with sudden change in volatility performed better in the estimation and specification evaluations.

  8. Field efficacy of fipronil 3G, lambda-cyhalothrin 10%CS, and sumithion 50EC against the dengue vector Aedes albopictus in discarded tires.

    PubMed

    Sulaiman, S; Pawanchee, Z A; Wahab, A; Jamal, J; Sohadi, A R

    1999-12-01

    The efficacy of three insecticides, fipronil 3G, lambda-cyhalothrin 10%CS, and sumithion 50EC were evaluated against the dengue vector Aedes albopictus in discarded tires in Kuala Lumpur, Malaysia. The dosage given for each insecticide was 0.01 g of active ingredient/m2. Fipronil 3G was the most effective larvicide with a residual activity of up to two weeks, causing 88% mortality in Aedes albopictus. Lambda-cyhalothrin 10%CS was effective for one week causing 92% larval mortality and two weeks with 63% larval mortality. Sumithion 50EC had a residual efficacy of one week with 79% larval mortality.

  9. Oropharyngeal rhinosporidiosis in a migrant worker--a delayed presentation.

    PubMed

    Shailendra, S; Prepageran, N

    2008-03-01

    Rhinosporidiosis is a chronic granulomatous disease caused by an aquatic protistan parasite in the class of Mesomycetozoea, that is endemic in India and the subcontinent. This is a case report of a rhinosporidiosis presenting in an individual from Myanmar, whom had been working in Malaysia for the past four years. The disease is characterized by the appearance of polypoidal, friable growths that contain numerous spore filled cysts that stain with PAS staining. This disease is rarely seen in Malaysians due to the extensive urbanization in Kuala Lumpur, however the increasing numbers of migrant workers in Malaysia today necessitates an increasing awareness in clinicians of the possibility of these conditions.

  10. Counting with Colours? Effect of Colours on the Numerical Abilities of House Crows (Corvus splendens) and Common Myna (Acridotheres tristis).

    PubMed

    Rahman, Nor Amira Abdul; Ali, Zalila; Zuharah, Wan Fatma; Fadzly, Nik

    2016-08-01

    Kami menjalankan beberapa eksperimen aviari untuk mengenal pasti kesan warna ke atas pemilihan kuantiti oleh dua jenis burung, burung gagak (Corvus splendens) dan burung tiung (Acridotheres tristis). Cacing dalam kuantiti berbeza (tujuh pembahagian berlainan) diberikan kepada burung dalam turutan rawak menggunakan cacing dicat dengan warna merah bagi eksperimen 1 dan menggunakan cacing dicat warna hijau bagi eksperimen 2. Kedua-dua warna cacing merah dan hijau tidak memberi kesan kepada pemilihan kuantiti gagak (merah: ANOVA: F6,30 = 1.748, p = 0.144; dan hijau: ANOVA: F6,30 = 1.085, p = 0.394). Namun demikian, burung tiung menunjukkan kesan pengaruh kuat bagi warna merah ke atas pemilihan kuantiti (ANOVA: F6,30 = 2.922, p = 0.023), dengan burung berjaya memilih jumlah makanan yang lebih besar antara dua cawan, tetapi tidak apabila cacing berwarna hijau ditawarkan (ANOVA: F6,30 = 1.183, p = 0.342). Dalam eksperimen seterusnya, hipotesis kami ialah kedua-dua burung gagak dan burung tiung akan memilih makanan berwarna merah berbanding warna hijau apabila faktor jumlah makanan adalah sama. Kami memilih untuk menguji warna merah dan warna hijau kerana kedua-dua warna memainkan peranan penting dalam pemilihan makanan burung. Keputusan menunjukkan tiada perbezaan signifikan bagi pemilihan cacing merah dan hijau bagi kedua-dua burung gagak (ANOVA: F6,30 = 2.310, p = 0.06) dan burung tiung (ANOVA: F6,30 = 0.823, p = 0.561).

  11. Maximizing the Usage of Technology-Enhanced Teaching and Learning of Science and Mathematics in English Program in the Malaysian Secondary Schools System

    ERIC Educational Resources Information Center

    Luck, Lee Tan; Peng, Chew Fong

    2010-01-01

    This research is attempting to examine the effectiveness in the application of ICT (information and communication technology) and standardize courseware in ETeMS (English for Teaching Mathematics and Science) or PPSMI (Pengajaran and Pembelajaran Sains and Matematic dalam Bahasa Inggeris) in English program in the Malaysian secondary school…

  12. QBO and ENSO variability in temperature and ozone from SHADOZ, 1998-2005

    NASA Astrophysics Data System (ADS)

    Lee, S.; Shelow, D. M.; Thompson, A. M.; Miller, S. K.

    2010-09-01

    Temperature and ozone profiles from SHADOZ (1998-2005) radiosonde and ozonesonde profiles are analyzed. Data from four representative stations are used to investigate regional differences as well as QBO and ENSO influences on vertically fine structure. Principal components of the ozone profile time series at Kuala Lumpur (101°E, 3°N) are adopted as a stratospheric QBO index to study tropospheric temperature and ozone signatures associated with the QBO. A downward propagating QBO ozone signal extends to the mid-troposphere where the phase analysis of the temperature anomalies implies that the driving force is a zonal mean overturning circulation associated with thermal wind adjustment. The maximum tropospheric ozone anomalies associated with the QBO are ≈8 ppbv, about 10-20% that of typical tropical tropospheric ozone values, and differ in phase at the four sites. Temperature and ozone fields, linearly regressed against the QBO index, suggest that dynamical processes, including horizontal transport, play an important role in the observed tropospheric ozone anomalies. Temperature profiles, regressed against the Southern Oscillation Index (SOI), reveal anomalously cool, but also wavy lower stratospheric temperature anomalies over Kuala Lumpur and Nairobi (37°E, 1°S). Tropospheric ozone profiles associated with the SOI show a statistically significant signal that is consistent with anomalous vertical motions that are known to occur during ENSO, but also exhibit fluctuations at a 40-50 day time scale.

  13. Molecular evidence of clonality amongst Vibrio cholerae O1 biotype El Tor during an outbreak in Malaysia.

    PubMed

    Vadivelu, J; Iyer, L; Kshatriya, B M; Puthucheary, S D

    2000-02-01

    Forty-three clinical strains of V. cholerae O1 biotype E1 Tor were isolated between 3 May and 10 June 1998 during an outbreak in the metropolitan area of Kuala Lumpur and its suburbs. With the exception of three Inaba strains that were restricted to three members of a family, all the others belonged to the Ogawa serotype. The strains were analysed for clonality using ribotyping and pulsed-field gel electrophoresis (PFGE). Two ribotypes, V/B21a and B27, were identified among 40 Ogawa isolates using BglI restriction endonuclease. Ribotype V/B21a has been described previously from Taiwan and Colombia and several Asian countries while B27 has been reported among isolates from Senegal. The three Inaba strains belonged to one ribotype, designated type A, not previously reported. PFGE analysis using NotI revealed that all isolates within a ribotype had identical profiles demonstrating clonality amongst the strains. Dice coefficient analysis of the two Ogawa genotypes revealed 89% similarity on ribotype patterns and 91.3% on PFGE profiles. Ribotype V/B21a isolates were associated with cases from dispersed areas of Kuala Lumpur and its suburbs while ribotype B27 was restricted to cases from one particular area suggesting a common-source outbreak.

  14. The opportune time to invest in residential properties - Engle-Granger cointegration test and Granger causality test approach

    NASA Astrophysics Data System (ADS)

    Chee-Yin, Yip; Hock-Eam, Lim

    2014-12-01

    This paper examines using housing supply as proxy to house prices, the causal relationship on house prices among 8 states in Malaysia by applying the Engle-Granger cointegration test and Granger causality test approach. The target states are Perak, Selangor, Penang, Federal Territory of Kuala Lumpur (WPKL or Kuala Lumpur), Kedah, Negeri Sembilan, Sabah and Sarawak. The primary aim of this study is to estimate how long (in months) house prices in Perak lag behind that of Selangor, Penang and WPKL. We classify the 8 states into two categories - developed and developing states. We use Engle-Granger cointegration test and Granger causality test to examine the long run and short run equilibrium relationship among the two categories.. It is found that the causal relationship is bidirectional in Perak and Sabah, Perak and Selangor while it is unidirectional for Perak and Sarawak, Perak and Penang, Perak and WPKL. The speed of deviation adjustment is about 273%, suggesting that the pricing dynamic of Perak has a 32- month or 2 3/4- year lag behind that of WPKL, Selangor and Penang. Such information will be useful to investors, house buyers and speculators.

  15. Psychometric properties of the Drive for Muscularity Scale in Malay men.

    PubMed

    Swami, Viren; Barron, David; Lau, Poh Li; Jaafar, Jas Laile

    2016-06-01

    The Drive for Muscularity Scale (DMS) is a widely used measure in studies of men's body image, but few studies have examined its psychometric properties outside English-speaking samples. Here, we assessed the factor structure of a Malay translation of the DMS. A community sample of 159 Malay men from Kuala Lumpur, Malaysia, completed the DMS, along with measures of self-esteem, body appreciation, and muscle discrepancy. Exploratory factor analysis led to the extraction of two factors, differentiating attitudes from behaviours, which mirrors the parent scale. Both factors also loaded on to a higher-order drive for muscularity factor. The subscales of the Malay DMS had adequate internal consistencies and good convergent validity, insofar as significant relationships were reported with self-esteem, body appreciation, muscle discrepancy, and body mass index. These results indicate that the Malay DMS has acceptable psychometric properties and can be used to assess body image concerns in Malay men.

  16. Portfolio optimization with mean-variance model

    NASA Astrophysics Data System (ADS)

    Hoe, Lam Weng; Siew, Lam Weng

    2016-06-01

    Investors wish to achieve the target rate of return at the minimum level of risk in their investment. Portfolio optimization is an investment strategy that can be used to minimize the portfolio risk and can achieve the target rate of return. The mean-variance model has been proposed in portfolio optimization. The mean-variance model is an optimization model that aims to minimize the portfolio risk which is the portfolio variance. The objective of this study is to construct the optimal portfolio using the mean-variance model. The data of this study consists of weekly returns of 20 component stocks of FTSE Bursa Malaysia Kuala Lumpur Composite Index (FBMKLCI). The results of this study show that the portfolio composition of the stocks is different. Moreover, investors can get the return at minimum level of risk with the constructed optimal mean-variance portfolio.

  17. Arsenic and trace metals in commercially important bivalves, Anadara granosa and Paphia undulata

    SciTech Connect

    Mat, I. )

    1994-06-01

    The semi-culture of marine bivalves particularly Anadara granosa is of considerable economic importance in Malaysia. Currently, about 4-5000 ha of mudflats along the west coast are utilized for this purpose. Therefore, contamination of the highly productive mudflats with heavy metals tend to be accumulated in the filter feeding organisms such as bivalve molluscs which often serve as important environmental sinks of heavy metals. Bivalve molluscs, A. granosa and Paphia undulata are commercially important seafoods and popular among the locals in Malaysia. With this point in mind, it is intended to evaluate the concentration levels of arsenic as well as trace metals (Co, Cu, Ni, Cd, Zn, Cr and Pb) in both species derived from retail outlets in the city of Kuala Lumpur. Although this analysis may not indicate the site of capture but may act as a direct check on the contamination of seafoods available to the consumers. 17 refs., 2 tabs.

  18. A clinical audit on the practice of platelet transfusions at a tertiary paediatric referral centre.

    PubMed

    Jamal, R; Hoe, T S; Ong, L C; Afifah, I; Khuzaiah, R; Doraisamy, G

    1998-06-01

    Platelet transfusions are indicated in a wide variety of clinical conditions especially those with thrombocytopenia. However, without proper clinical practice guidelines, inappropriate transfusions are bound to happen. To ascertain the provision of a quality and appropriate practice of platelet transfusions, an audit study was carried out over a period of one month at the Paediatric Institute, Kuala Lumpur Hospital. A prospective audit was performed during that period whilst a retrospective collection of data was carried out for the previous month for comparison. Based on a set of criteria agreed upon by the audit committee, it was found that in 18.5% (22 of 119) of the cases, the indications for platelet transfusions were inappropriate. The audit committee concluded that there is a need for a more detailed clinical practice guideline for local use to reduce or lower the incidence of inappropriate transfusions of platelets.

  19. Portfolio optimization for index tracking modelling in Malaysia stock market

    NASA Astrophysics Data System (ADS)

    Siew, Lam Weng; Jaaman, Saiful Hafizah; Ismail, Hamizun

    2016-06-01

    Index tracking is an investment strategy in portfolio management which aims to construct an optimal portfolio to generate similar mean return with the stock market index mean return without purchasing all of the stocks that make up the index. The objective of this paper is to construct an optimal portfolio using the optimization model which adopts regression approach in tracking the benchmark stock market index return. In this study, the data consists of weekly price of stocks in Malaysia market index which is FTSE Bursa Malaysia Kuala Lumpur Composite Index from January 2010 until December 2013. The results of this study show that the optimal portfolio is able to track FBMKLCI Index at minimum tracking error of 1.0027% with 0.0290% excess mean return over the mean return of FBMKLCI Index. The significance of this study is to construct the optimal portfolio using optimization model which adopts regression approach in tracking the stock market index without purchasing all index components.

  20. Infectivities of four isolates of Taenia taeniaeformis to various rodents.

    PubMed

    Nonaka, N; Iwaki, T; Okamoto, M; Ooi, H K; Oku, Y; Ohbayashi, M; Kamiya, M

    1994-06-01

    Taenia taeniaeformis were isolated from Norway rats captured at Sapporo (SRN isolate) and Kuala Lumpur, Malaysia (KRN) and from Bedford's gray red-backed voles at Toubetsu (TCR) and Abuta (ACR). SRN, KRN and TCR isolates showed similar degree of infectivity to various rodents in which cysticerci with hooks were obtained in laboratory rats, white tuberous lesions in mice and no cysts or lesions in Mongolian gerbils and voles. Contrary to this, inoculation with ACR isolate eggs resulted in strobilocerci formation in the liver of voles, but no cysts were observed in rats, mice or gerbils. This host specificity of ACR isolate to voles suggests that it might be a new species of Taenia.

  1. Transboundary smoke haze pollution in Malaysia: inpatient health impacts and economic valuation.

    PubMed

    Othman, Jamal; Sahani, Mazrura; Mahmud, Mastura; Ahmad, Md Khadzir Sheikh

    2014-06-01

    This study assessed the economic value of health impacts of transboundary smoke haze pollution in Kuala Lumpur and adjacent areas in the state of Selangor, Malaysia. Daily inpatient data from 2005, 2006, 2008, and 2009 for 14 haze-related illnesses were collected from four hospitals. On average, there were 19 hazy days each year during which the air pollution levels were within the Lower Moderate to Hazardous categories. No seasonal variation in inpatient cases was observed. A smoke haze occurrence was associated with an increase in inpatient cases by 2.4 per 10,000 populations each year, representing an increase of 31 percent from normal days. The average annual economic loss due to the inpatient health impact of haze was valued at MYR273,000 ($91,000 USD).

  2. Islam, sexuality, and the marginal positioning of Pengkids and their girlfriends in malaysia.

    PubMed

    Wong, Yuenmei

    2012-01-01

    Drawing on the lived experiences of the Pengkids and their girlfriends in the deprived district of the capital city of Malaysia, Kuala Lumpur, this article examines transgender practices and women's same-sex desires within the local contexts of urbanization and political Islam. This article questions the assumed marginal positions of transgender practices and same-sex desires in society, and provides a nuanced understanding of the politics of identity, gender, sexuality and religion involved in a Muslim country. While the Muslim-Malay sexual minorities are increasingly subjected to the threats of moral policing in Malaysia, Pengkid has become a new identity marker for the marginalized sexual subject framed by the Islamic discourse of this country.

  3. Study of Solar Driven Silica gel-Water based Adsorption Chiller

    NASA Astrophysics Data System (ADS)

    Habib, K.; Assadi, M. K.; Zainudin, M. H. B.

    2015-09-01

    In this study, a dynamic behaviour of a solar powered single stage four bed adsorption chiller has been analysed designed for Malaysian climate. Silica gel and water have been used as adsorbent-refrigerant pair. A simulation program has been developed for modeling and performance evaluation of the chiller using the meteorological data of Kuala Lumpur. The optimum cooling capacity and coefficient of performance (COP) are calculated in terms of adsorption/desorption cycle time and regeneration temperature. Results indicate that the chiller is feasible even when low temperature heat source is available. Results also show that the adsorption cycle can achieve a cooling capacity of 14 kW when the heat source temperature is about 85°C.

  4. Enhanced index tracking modelling in portfolio optimization

    NASA Astrophysics Data System (ADS)

    Lam, W. S.; Hj. Jaaman, Saiful Hafizah; Ismail, Hamizun bin

    2013-09-01

    Enhanced index tracking is a popular form of passive fund management in stock market. It is a dual-objective optimization problem, a trade-off between maximizing the mean return and minimizing the risk. Enhanced index tracking aims to generate excess return over the return achieved by the index without purchasing all of the stocks that make up the index by establishing an optimal portfolio. The objective of this study is to determine the optimal portfolio composition and performance by using weighted model in enhanced index tracking. Weighted model focuses on the trade-off between the excess return and the risk. The results of this study show that the optimal portfolio for the weighted model is able to outperform the Malaysia market index which is Kuala Lumpur Composite Index because of higher mean return and lower risk without purchasing all the stocks in the market index.

  5. Prevalence of latex hypersensitivity among health care workers in Malaysia.

    PubMed

    Shahnaz, M; Azizah, M R; Hasma, H; Mok, K L; Yip, E; Ganesapillai, T; Suraiya, H; Nasuruddin, B A

    1999-03-01

    Health care workers have been reported to constitute one of the few high-risk groups related to IgE-mediated hypersensitivity associated with the use of latex products. This paper describes the first ever study of prevalence carried out in Malaysia among these workers. One hundred and thirty health care personnel from Hospital Kuala Lumpur were skin tested. Extracts used were prepared from seven different brands of natural rubber latex gloves with varying levels of extractable protein (EPRRIM). Out of the 130 volunteers, 4 (3.1%) had positive skin test to latex with extracts with high levels of EPRRIM (> 0.7 mg/g). The prevalence among the Malaysian health care workers can be considered to be low in comparison to that of some consumer countries as the USA which reported a prevalence of as high as 16.9%.

  6. Religious Commitment and its Relation to Happiness among Muslim Students: The Educational Level as Moderator.

    PubMed

    Achour, Meguellati; Mohd Nor, Mohd Roslan; Amel, Bouketir; Bin Seman, Haji Mohammad; MohdYusoff, Mohd Yakub Zulkifli

    2017-02-03

    This study examines the relationship between religiosity and level of happiness in an Islamic context among Muslim students studying at Malaysian universities. The determinants of happiness included in this research are positive attitudes, self-esteem, and other-esteem. Religiosity has long been considered as the main determinant in increasing happiness, and educational level strengthens its relationship. For this purpose, the researchers sampled 230 Muslim students aged 17-40 years studying at Malaysian universities in Kuala Lumpur, Malaysia. The study found a positive and significant correlation between religious commitment and level of happiness. Religious commitment also shows positive and significant correlations with positive attitudes, self-esteem, and other-esteem. The study also concludes that educational attainment moderates the relationship between religious commitment and happiness. Thus, religious commitment plays a very important role in increasing levels of happiness.

  7. Epidemiology of blood parasitic infections in the urban rat population in peninsular Malaysia.

    PubMed

    Alias, S N; Sahimin, N; Edah, M A; Mohd-Zain, S N

    2014-06-01

    A total of 719 wild rats were captured from four localities representing the west (Kuala Lumpur), east (Kuantan), north (Georgetown) and south (Malacca) to determine the diversity of blood protozoan from the urban wild rat population in peninsular Malaysia. Five rat species were recovered with Rattus rattus diardii being the most dominant species, followed by Rattus norvegicus, Rattus exulans, Rattus annandalei and Rattus argentiventer. Two blood protozoan species were found infecting the rodent population namely, Plasmodium sp. (42.1%) and Trypanosoma lewisi (25.0%). This study reports the presence of Plasmodium sp. for the first time in the rodent population in Malaysia. Two main intrinsic factors were identified affecting the parasitic infections. Trypanosoma lewisi infections were influenced by host age and sex with infections observed higher in male and juvenile rats meanwhile Plasmodium sp. infections were observed almost similar in both sexes. However, infections were higher in sub-adult rats.

  8. History of Neurosurgery in Malaysia

    PubMed Central

    RAFFIQ, Azman; ABDULLAH, Jafri Malin; HASPANI, Saffari; ADNAN, Johari Siregar

    2015-01-01

    The development of neurosurgical services and training in Malaysia began in 1963, with the first centre established in its capital city at Hospital Kuala Lumpur, aimed to provide much needed neurosurgical services and training in the field of neurology and neurosurgery. This center subsequently expanded in 1975 with the establishment of the Tunku Abdul Rahman Neuroscience Institute (IKTAR); which integrated the three allied interdependent disciplines of neurosurgery, neurology and psychiatry. The establishment of this institute catalysed the rapid expansion of neurosurgical services in Malaysia and paved the way for development of comprehensive training for doctors, nurses, and paramedics. This culminated in the establishments of a local comprehensive neurosurgery training program for doctors in 2001; followed by a training program for nurses and paramedics in 2006. To date, there are more than 60 neurosurgeons providing expert care in 11 centers across Malaysia, along with trained personnel in the field of neurosciences. PMID:27006632

  9. Genetic counseling services and development of training programs in Malaysia.

    PubMed

    Lee, Juliana Mei-Har; Thong, Meow-Keong

    2013-12-01

    Genetic counseling service is urgently required in developing countries. In Malaysia, the first medical genetic service was introduced in 1994 at one of the main teaching hospitals in Kuala Lumpur. Two decades later, the medical genetic services have improved with the availability of genetic counseling, genetic testing and diagnosis, for both paediatric conditions and adult-onset inherited conditions, at four main centers of medical genetic services in Malaysia. Prenatal diagnosis services and assisted reproductive technologies are available at tertiary centres and private medical facilities. Positive developments include governmental recognition of Clinical Genetics as a subspecialty, increased funding for genetics services, development of medical ethics guidelines, and establishment of support groups. However, the country lacked qualified genetic counselors. Proposals were presented to policy-makers to develop genetic counseling courses. Challenges encountered included limited resources and public awareness, ethical dilemmas such as religious and social issues and inadequate genetic health professionals especially genetic counselors.

  10. Effect of high sedimentation rates on surface sediment dynamics and mangrove growth in the Porong River, Indonesia.

    PubMed

    Sidik, Frida; Neil, David; Lovelock, Catherine E

    2016-06-15

    Large quantities of mud from the LUSI (Lumpur Sidoarjo) volcano in northeastern Java have been channeled to the sea causing high rates of sediment delivery to the mouth of the Porong River, which has a cover of natural and planted mangroves. This study investigated how the high rates of sediment delivery affected vertical accretion, surface elevation change and the growth of Avicennia sp., the dominant mangrove species in the region. During our observations in 2010-2011 (4-5years after the initial volcanic eruption), very high rates of sedimentation in the forests at the mouth of the river gave rise to high vertical accretion of over 10cmy(-1). The high sedimentation rates not only resulted in reduced growth of Avicennia sp. mangrove trees at the two study sites at the Porong River mouth, but also gave rise to high soil surface elevation gains.

  11. An epidemiological cluster pattern of dengue outbreak amongst close contacts in Selangor, Peninsular Malaysia.

    PubMed

    Ang, K T; Ruhaini, I; Chua, K B

    2006-08-01

    Dengue fever is major public health problem especially among the highly urbanized states of Malaysia, such as, Selangor and Kuala Lumpur Federal Territory. We report an epidemiological cluster pattern of dengue outbreak in the district of Gombak, Selangor that may mimic other acute febrile illnesses in which the transmission mode is via close contact. This dengue outbreak consisted of two waves; an initial cluster of three cases (including the first deceased, JI) which occurred between 20th and 21st of July, followed by a later larger cluster of 11 cases that occurred between 1st and 8th of August 2005. This epidemiological clustering pattern of acute dengue virus infection among close contacts suggests an intense rate of dengue virus transmission within the vicinity of the first deceased's house.

  12. Integrated simulation and data envelopment analysis models in emergency department

    NASA Astrophysics Data System (ADS)

    Aminuddin, Wan Malissa Wan Mohd; Ismail, Wan Rosmanira

    2016-11-01

    This study aims to determine the best resource allocation and to increase the efficiency service of an emergency department in a public hospital in Kuala Lumpur. We integrate Discrete Event Simulation (DES) and three models of Data Envelopment Analysis (DEA); Input-oriented CCR model, Input-oriented BCC model and Super-Efficiency model to fulfill such objective. Based on the comparison of results taken from the DEA models, the combination of DES, Input-oriented BCC model and Super-Efficiency BCC model is seen to be the best resource allocation technique to be used for enhancing the hospital efficiency. The combination has reduced patients waiting time while improving the average utilization rate of hospital resources compared to the current situation.

  13. Drug-related problems in patients with erectile dysfunctions and multiple comorbidities

    PubMed Central

    Huri, Hasniza Zaman; Ling, Chui Fang; Razack, Azad Hassan Abdul

    2017-01-01

    This study was conducted in a tertiary medical center in Kuala Lumpur, Malaysia. A total of 200 erectile dysfunction (ED) patients with 499 cases who had received pharmacological treatments for their ED participated in this study. Types, causes and factors associated with drug-related problems (DRPs) in ED patients with multiple comorbidities were assessed. A total of 244 DRPs with an average of 1.2±2.1 DRPs per patient were identified. Drug interaction contributed the most to DRPs occurrence. There was a significant higher risk of DRPs in patients with benign prostatic hyperplasia, lower urinary tract infection and elderly and end-stage renal disease. Early identification of types of DRPs and factors associated may enhance their prevention and management.

  14. Neuroleptic malignant syndrome in Malaysia: a university hospital experience.

    PubMed

    Lee, M K; Ong, S B; Tan, C T; Loh, T G

    1992-09-01

    The neuroleptic malignant syndrome (NMS) is a potentially fatal complication of antipsychotic therapy. A retrospective study of nine patients seen over six years at the University Hospital, Kuala Lumpur (UHKL), is described. The estimated annualised incidence was 1.2 per 1000 in-patients with psychosis. No ethnic difference was detected. Clinical features were similar to experiences elsewhere, with wide variability seen in the severity of illness. The neuroleptic drugs implicated were haloperidol, trifluoperazine, chlorpromazine, fluphenazine and clopenthixol. Treatment consisted of withdrawal of offending drugs and supportive measures. Specific therapy was given to five patients. There was one death. At follow-up no deterioration was detected. A different neuroleptic drug was successfully re-introduced in four patients. In view of the wide usage of major tranquillizers, a high degree of clinical awareness of this serious complication is necessary for early diagnosis to reduce morbidity and mortality.

  15. User Acceptance of Internet Banking Service in Malaysia

    NASA Astrophysics Data System (ADS)

    Yenyuen, Yee; Yeow, P. H. P.

    The study is the first research in Malaysia that investigates user acceptance of Internet banking service (IBS) based on Unified Theory of Acceptance and Use of Technology model (Venkatesh, Morris, Davis and Davis, 2003). Two hundred and eighty questionnaires were distributed and collected from two major cities, Kuala Lumpur and Melaka. Descriptive statistics was used to analyse the data. The results show that Malaysians have intentions of using IBS (mean rating of close to 4.00). Moreover, Malaysians recognize the benefits of IBS by giving a high mean rating (close to 4.00) to performance expectancy. However, they give relative low mean ratings (close to 3.00) on other indicators of Behavioural Intention to Use IBS such as effort expectancy, social influence, facilitating conditions and perceived credibility. Recommendations were given to promote a safe, efficient and conducive environment for user adoption of Internet banking.

  16. Alkyl amides and nitriles as novel tracers for biomass burning.

    PubMed

    Rushdi, A I; bin Abas, M R; Didyk, B M

    2003-01-01

    The occurrence of n-alkanoic acids, amides, and nitriles in samples of aerosol particulate matter from Kuala Lumpur and Santiago suggests that emissions from cooking and biomass burning are the primary sources of these organic markers in the atmosphere. It is proposed that fatty acids react with ammonia during biomass burning or combustion to produce amides and nitriles, which can be applied as useful biomarker tracers. To test this hypothesis, nonadecanoic acid and hexadecanamide were used as reactants in hydrous pyrolysis experiments. These experiments produced amides and nitriles and indicated that ammonia is an essential agent in their formation. Thus amides and nitriles are of utility as indicators for input from combustion and biomass burning in the ambient atmosphere.

  17. Geographical variation of the skull morphology of the common tree shrew (Tupaia glis).

    PubMed

    Endo, H; Cuisin, J; Nadee, N; Nabhitabhata, J; Suyanto, A; Kawamoto, Y; Nishida, T; Yamada, J

    1999-09-01

    Geographical variation was examined morphologically in the common tree shrew (Tupaia glis) in some Indochinese and Malayan regions. Osteometrical examination and principal component analysis elucidated the morphological differences among various populations. The populations from southern and western Thailand were distinguished morphologically from the other populations. Variation in males from south Thailand and Kuala Lumpur suggests that the Isthmus of Kra may have an influence on the variation of skull morphology. However, the Isthmus of Kra was not completely considered as a factor of geographical separation in this species, because we could not confirm the separation in skull size and shape between the localities at least in females. While, the Kanchanaburi population in western Thailand was significantly smaller than the other population in skull size, and constituted the morphologically separable group in our study.

  18. Risk Factors for Enterovirus A71 Seropositivity in Rural Indigenous Populations in West Malaysia.

    PubMed

    NikNadia, Nmn; Sam, I-Ching; Khaidir, Nasibah; Ngui, Romano; Lim, Yvonne A L; Goh, Xiang Ting; Choy, Seow Huey; Chan, Yoke Fun

    2016-01-01

    Enterovirus A71 (EV-A71), which is transmitted by the fecal-oral route, causes hand, foot and mouth disease and, rarely, severe neurological complications. In Malaysia, the indigenous rural community (Orang Asli) has a high prevalence of parasitic diseases due to poor sanitation, water supply and hygiene practices. This cross-sectional study compared the seroepidemiology of EV-A71 among rural Orang Asli and urban Kuala Lumpur populations in West Malaysia, and determined the risk factors associated with EV-A71 seropositivity in rural Orang Asli. Seropositive rates were determined by neutralization assay. EV-A71 seropositivity was strongly associated with increasing age in both populations. Rural Orang Asli children ≤12 years had significantly higher EV-A71 seropositivity rates than urban Kuala Lumpur children (95.5% vs 57.6%, P < 0.001), and also higher rates in the age groups of 1-3, 4-6 and 7-12 years. Multivariate analysis confirmed that age ≤12 years (adjusted OR 8.1, 95% CI 3.2-20.7, P < 0.001) and using untreated water (adjusted OR 6.2, 95% CI 2.3-16.6, P < 0.001) were independently associated with EV-A71 seropositivity in the Orang Asli population. Supply of clean drinking water may reduce the risk of EV-A71 infection. With significantly higher EV-A71 seropositive rates, younger rural children should be a priority target for future vaccination programs in Malaysia.

  19. Genetic Characterization of a Novel HIV-1 Circulating Recombinant Form (CRF74_01B) Identified among Intravenous Drug Users in Malaysia: Recombination History and Phylogenetic Linkage with Previously Defined Recombinant Lineages.

    PubMed

    Cheong, Hui Ting; Chow, Wei Zhen; Takebe, Yutaka; Chook, Jack Bee; Chan, Kok Gan; Al-Darraji, Haider Abdulrazzaq Abed; Koh, Clayton; Kamarulzaman, Adeeba; Tee, Kok Keng

    2015-01-01

    In many parts of Southeast Asia, the HIV-1 epidemic has been driven by the sharing of needles and equipment among intravenous drug users (IDUs). Over the last few decades, many studies have proven time and again that the diversity of HIV-1 epidemics can often be linked to the route of infection transmission. That said, the diversity and complexity of HIV-1 molecular epidemics in the region have been increasing at an alarming rate, due in part to the high tendency of the viral RNA to recombine. This scenario was exemplified by the discovery of numerous circulating recombinant forms (CRFs), especially in Thailand and Malaysia. In this study, we characterized a novel CRF designated CRF74_01B, which was identified in six epidemiologically unlinked IDUs in Kuala Lumpur, Malaysia. The near-full length genomes were composed of CRF01_AE and subtype B', with eight breakpoints dispersed in the gag-pol and nef regions. Remarkably, this CRF shared four and two recombination hotspots with the previously described CRF33_01B and the less prevalent CRF53_01B, respectively. Genealogy-based Bayesian phylogenetic analysis of CRF74_01B genomic regions showed that it is closely related to both CRF33_01B and CRF53_01B. This observation suggests that CRF74_01B was probably a direct descendent from specific lineages of CRF33_01B, CRF53_01B and subtype B' that could have emerged in the mid-1990s. Additionally, it illustrated the active recombination processes between prevalent HIV-1 subtypes and recombinants in Malaysia. In summary, we report a novel HIV-1 genotype designated CRF74_01B among IDUs in Kuala Lumpur, Malaysia. The characterization of the novel CRF74_01B is of considerable significance towards the understanding of the genetic diversity and population dynamics of HIV-1 circulating in the region.

  20. Risk Factors for Enterovirus A71 Seropositivity in Rural Indigenous Populations in West Malaysia

    PubMed Central

    NikNadia, NMN; Sam, I-Ching; Khaidir, Nasibah; Ngui, Romano; Lim, Yvonne A. L.; Goh, Xiang Ting; Choy, Seow Huey; Chan, Yoke Fun

    2016-01-01

    Enterovirus A71 (EV-A71), which is transmitted by the fecal-oral route, causes hand, foot and mouth disease and, rarely, severe neurological complications. In Malaysia, the indigenous rural community (Orang Asli) has a high prevalence of parasitic diseases due to poor sanitation, water supply and hygiene practices. This cross-sectional study compared the seroepidemiology of EV-A71 among rural Orang Asli and urban Kuala Lumpur populations in West Malaysia, and determined the risk factors associated with EV-A71 seropositivity in rural Orang Asli. Seropositive rates were determined by neutralization assay. EV-A71 seropositivity was strongly associated with increasing age in both populations. Rural Orang Asli children ≤12 years had significantly higher EV-A71 seropositivity rates than urban Kuala Lumpur children (95.5% vs 57.6%, P < 0.001), and also higher rates in the age groups of 1–3, 4–6 and 7–12 years. Multivariate analysis confirmed that age ≤12 years (adjusted OR 8.1, 95% CI 3.2–20.7, P < 0.001) and using untreated water (adjusted OR 6.2, 95% CI 2.3–16.6, P < 0.001) were independently associated with EV-A71 seropositivity in the Orang Asli population. Supply of clean drinking water may reduce the risk of EV-A71 infection. With significantly higher EV-A71 seropositive rates, younger rural children should be a priority target for future vaccination programs in Malaysia. PMID:26866912

  1. Effective IEC approaches for Asia.

    PubMed

    1995-02-01

    A workshop was held December 9 in Kathmandu to introduce participants to three innovative information, education and communication materials developed for China with funds from UNFPA/JOICFP. This workshop was a follow-up to two others held early in 1993 in Kuala Lumpur and Tokyo. The first workshop focused upon printed educational materials for preadolescent girls, while the second was aimed at producing video scripts for women's health. The deputy director and secretary general of the Shanghai International Center for Population Communication, China, introduced the participants to the eight types of menstrual record cards produced for pre-adolescent girls and two videos, one for STD prevention and one for AIDS prevention. Aimed at encouraging girls to accept and better understand their reproductive cycles, the menstrual record cards have been distributed to young girls in Shanghai. They were produced from several prototypes created at the Kuala Lumpur workshop and with information from a knowledge, attitude, and practice survey conducted among school girls in Shanghai. The STD video was broadcast nationwide on China Central TV before the workshop, while the AIDS video was broadcast on World AIDS Day on December 1 in Shanghai and Yunnan. The second part of the workshop focused upon the experiences of the Mexican Foundation for Family Planning (MEXFAM) which has been promoting an adolescent health program. The third part of the workshop offered a video developed by a Vietnamese nongovernmental organization designed to raise women's self-esteem. Another recently produced JOICFP video on Asia was presented, while participants were given a demonstration of a prototype for a new easier to carry, simpler, and cheaper version of the educational Magnel Kit.

  2. Investigating the haze transport from 1997 biomass burning in Southeast Asia: its impact upon Singapore

    NASA Astrophysics Data System (ADS)

    Koe, Lawrence C. C.; Arellano, Avelino F.; McGregor, John L.

    The 1997 Indonesia forest fires was an environmental disaster of exceptional proportions. Such a disaster caused massive transboundary air pollution and indiscriminate destruction of biodiversity in the world. The immediate consequence of the fires was the production of large amounts of haze in the region, causing visibility and health problems within Southeast Asia. Furthermore, fires of these magnitudes are potential contributors to global warming and climate change due to the emission of large amounts of greenhouse gases and other pyrogenic products.The long-range transport of fire-related haze in the region is investigated using trajectories from the CSIRO Division of Atmospheric Research Limited Area Model (DARLAM). Emission scenarios were constructed for hotspot areas in Sumatra and Kalimantan for the months of September and October 1997 to determine the period and fire locations most critical to Singapore. This study also examines some transport issues raised from field observations. Results show that fires in the coastal areas of southeast Sumatra and southwest Kalimantan can be potential contributors to transboundary air pollution in Singapore. Singapore was directly affected by haze from these areas whereas Kuala Lumpur was heavily affected by the haze coming from Sumatra. In most cases, Singapore was more affected by fires from Kalimantan than was Kuala Lumpur. This was mainly a result of the shifting of monsoons. The transition of monsoons resulted in weaker low-level winds and shifted convergence zones near to the southeast of Peninsular Malaysia. In addition to severe drought and massive fire activity in 1997, the timing of the monsoon transition has a strong influence on haze transport in the region.

  3. Overview of breast cancer in Malaysian women: a problem with late diagnosis.

    PubMed

    Hisham, Abdullah N; Yip, Cheng-Har

    2004-04-01

    Breast cancer is the most common cancer among Malaysian women. There is a marked geographical difference in the worldwide incidence of breast cancer, with a higher incidence in developed countries compared to developing countries. From 1998 to 2001, new cases of breast cancer presenting to the breast clinics at Hospital Kuala Lumpur and University Malaya Medical Centre, Malaysia, were reviewed; the race, age and stage at presentation were analysed. Of 774 cases seen in Hospital Kuala Lumpur, only 5.2% (40/774) were impalpable breast cancers diagnosed on mammography. The prevalent age group was 40 to 49 years, and the median age was 50 years. The average size of the tumour was 5.4 cm in diameter. Malay women appear to have larger tumours and a later stage at presentation than other ethnic groups; 50% to 60% were in late stages (Stages 3 and 4). During the same period, 752 new cases of breast cancer were seen in the University Malaya Medical Centre. The average tumour size was 4.2 cm, and 30% to 40% were in late stages. The age incidence was similar. The delay in presentation of breast cancer was attributed to a strong belief in traditional medicine, the negative perception of the disease, poverty and poor education, coupled with fear and denial. A prospective, population-based study is required to determine the demographic pattern of breast cancer and the factors delaying presentation. These findings will have important implications in future programmes to promote the early detection of breast cancer, as well as in understanding geographical as well as racial variations in the incidence of breast cancer.

  4. Influence of Biomass Burning Aerosols on Southeast Asia Air Quality

    NASA Astrophysics Data System (ADS)

    Lee, Hsiang-He; Bar-Or, Rotem; Wang, Chien

    2016-04-01

    Biomass burning activities in Southeast Asia have become a major concern of general public as well as governments in the region. This is because that aerosols emitted from such fires can cause long-lasting haze events under favorite weather conditions in downwind locations such as Singapore, degrading air quality and causing human health issues. In order to improve our understanding of the spatiotemporal coverage and influence of biomass burning aerosols in Southeast Asia, we have used the Weather Research and Forecasting (WRF) model with a smoke aerosol module to conduct multi-year simulations covering the period from 2002 to 2014, driven by the biomass burning emissions from the Fire INventory from NCAR (FINN) version 1.5. To attribute the aerosol influences over various target regions to specific fire locations, we have also partitioned aerosols emitted from five major fire regions of Southeast Asia in the simulations. Based on the simulation results, we have examined the influences of various meteorological regimes on the aerosol transport and wet removal. We find that the transport and scavenging of biomass burning aerosols are strongly modulated by the Southeast Asian monsoon wind field and precipitation. We also identified that in the past decade, smoke aerosols are responsible for a substantial fraction of low visibility events in the major metropolitan areas of the region: 35% in Bangkok, 25% in Kuala Lumpur, 16% in Singapore, and 22% in Jakarta. The fires in the Indochina peninsula account for the largest percentage of the total fire enhancement to PM2.5 in Bangkok (98.9%), and fires in Sumatra were the major contributor in Kuala Lumpur (49%), Singapore (39%), and Jakarta (48%).

  5. The solvent-extractable organic compounds in the Indonesia biomass burning aerosols - characterization studies

    NASA Astrophysics Data System (ADS)

    Fang, M.; Zheng, M.; Wang, F.; To, K. L.; Jaafar, A. B.; Tong, S. L.

    The large-scale air pollution episode due to the out-of-control biomass burning for agricultural purposes in Indonesia started in June 1997, has become a severe environmental problem for itself and the neighboring countries. The fire lasted for almost five months. Its impact on the health and ecology in the affected areas is expected to be substantial, costly and possibly long lasting. Air pollution Index as high as 839 has been reported in Malaysia. API is calculated based on the five pollutants: NO 2, SO 2, O 3, CO, and respirable suspended particulates (PM10). It ranges in value from 0 to 500. An index above 101 is considered to be unhealthy and a value over 201 is very unhealthy (Abidin and Shin, 1996). The solvent-extractable organic compounds from four total suspended particulate (TSP) high-volume samples collected in Kuala Lumpur, Malaysia (Stations Pudu and SIRIM) were subjected to characterization - the abundance was determined and biomarkers were identified. Two of the samples were from early September when the fire was less intense, while the other two were from late September when Kuala Lumpur experienced very heavy smoke coverage which could be easily observed from NOAA/AVHRR satellite images. The samples contained mainly aliphatic hydrocarbons such as n-alkanes and triterpanes, alkanoic acids, alkanols, and polycyclic aromatic hydrocarbons. The difference between the early and late September samples was very significant. The total yield increased from 0.6 to 24.3 μg m -3 at Pudu and 1.9 to 20.1 μg m -3 at SIRIM, with increases in concentration in every class. The higher input of vascular plant wax components in the late September samples, when the fire was more intense, was characterized by the distribution patterns of the homologous series n-alkanes, n-alkanoic acids, and n-alkanols, e.g., lower U : R, higher >C 22/C 20/

  6. Very short-lived bromomethanes measured by the CARIBIC observatory over the North Atlantic, Africa and South-East Asia during 2009-2013

    NASA Astrophysics Data System (ADS)

    Wisher, A.; Oram, D. E.; Laube, J. C.; Mills, G. P.; van Velthoven, P.; Zahn, A.; Brenninkmeijer, C. A. M.

    2013-11-01

    Short-lived organic brominated compounds make up a significant part (~20%) of the organic bromine budget in the atmosphere. Emissions of these compounds are highly variable and there are limited measurements, particularly in the extra-tropical upper troposphere/lower stratosphere and tropical troposphere. Measurements of five short-lived bromomethanes (VSLB) were made in air samples collected on the CARIBIC project aircraft over three flight routes; Germany to Venezuela/Columbia during 2009-2011, Germany to South Africa during 2010 and 2011 and Germany to Thailand/Kuala Lumpur, Malaysia during 2012 and 2013. In the tropical troposphere, as the most important entrance region to the stratosphere, we observe a total mean organic bromine derived from these compounds across all flights at 10-12 km altitude of 3.4 ± 1.5 ppt. Individual mean tropical tropospheric mixing ratios across all flights were 0.43, 0.74, 0.14, 0.23 and 0.11 ppt for CHBr3, CH2Br2, CHBr2Cl, CHBrCl2 and CH2BrCl respectively. The highest levels of VSLS-derived bromine (4.20 ± 0.56 ppt) were observed in flights between Bangkok and Kuala Lumpur indicating that the South China Sea is an important source region for these compounds. Across all routes, CHBr3 and CH2Br2 accounted for 34% (4.7-71) and 48% (14-73) respectively of total bromine derived from the analysed VSLB in the tropical mid-upper troposphere totalling 82% (54-89). In samples collected between Germany and Venezuela/Columbia, we find decreasing mean mixing ratios with increasing potential temperature in the extra-tropics. Tropical mean mixing ratios are higher than extra-tropical values between 340-350 K indicating that rapid uplift is important in determining mixing ratios in the lower tropical tropopause layer in the West Atlantic tropics. O3 was used as a tracer for stratospherically influenced air and we detect rapidly decreasing mixing ratios for all VSLB above ~100 ppb O3 corresponding to the extra-tropical tropopause layer.

  7. Very short-lived bromomethanes measured by the CARIBIC observatory over the North Atlantic, Africa and Southeast Asia during 2009-2013

    NASA Astrophysics Data System (ADS)

    Wisher, A.; Oram, D. E.; Laube, J. C.; Mills, G. P.; van Velthoven, P.; Zahn, A.; Brenninkmeijer, C. A. M.

    2014-04-01

    Short-lived organic brominated compounds make up a significant part of the organic bromine budget in the atmosphere. Emissions of these compounds are highly variable and there are limited measurements, particularly in the extra-tropical upper troposphere/lower stratosphere and tropical troposphere. Measurements of five very short-lived bromomethanes (VSLB) were made in air samples collected on the CARIBIC project aircraft over three flight routes; Germany to Venezuela/Columbia during 2009-2011, Germany to South Africa during 2010 and 2011 and Germany to Thailand/Kuala Lumpur, Malaysia during 2012 and 2013. In the tropical troposphere, as the most important entrance region to the stratosphere, we observe a total mean organic bromine derived from these compounds across all flights at 10-12 km altitude of 3.4 ± 1.5 ppt. Individual mean tropical tropospheric mixing ratios across all flights were 0.43, 0.74, 0.14, 0.23 and 0.11 ppt for CHBr3, CH2Br2, CHBr2Cl, CHBrCl2 and CH2BrCl respectively. The highest levels of VSLB-derived bromine (4.20 ± 0.56 ppt) were observed in flights between Bangkok and Kuala Lumpur indicating that the South China Sea is an important source region for these compounds. Across all routes, CHBr3 and CH2Br2 accounted for 34% (4.7-71) and 48% (14-73) respectively of total bromine derived from the analysed VSLB in the tropical mid-upper troposphere totalling 82% (54-89). In samples collected between Germany and Venezuela/Columbia, we find decreasing mean mixing ratios with increasing potential temperature in the extra-tropics. Tropical mean mixing ratios are higher than extra-tropical values between 340-350 K indicating that rapid uplift is important in determining mixing ratios in the lower tropical tropopause layer in the West Atlantic tropics. O3 was used as a tracer for stratospherically influenced air and we detect rapidly decreasing mixing ratios for all VSLB above ∼100 ppb O3 corresponding to the extra-tropical tropopause layer.

  8. Biomass burning aerosols and the low-visibility events in Southeast Asia

    DOE PAGES

    Lee, Hsiang-He; Bar-Or, Rotem Z.; Wang, Chien

    2017-01-23

    Fires including peatland burning in Southeast Asia have become a major concern to the general public as well as governments in the region. This is because aerosols emitted from such fires can cause persistent haze events under certain weather conditions in downwind locations, degrading visibility and causing human health issues. In order to improve our understanding of the spatiotemporal coverage and influence of biomass burning aerosols in Southeast Asia, we have used surface visibility and particulate matter concentration observations, supplemented by decade-long (2003 to 2014) simulations using the Weather Research and Forecasting (WRF) model with a fire aerosol module, driven bymore » high-resolution biomass burning emission inventories. We find that in the past decade, fire aerosols are responsible for nearly all events with very low visibility (< 7 km). Fire aerosols alone are also responsible for a substantial fraction of low-visibility events (visibility  < 10 km) in the major metropolitan areas of Southeast Asia: up to 39 % in Bangkok, 36 % in Kuala Lumpur, and 34 % in Singapore. Biomass burning in mainland Southeast Asia accounts for the largest contribution to total fire-produced PM2.5 in Bangkok (99 %), while biomass burning in Sumatra is a major contributor to fire-produced PM2.5 in Kuala Lumpur (50 %) and Singapore (41 %). To examine the general situation across the region, we have further defined and derived a new integrated metric for 50 cities of the Association of Southeast Asian Nations (ASEAN): the haze exposure day (HED), which measures the annual exposure days of these cities to low visibility (< 10 km) caused by particulate matter pollution. It is shown that HEDs have increased steadily in the past decade across cities with both high and low populations. Fire events alone are found to be responsible for up to about half of the total HEDs. Our results suggest that in order to improve the overall air quality in

  9. PREFACE: 5th International Conference on Mechatronics (ICOM'13)

    NASA Astrophysics Data System (ADS)

    Akramin Shafie, Amir; Raisuddin Khan, Md

    2013-12-01

    The Fifth International Conference on Mechatronics (ICOM2013), took place in Kuala Lumpur Malaysia from 2-4 July 2013. The biannual conference which started in 2001 is regularly organized by Faculty of Engineering, International Islamic University Malaysia (IIUM) with the aims to serve as a platform for exchange of ideas on advances of in mechatronics and their applications as well as to foster research and worldwide collaboration. The theme for the 2013 conference was 'Mechatronics: Sustainable Development through Innovative Solutions'. The ICOM 2013 Conference consisted of Keynote Speeches (5) and oral contributions (150). The topics of the conference were: Mechatronic systems and Applications Intelligent Systems Control and Instrumentation Signal and Image Processing Machine Vision Robotics and Automation Manufacturing Mechatronics Green Mechatronics Mechatronic Education Smart Materials and Structures Active Vibration Control Computer and Information Technology MEMS and NEMS Biomechatronics and Rehabilitation Engineering Autonomous Systems Energy and Sustainability Transportation System It is our great pleasure to present this volume of IOP Conference Series: Materials Science and Engineering (MSE) to the scientific community to promote further research in these areas. We believe that this volume will be both an excellent source of scientific material in the fast evolving fields that were covered by ICOM 2013. We thank the authors for their enthusiastic and high-grade contributions. We would also like to express our gratitude to the Organizing Committee, the Institutions and Sponsors and everyone who contributed to this conference through their supports and invaluable efforts. Editors Amir A Shafie aashafie@iium.edu.my Raisuddin Khan raisuddin@iium.edu.my Mahbubur Rashid mahbub@iium.edu.my Department of Mechatronics, International Islamic University Malaysia (IIUM), Kuala Lumpur Malaysia Organizing Committee Md Raisuddin Khan Md Mozasser Rahman Shahrul Naim

  10. Biomass burning aerosols and the low-visibility events in Southeast Asia

    NASA Astrophysics Data System (ADS)

    Lee, Hsiang-He; Bar-Or, Rotem Z.; Wang, Chien

    2017-01-01

    Fires including peatland burning in Southeast Asia have become a major concern to the general public as well as governments in the region. This is because aerosols emitted from such fires can cause persistent haze events under certain weather conditions in downwind locations, degrading visibility and causing human health issues. In order to improve our understanding of the spatiotemporal coverage and influence of biomass burning aerosols in Southeast Asia, we have used surface visibility and particulate matter concentration observations, supplemented by decade-long (2003 to 2014) simulations using the Weather Research and Forecasting (WRF) model with a fire aerosol module, driven by high-resolution biomass burning emission inventories. We find that in the past decade, fire aerosols are responsible for nearly all events with very low visibility (< 7 km). Fire aerosols alone are also responsible for a substantial fraction of low-visibility events (visibility < 10 km) in the major metropolitan areas of Southeast Asia: up to 39 % in Bangkok, 36 % in Kuala Lumpur, and 34 % in Singapore. Biomass burning in mainland Southeast Asia accounts for the largest contribution to total fire-produced PM2.5 in Bangkok (99 %), while biomass burning in Sumatra is a major contributor to fire-produced PM2.5 in Kuala Lumpur (50 %) and Singapore (41 %). To examine the general situation across the region, we have further defined and derived a new integrated metric for 50 cities of the Association of Southeast Asian Nations (ASEAN): the haze exposure day (HED), which measures the annual exposure days of these cities to low visibility (< 10 km) caused by particulate matter pollution. It is shown that HEDs have increased steadily in the past decade across cities with both high and low populations. Fire events alone are found to be responsible for up to about half of the total HEDs. Our results suggest that in order to improve the overall air quality in Southeast Asia

  11. The Soil-Water Characteristic Curve of Unsaturated Tropical Residual Soil

    NASA Astrophysics Data System (ADS)

    Yusof, M. F.; Setapa, A. S.; Tajudin, S. A. A.; Madun, A.; Abidin, M. H. Z.; Marto, A.

    2016-07-01

    This study was conducted to determine the SWCC of unsaturated tropical residual soil in Kuala Lumpur, Malaysia. Undisturbed soil samples at five locations of high-risk slopes area were taken at a depth of 0.5 m using block sampler. In the determination of the SWCC, the pressure plate extractor with the capacity of 1500 kN/m2 has been used. The index properties of the soil such as natural moisture content, Atterberg limits, specific gravity, and soil classification are performed according to BS 1377: Part 2: 1990. The results of index properties show that the natural moisture content of the soil is between 36% to 46%, the plasticity index is between 10% - 26%, the specific gravity is between 2.51 - 2.61 and the soils is classified as silty organic clay of low plasticity. The SWCC data from the pressure plate extractor have been fitted with the Fredlund and Xing equation. The results show that the air entry value and residual matric suction for residual soils are in the range of 17 kN/m2 to 24 kN/m2 and 145 kN/m2 to 225 kN/m2 respectively. From the fitting curve, it is found that the average value of the Fredlund and Xing parameters such as a, n and m are in the range of 0.24-0.299, 1.7-4.8 and 0.142-0.440 respectively.

  12. The Link between Knowledge, Attitudes and Practices in Relation to Atmospheric Haze Pollution in Peninsular Malaysia

    PubMed Central

    De Pretto, Laura; Acreman, Stephen; Ashfold, Matthew J.; Mohankumar, Suresh K.; Campos-Arceiz, Ahimsa

    2015-01-01

    Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surveyed in an inner-city shopping mall. Across the whole sample, people who possessed more factual information about the haze phenomenon showed significantly higher levels of concern. Duathletes were more knowledgeable than non-duathletes and also more concerned about the negative effects of haze, especially on health. For all people who regularly practice outdoor sports (including people interviewed at the shopping mall), higher levels of knowledge and concerned attitudes translated into a greater likelihood of engaging in protective practices, such as cancelling their outdoor training sessions, while those with greater knowledge were more likely to check the relevant air pollution index on a daily basis. Our results indicate that the provision of accurate and timely information about air quality to residents will translate into beneficial practices, at least among particularly exposed individuals, such as amateur athletes who regularly practice outdoor sports. PMID:26646896

  13. The knowledge, awareness, attitude and motivational analysis of plastic waste and household perspective in Malaysia.

    PubMed

    Afroz, Rafia; Rahman, Ataur; Masud, Muhammad Mehedi; Akhtar, Rulia

    2017-01-01

    The focus of this study is to analyze the level of knowledge, awareness, and attitude toward plastic waste and to distinguish the key drivers that encourage the households in Kuala Lumpur, Malaysia, to participate in "No plastic campaign," This study used the logistic regression model to explain the factors that may affect the willingness to participate (WTP) of households in the campaign. In this study, it is found that 35 % of households are willing to participate in the campaign. The results of the study also indicate that people who are more informed and more convinced of their knowledge have a more positive attitude toward recycling than their counterparts do. Furthermore, this study provides additional evidence of the level and classification of importance of motivating factors for plastic recycling, using the modified average and coefficient of variation of the models. From the analysis, the factor "helps reduce landfill use" is found as the most important factor and the factor of "raising money for charity" is found as the least important factor that motivates households to participate in recycling. The determinations of the study suggest some strategies that could hold implications for government and households to boost them to participate in the campaign "No Plastic Bag."

  14. Risk factors of diabetic foot Charcot arthropathy: a case-control study at a Malaysian tertiary care centre

    PubMed Central

    Fauzi, Aishah Ahmad; Chung, Tze Yang; Latif, Lydia Abdul

    2016-01-01

    INTRODUCTION This study aimed to determine the risk factors of diabetic Charcot arthropathy of the foot among diabetic patients with and without foot problems. METHODS This was a case-control study involving diabetic patients attending the Diabetic Foot Care and Wound Management Clinic at University Malaya Medical Centre, Kuala Lumpur, Malaysia, from June 2010 to June 2011. Data on sociodemographic profiles, foot factors and diabetes characteristics was collected and analysed. RESULTS A total of 48 diabetic patients with Charcot arthropathy of the foot were identified. Data from these 48 patients was compared with those of 52 diabetic patients without foot problems. Up to 83.3% of patients with diabetic Charcot arthropathy presented with unilateral Charcot foot, most commonly located at the midfoot (45.8%). Patients with a history of foot problems, including foot ulcer, amputation, surgery or a combination of problems, had the highest (26-time) likelihood of developing Charcot arthropathy (odds ratio 26.4; 95% confidence interval 6.4–109.6). Other significant risk factors included age below 60 years, more than ten years’ duration of diabetes mellitus and the presence of nephropathy. CONCLUSION A history of prior diabetic foot problems is the greatest risk factor for developing diabetic Charcot arthropathy, compared with other risk factors such as diabetes characteristics and sociodemographic profiles. Preventive management of diabetic foot problems in the primary care setting and multidisciplinary care are of paramount importance, especially among chronic diabetic patients. PMID:27075668

  15. Engaging actively with issues in the responsible conduct of science: lessons from international efforts are relevant for undergraduate education in the United States.

    PubMed

    Clements, John D; Connell, Nancy D; Dirks, Clarissa; El-Faham, Mohamed; Hay, Alastair; Heitman, Elizabeth; Stith, James H; Bond, Enriqueta C; Colwell, Rita R; Anestidou, Lida; Husbands, Jo L; Labov, Jay B

    2013-01-01

    Numerous studies are demonstrating that engaging undergraduate students in original research can improve their achievement in the science, technology, engineering, and mathematics (STEM) fields and increase the likelihood that some of them will decide to pursue careers in these disciplines. Associated with this increased prominence of research in the undergraduate curriculum are greater expectations from funders, colleges, and universities that faculty mentors will help those students, along with their graduate students and postdoctoral fellows, develop an understanding and sense of personal and collective obligation for responsible conduct of science (RCS). This Feature describes an ongoing National Research Council (NRC) project and a recent report about educating faculty members in culturally diverse settings (Middle East/North Africa and Asia) to employ active-learning strategies to engage their students and colleagues deeply in issues related to RCS. The NRC report describes the first phase of this project, which took place in Aqaba and Amman, Jordan, in September 2012 and April 2013, respectively. Here we highlight the findings from that report and our subsequent experience with a similar interactive institute in Kuala Lumpur, Malaysia. Our work provides insights and perspectives for faculty members in the United States as they engage undergraduate and graduate students, as well as postdoctoral fellows, to help them better understand the intricacies of and connections among various components of RCS. Further, our experiences can provide insights for those who may wish to establish "train-the-trainer" programs at their home institutions.

  16. Optimization of NaOH Molarity, LUSI Mud/Alkaline Activator, and Na2SiO3/NaOH Ratio to Produce Lightweight Aggregate-Based Geopolymer.

    PubMed

    Razak, Rafiza Abdul; Abdullah, Mohd Mustafa Al Bakri; Hussin, Kamarudin; Ismail, Khairul Nizar; Hardjito, Djwantoro; Yahya, Zarina

    2015-05-21

    This paper presents the mechanical function and characterization of an artificial lightweight geopolymer aggregate (ALGA) using LUSI (Sidoarjo mud) and alkaline activator as source materials. LUSI stands for LU-Lumpur and SI-Sidoarjo, meaning mud from Sidoarjo which erupted near the Banjarpanji-1 exploration well in Sidoarjo, East Java, Indonesia on 27 May 2006. The effect of NaOH molarity, LUSI mud/Alkaline activator (LM/AA) ratio, and Na2SiO3/NaOH ratio to the ALGA are investigated at a sintering temperature of 950 °C. The results show that the optimum NaOH molarity found in this study is 12 M due to the highest strength (lowest AIV value) of 15.79% with lower water absorption and specific gravity. The optimum LUSI mud/Alkaline activator (LM/AA) ratio of 1.7 and the Na2SiO3/NaOH ratio of 0.4 gives the highest strength with AIV value of 15.42% with specific gravity of 1.10 g/cm3 and water absorption of 4.7%. The major synthesized crystalline phases were identified as sodalite, quartz and albite. Scanning Electron Microscope (SEM) image showed more complete geopolymer matrix which contributes to highest strength of ALGA produced.

  17. Genetic diversity, seasonality and transmission network of human metapneumovirus: identification of a unique sub-lineage of the fusion and attachment genes

    PubMed Central

    Chow, Wei Zhen; Chan, Yoke Fun; Oong, Xiang Yong; Ng, Liang Jie; Nor’E, Siti Sarah; Ng, Kim Tien; Chan, Kok Gan; Hanafi, Nik Sherina; Pang, Yong Kek; Kamarulzaman, Adeeba; Tee, Kok Keng

    2016-01-01

    Human metapneumovirus (HMPV) is an important viral respiratory pathogen worldwide. Current knowledge regarding the genetic diversity, seasonality and transmission dynamics of HMPV among adults and children living in tropical climate remains limited. HMPV prevailed at 2.2% (n = 86/3,935) among individuals presented with acute respiratory tract infections in Kuala Lumpur, Malaysia between 2012 and 2014. Seasonal peaks were observed during the northeast monsoon season (November–April) and correlated with higher relative humidity and number of rainy days (P < 0.05). Phylogenetic analysis of the fusion and attachment genes identified the co-circulation of three known HMPV sub-lineages, A2b and B1 (30.2% each, 26/86) and B2 (20.9%, 18/86), with genotype shift from sub-lineage B1 to A2b observed in 2013. Interestingly, a previously unrecognized sub-lineage of A2 was identified in 18.6% (16/86) of the population. Using a custom script for network construction based on the TN93 pairwise genetic distance, we identified up to nine HMPV transmission clusters circulating as multiple sub-epidemics. Although no apparent major outbreak was observed, the increased frequency of transmission clusters (dyads) during seasonal peaks suggests the potential roles of transmission clusters in driving the spread of HMPV. Our findings provide essential information for therapeutic research, prevention strategies, and disease outbreak monitoring of HMPV. PMID:27279080

  18. Forensic entomology of high-rise buildings in Malaysia: Three case reports.

    PubMed

    Syamsa, R A; Omar, B; Zuha, R M; Faridah, M N; Swarhib, M S; Hidayatulfathi, O; Shahrom, A W

    2015-06-01

    The distributions of flies are not only confined to ground level but can also be at higher altitudes. Here, we report three forensic cases involving dipterans in high-rise buildings in Kuala Lumpur, Malaysia. Case 1 involved a corpse of adult female found at the top floor of a fifteen-story apartment. Case 2 dealt with a body of a 75-year-old female discovered in a bedroom on the eleventh floor of an eighteen-story building, while Case 3 was a 52-year-old male found in his fifth floor shop house. Interestingly, entomological analysis revealed that all corpses were infested with similar Dipterans: Megaselia scalaris (Loew) (Diptera: Phoridae), Synthesiomyia nudiseta (Wulp) (Diptera: Muscidae) and sarcophagid (Diptera: Sarcophagidae). The first two species were commonly associated with corpses found indoors at ground level. We noted the additional occurrence of blowflies Chrysomya megacephala (Fabricius) (Diptera: Calliphoridae) and Chrysomya rufifacies Macquart (Diptera: Calliphoridae) larvae in Case 2 and Case 3, respectively. Findings from this study are significant as they demonstrate that certain groups of fly can locate dead bodies even in high-rise buildings. Forensic entomofauna research on corpses found at high elevation is scarce and our study has highlighted the peculiarity of the fly species involved in Malaysia.

  19. Source apportionment and health risk assessment of PM10 in a naturally ventilated school in a tropical environment.

    PubMed

    Mohamad, Noorlin; Latif, Mohd Talib; Khan, Md Firoz

    2016-02-01

    This study aimed to investigate the chemical composition and potential sources of PM10 as well as assess the potential health hazards it posed to school children. PM10 samples were taken from classrooms at a school in Kuala Lumpur's city centre (S1) and one in the suburban city of Putrajaya (S2) over a period of eight hours using a low volume sampler (LVS). The composition of the major ions and trace metals in PM10 were then analysed using ion chromatography (IC) and inductively coupled plasma-mass spectrometry (ICP-MS), respectively. The results showed that the average PM10 concentration inside the classroom at the city centre school (82µg/m(3)) was higher than that from the suburban school (77µg/m(3)). Principal component analysis-absolute principal component scores (PCA-APCS) revealed that road dust was the major source of indoor PM10 at both school in the city centre (36%) and the suburban location (55%). The total hazard quotient (HQ) calculated, based on the formula suggested by the United States Environmental Protection Agency (USEPA), was found to be slightly higher than the acceptable level of 1, indicating that inhalation exposure to particle-bound non-carcinogenic metals of PM10, particularly Cr exposure by children and adults occupying the school environment, was far from negligible.

  20. Profile of a low vision clinic population.

    PubMed

    Mohidin, Norhani; Yusoff, Suzainah

    1998-01-01

    BACKGROUND: Causes of low vision and types of low vision devices (LVDs) prescribed in other low vision clinics have been studied extensively. Similar studies have not been conducted in Malaysia. This paper reports the results of a retrospective study of 573 patients seen at the Universiti Kebangsaan Malaysia-Malaysian Association for the Blind (UKM-MAB) low vision clinic in Kuala Lumpur. METHODS: The record cards of 573 patients seen at the UKM-MAB clinic over 10 years were examined and the following information extracted: date of first consultation, age, sex, cause of visual impairment as diagnosed by an ophthalmologist and types of low vision devices (LVDs) prescribed. RESULTS: The majority of patients were from the younger age groups with 423 (73.8 per cent) less than 50 years of age. Three hundred and ninety-five (68.9 per cent) of the subjects were males and 178 (31.1 per cent) female. The main causes of low vision were congenital structural defects including nystagmus among patients in the zero to 29 years age group, retinitis pigmentosa among the 30 to 59 years age group and age-related macular degeneration (ARM) among those over 60 years of age. CONCLUSIONS: Since the majority of the patients were from the younger age group the main causes of low vision were congenital and hereditary diseases. Three hundred and forty-one (59.5 per cent) patients seen at the low vision clinic accepted the use of LVDs.

  1. A clear catalyst effect.

    PubMed

    Molitor, C

    1994-06-01

    A member of the International Council on Management of Population Programs (ICOMP) says that training women to manage and harbor employable skills has a very large multiplier effect. An international nongovernmental organization (NGO) based in Kuala Lumpur and established in 1973 to improve the performance of family planning programs in Asian developing countries through better management techniques, ICOMP boasts 35 developing countries as members. The organization's mandate has expanded over the years such that they now provide management and skills training programs through local NGOs in developing countries. The Asian Development Bank (ADB) has been assisting ICOMP's training programs in Bangladesh, Indonesia, Nepal, Pakistan, and the Philippines since 1989 with two technical assistance grants totalling $681,000. This is the first time that the Bank has supported training exclusively for women. Although the ADB planned to reach only 940 women under the first technical assistance, it eventually helped train more than 1200; an additional 1300 women have attended the courses offered under the Bank's second grant. Training courses are aimed at disadvantaged women who need training in employment skills, women engaged in community development or income-generating projects who need to develop basic management skills, and officials of the participating women NGOs who need training in organizing, developing, and implementing income-generating projects. The author discusses other elements of training aimed at improving the social and economic status of women, along with experiences of the Bangladesh Association for Community Education and the MELATI Foundation of Jakarta, Indonesia.

  2. Create new research directions in comparative endocrinology from Asia and Oceania.

    PubMed

    Tsutsui, Kazuyoshi

    2013-01-15

    The Asia and Oceania Society for Comparative Endocrinology (AOSCE) was founded in 1987, when the first congress was held in Nagoya, Japan. The purpose of the AOSCE is to progress scientific activities in the field of comparative endocrinology in Asia and Oceania and to establish a deep relationship among the members. For this purpose, the AOSCE holds a congress or an intercongress symposium every 2 years, which organizes an attractive scientific program covering the latest progress in the broad aspect of comparative endocrinology. 2012 was the 25th anniversary of AOSCE. Our scientific activities have increased dramatically during the past 25 years. The 7th AOSCE congress was held in Kuala Lumpur, Malaysia in 2012. The theme of this congress was "Overcoming challenges in the 21st century". To overcome challenges in the 21st century, we further need to create new research directions in comparative endocrinology from Asia and Oceania. This paper describes a brief history of the AOSCE and also highlights the discovery of gonadotropin-inhibitory hormone (GnIH) and the progress of GnIH research as one of new research directions in comparative endocrinology. In 2000, GnIH was discovered in Japan and now more than 50 laboratories are working on GnIH in the world. The discovery of GnIH has changed our understanding about regulation of the reproductive axis drastically in the past decade.

  3. Assessment of Food Safety Knowledge, Attitude, Self-Reported Practices, and Microbiological Hand Hygiene of Food Handlers

    PubMed Central

    Lee, Hui Key; Abdul Halim, Hishamuddin; Thong, Kwai Lin; Chai, Lay Ching

    2017-01-01

    Institutional foodborne illness outbreaks continue to hit the headlines in the country, indicating the failure of food handlers to adhere to safe practices during food preparation. Thus, this study aimed to compare the knowledge, attitude, and self-reported practices (KAP) of food safety assessment and microbiological assessment of food handlers’ hands as an indicator of hygiene practices in food premises. This study involved 85 food handlers working in a university located in Kuala Lumpur, Malaysia. The food safety KAP among food handlers (n = 67) was assessed using a questionnaire; while the hand swabs (n = 85) were tested for the total aerobic count, coliforms, and Escherichia coli, Staphylococcus aureus, Salmonella, Vibrio cholerae and Vibrio parahaemolyticus. The food handlers had moderate levels of food safety knowledge (61.7%) with good attitude (51.9/60) and self-reported practices (53.2/60). It is noteworthy that the good self-reported practices were not reflected in the microbiological assessment of food handlers’ hands, in which 65% of the food handlers examined had a total aerobic count ≥20 CFU/cm2 and Salmonella was detected on 48% of the food handlers’ hands. In conclusion, the suggestion of this study was that the food handlers had adequate food safety knowledge, but perceived knowledge failed to be translated into practices at work.

  4. Evaluation of green roof as green technology for urban stormwater quantity and quality controls

    NASA Astrophysics Data System (ADS)

    Kok, K. H.; Sidek, L. M.; Abidin, M. R. Z.; Basri, H.; Muda, Z. C.; Beddu, S.

    2013-06-01

    Promoting green design, construction, reconstruction and operation of buildings has never been more critical than now due to the ever increasing greenhouse gas emissions and rapid urbanizations that are fuelling climate change more quickly. Driven by environmental needs, Green Building Index (GBI) was founded in Malaysia to drive initiative to lead the property industry towards becoming more environment-friendly. Green roof system is one of the assessment criteria of this rating system which is under category of sustainable site planning and management. An extensive green roof was constructed in Humid Tropics Center (HTC) Kuala Lumpur as one of the components for Stormwater Management Ecohydrology (SME) in order to obtain scientific data of the system. This paper evaluates the performance of extensive green roof at Humid Tropics Center with respect to urban heat island mitigation and stormwater quantity and quality controls. Findings indicate that there was a reduction of around 1.5°C for indoor temperature of the building after installation of green roof. Simulations showed that the peak discharge was reduced up to 24% relative to impervious brown roof. The results show an increment of pH and high concentration of phosphate for the runoff generated from the green roof and the runoff water quality ranged between class I and II under INWQS.

  5. Factors affecting Japanese retirees' healthcare service utilisation in Malaysia: a qualitative study

    PubMed Central

    Kohno, Ayako; Nik Farid, Nik Daliana; Musa, Ghazali; Abdul Aziz, Norlaili; Nakayama, Takeo; Dahlui, Maznah

    2016-01-01

    Objective While living overseas in another culture, retirees need to adapt to a new environment but often this causes difficulties, particularly among those elderly who require healthcare services. This study examines factors affecting healthcare service utilisation among Japanese retirees in Malaysia. Design We conducted 6 focus group discussions with Japanese retirees and interviewed 8 relevant medical services providers in-depth. Guided by the Andersen Healthcare Utilisation Model, we managed and analysed the data, using QSR NVivo 10 software and the directed content analysis method. Setting We interviewed participants at Japan Clubs and their offices. Participants 30 Japanese retirees who live in Kuala Lumpur and Ipoh, and 8 medical services providers. Results We identified health beliefs, medical symptoms and health insurance as the 3 most important themes, respectively, representing the 3 dimensions within the Andersen Healthcare Utilisation Model. Additionally, language barriers, voluntary health repatriation to Japan and psychological support were unique themes that influence healthcare service utilisation among Japanese retirees. Conclusions The healthcare service utilisation among Japanese retirees in Malaysia could be partially explained by the Andersen Healthcare Utilisation Model, together with some factors that were unique findings to this study. Healthcare service utilisation among Japanese retirees in Malaysia could be improved by alleviating negative health beliefs through awareness programmes for Japanese retirees about the healthcare systems and cultural aspects of medical care in Malaysia. PMID:27006344

  6. Symposium on Plant Polyphenols: Nutrition, Health and Innovations, June 2009.

    PubMed

    Chang, Ann S; Yeong, Boon-Yee; Koh, Woon-Puay

    2010-04-01

    Reported here is a summary of the proceedings of the Symposium on Plant Polyphenols: Nutrition, Health and Innovations, which was cosponsored by the Southeast Asia Region branch of the International Life Sciences Institute and the Nutrition Society of Malaysia in Kuala Lumpur, Malaysia, June 22-23, 2009. The symposium provided a timely update of research regarding the protective effects of polyphenols in chronic diseases, such as cardiovascular disease and cancer, as well as the development of innovative polyphenol-containing food products with enhanced nutritive and health properties. Presentations covered polyphenols from a wide range of food sources such as tea, coffee, nuts and seeds, cocoa and chocolate, soy, and Asian fruits, vegetables, and spices. The symposium was attended by a large and diverse group of nutritionists, dietitians, researchers and allied health professionals, as well as management, research and development, and marketing personnel from the food and beverage industry. Their enthusiastic participation was a testament to the increasing awareness and interest in polyphenols in the prevention and control of chronic diseases. Presented here are some of the highlights and important information from the symposium.

  7. Anticardiolipin antibodies in patients from Malaysia with systemic lupus erythematosus.

    PubMed

    Jones, H W; Ireland, R; Senaldi, G; Wang, F; Khamashta, M; Bellingham, A J; Veerapan, K; Hughes, G R; Vergani, D

    1991-03-01

    Systemic lupus erythematosus (SLE) is highly prevalent in Malaysia, which has a mixed population of Malays, Chinese, and Indians. A quantitative enzyme linked immunosorbent assay (ELISA) was used to determine anticardiolipin antibody (aCL) levels (total immunoglobulin, IgG, and IgM) in 200 patients with SLE (164 Chinese, 26 Malay, and 10 Indian) attending the University Hospital of Kuala Lumpur, Malaysia, and 103 matched controls. Only 33 (16.5%) of the patients had raised aCL levels; 26 had raised IgG aCL, five IgM aCL, and two both IgG and IgM aCL. There was a low prevalence of raised levels of aCL in the population studied, which was seen in conjunction with a rare occurrence of thrombosis. The classical association of high aCL levels with thrombocytopenia and recurrent abortions was noted, though not with cerebral disease. The low prevalence of aCL in this study population of mixed racial origin contrasts with findings in European patients with SLE and lends support to the influence of local factors, be they genetic or environmental, on the clinical manifestations of this disease.

  8. Repeated tourniquet testing as a diagnostic tool in dengue infection.

    PubMed

    Norlijah, O; Khamisah, A Nor; Kamarul, A; Paeds, M; Mangalam, S

    2006-03-01

    Prospective evaluation of repeated standard tourniquet testing as a diagnostic indicator of dengue infection was done. Included were patients admitted to a children's hospital in Kuala Lumpur on a clinical suspicion of dengue infection based on the World Health Organization (WHO) criteria. A standard method of tourniquet was performed on 79 patients on a daily basis following admission. subjects and negative in the remaining 14 subjects. Fifty-eight subjects were serologically confirmed cases, 4 indeterminate and the remaining 17 subjects had negative serology. For diagnostic classification, 13 had dengue fever, 49 with dengue haemmorhagic fever (DHF) while 17 had non-dengue infection. The sensitivity and specificity of the tourniquet test was 82.8% and 23.5% respectively. The positive predictive value (PPV) was 78.7% while the negative predictive value (NPV) was 28.6%. In addition, the tourniquet test aided in the diagnosis of one-fifth of patients with DHF, who presented with a positive tourniquet test as the only bleeding manifestation. It seems that in a hospital setting, the tourniquet test adds little to the diagnosis of dengue infection/DHF. A positive tourniquet test, repeatedly performed, was found clinically useful as a preliminary screening test in dengue infection as recommended by WHO. However, it was not very specific and had a high false positive rate.

  9. Anticardiolipin antibody isotype profile in lupus nephritis--a cross sectional survey.

    PubMed

    Azizah, M R; Loo, C S; Zulkifli, M N; Shahnaz, M; Zaki, M; Nasuruddin, B A

    1998-09-01

    Thirty-six patients with lupus nephritis (LN) attending the Nephrology Clinic, Hospital Kuala Lumpur were studied for the prevalence of anticardiolipin antibody (ACA) isotypes (IgG and IgM) and other associated antibodies, antinuclear antibody (ANA) and anti-ds DNA antibody and to determine the possible association between serological and clinical parameters. The study population consisted of 20 (55.6%) Malays, 15 (41.7%) Chinese and 1 (2.8%) Indian with a mean age of 31.4 +/- 11.3 years, range 14 to 60 years. The female to male ratio was 11:1. The average time between diagnosis and blood sampling was 4.4 years (range 0.25 to 15 years). Increased ACA levels were found in 20 (55.6%) patients where raised IgG ACA and IgM ACA were observed in 20 (55.6%) and 2 (5.6%) cases respectively. ANA and anti-ds DNA antibodies were detected in 22 (61.1%) and 4 (11.1%) individuals respectively, with the majority (82%) showing a speckled pattern of nuclear staining. However, neither the IgM ACA nor IgG ACA showed any significant association with thrombosis or any other clinical parametres. Our preliminary study indicates that ACA is a frequent finding in lupus nephritis and that the IgG isotype is more prevalent.

  10. Towards an HIV cure: science and debate from the International AIDS Society 2013 symposium.

    PubMed

    Purcell, Damian F J; Elliott, Julian H; Ross, Anna-Laura; Frater, John

    2013-11-13

    The International AIDS Society convened the multi-stakeholder "Towards an HIV Cure" symposium in Kuala Lumpur, Malaysia in 2013 to address the significant research challenges posed by the search for a cure for HIV infection. Current antiretroviral regimens select for a small reservoir of cells that harbour latent HIV provirus, produce few or no HIV virions, and resist detection or clearance by host immunity. The symposium examined basic molecular science and animal model data, and emerging and ongoing clinical trial results to prioritise strategies and determine the viral and immune responses that could lead to HIV remission without ART. Here we review the presentations that scrutinized the molecular mechanisms controlling virus expression from proviral DNA, and the intrinsic cellular restriction and immune mechanisms preventing viral production. Insights from the basic science have translated into new therapeutic strategies seeking HIV remission without ongoing therapy, and much interest was focused on these ongoing trials. We also summarise the emerging ethical issues and patient expectations as concepts move into the clinic.

  11. Developmental and morphological characteristics of Taenia taeniaeformis (Batsch, 1786) in Clethrionomys rufocanus bedfordiae and Rattus norvegicus from different geographical locations.

    PubMed

    Iwaki, T; Nonaka, N; Okamoto, M; Oku, Y; Kamiya, M

    1994-06-01

    Developmental and morphological characteristics of 3 isolates of Taenia taeniaeformis isolated from Clethrionomys rufocanus bedfordiae in Abuta (70 km southwest of Sapporo), Japan (isolate ACR), and from Rattus norvegicus in Sapporo, Japan (isolate SRN) and Kuala Lumpur, Malaysia (isolate KRN) were compared. Eggs of 3 isolates were administered to several species of rodents. Isolate ACR infected C. rufocanus bedfordiae, Apodemus speciosus, and Apodemus argenteus, but not rats or mice, whereas isolate SRN and isolate KRN were infective to rats, mice, A. speciosus, and A. argenteus, but not to C. rufocanus bedfordiae. The increase in cyst size of isolate ACR continued during the experimental period, whereas that of the other 2 isolates had ceased growing after 30 days postinfection. However, significant differences were observed in the length of the small rostellar hooks, number and distribution of testes, and the length of the cirrus sac between isolate ACR and the other 2 isolates. Thus it is suggested that isolate ACR is a distinct strain or even a new species.

  12. Prevalence of gender disparities and predictors affecting the occurrence of mild cognitive impairment (MCI).

    PubMed

    Lee, Lai Kuan; Shahar, Suzana; Chin, Ai-Vyrn; Mohd Yusoff, Noor Aini; Rajab, Norfadilah; Aziz, Safiyyah Abdul

    2012-01-01

    The aims were to investigate the prevalence of mild cognitive impairment (MCI) within gender disparities in Malaysian older adults, and to determine the predictors of MCI according to gender disparities. A community-based sample of urban, multiethnic dwelling elderly aged 60 years of age and above from Cheras, Kuala Lumpur was recruited. Prevalence of all-type MCI, amnestic-type MCI (am-MCI) and non-amnestic-type MCI (nam-MCI) was assessed using comprehensive neuropsychological batteries. The association between demography, socioeconomic status, lifestyle practices, and nutritional status and health risk factors with MCI were examined. Predictors of MCI occurrence between gender disparities were determined. The prevalence of all-type MCI, am-MCI and nam-MCI was 21.1%, 15.4% and 5.7%, respectively. Binary logistic regression indicated that hypercholesterolemia is the significant predictor for MCI in men after adjustment for age, ethnicity and total years of education. While, in women, MCI was best predicted by married status, without exercise practice, overweight and obesity. These results suggest that approximately one-fifth of the studied elderly people had MCI. Predictors for MCI are totally different between men and women. It is critical to identify those at higher risk for MCI in order to implement preventative measures to delay or reverse this abnormal condition.

  13. Lessons from the Bone Chapter of the Malaysian Aging Men Study

    PubMed Central

    Chin, Kok-Yong; Wan Ngah, Wan Zurinah; Ima-Nirwana, Soelaiman

    2016-01-01

    Male osteoporosis in Malaysia is a largely neglected problem. Therefore, a bone health study in men using quantitative ultrasonometry was launched as part of the Malaysian Aging Men Study in 2009–2012. This review aimed to summarize the findings of the aforementioned bone health study. The study examined the bone health of Chinese and Malaysian men aged 20 years and above living in Kuala Lumpur using a quantitative ultrasound device. Participants answered a questionnaire on their demographic details and physical activity status. Body anthropometry of the participants was measured and their blood collected for biochemical analysis. Results showed that a significant proportion of the Malaysian Chinese and Malay men had suboptimal bone health indicated by calcaneal speed of sound and vitamin D status. Age-related decline of the calcaneal speed of sound in these men was gradual and biphasic without ethnic difference. Body anthropometry such as height, weight, body mass index, and body fat percentage contributed to the variation of the calcaneal speed of sound in Malaysian men. Age-related changes in testosterone, insulin-like growth factor 1, and thyroid stimulating hormone also influenced the calcaneal speed of sound in these men. This study serves as a reminder that male osteoporosis in Malaysia should be an issue of concern. It is also a basis for a more comprehensive study on bone health in men in the future. PMID:27231930

  14. Market Motivations for Voluntary Carbon Disclosure in Real Estate Industry

    NASA Astrophysics Data System (ADS)

    Ufere, Kalu Joseph; Alias, Buang; Godwin Uche, Aliagha

    2016-07-01

    Climate change mitigation in developing economies is a balancing act, between economic development and environmental sustainability. The need for market friendly determinants for low carbon economy, without compromising economic development is of essence. The aim of the study is to determine market friendly factors, which motivates voluntary carbon information disclosure, in the real estate industry. The study modeled economic factor with three variables and financial market factor with three variables against voluntary carbon information disclosure in the real estate industry. Structural equation modeling was used for the modeling and content analysis was used to collect data on the level of voluntary carbon information disclosure, from 2013 annual reports of 126 real estate sector companies listed in the Kuala Lumpur Stock Exchange (KLSE). The model achieved a good fit, and was acceptable prediction. The results show that financial market factor has a significant predictive influence on voluntary carbon disclosure. The application of the result is that financial market factor is has a significantly positive influence on companies’ willingness to make voluntary carbon disclosure in the real estate industry. The result may be limited to the real estate industry that is highly leveraged on syndicated fund.

  15. Investigation of Antioxidative and Anticancer Potentials of Streptomyces sp. MUM256 Isolated from Malaysia Mangrove Soil

    PubMed Central

    Tan, Loh Teng-Hern; Ser, Hooi-Leng; Yin, Wai-Fong; Chan, Kok-Gan; Lee, Learn-Han; Goh, Bey-Hing

    2015-01-01

    A Streptomyces strain, MUM256 was isolated from Tanjung Lumpur mangrove soil in Malaysia. Characterization of the strain showed that it has properties consistent with those of the members of the genus Streptomyces. In order to explore the potential bioactivities, extract of the fermented broth culture of MUM256 was prepared with organic solvent extraction method. DPPH and SOD activity were utilized to examine the antioxidant capacity and the results have revealed the potency of MUM256 in superoxide anion scavenging activity in dose-dependent manner. The cytotoxicity of MUM256 extract was determined using cell viability assay against 8 different panels of human cancer cell lines. Among all the tested cancer cells, HCT116 was the most sensitive toward the extract treatment. At the highest concentration of tested extract, the result showed 2.3-, 2.0-, and 1.8-folds higher inhibitory effect against HCT116, HT29, and Caco-2 respectively when compared to normal cell line. This result has demonstrated that MUM256 extract was selectively cytotoxic toward colon cancer cell lines. In order to determine the constituents responsible for its bioactivities, the extract was then subjected to chemical analysis using GC-MS. The analysis resulted in the identification of chemical constituents including phenolic and pyrrolopyrazine compounds which may responsible for antioxidant and anticancer activities observed. Based on the findings of this study, the presence of bioactive constituents in MUM256 extract could be a potential source for the development of antioxidative and chemopreventive agents. PMID:26635777

  16. Indoor air pollution and asthma in hospitalized children in a tropical environment.

    PubMed

    Azizi, B H; Zulkifli, H I; Kasim, S

    1995-01-01

    We performed a hospital-based study to examine a hypothesis that indoor air pollution was associated with acute asthma in young children living in Kuala Lumpur City. A total of 158 children aged 1 month to 5 years hospitalized for the first time for asthma were recruited as cases. Controls were 201 children of the same age group who were hospitalized for causes other than a respiratory illness. Information was obtained from mothers using a standardized questionnaire. Univariate analysis identified two indoor pollution variables as significant factors. Sharing a bedroom with an adult smoker and exposure to mosquito coil smoke at least three nights in a week were both associated with increased risk for asthma. Logistic regression analysis confirmed that sharing a bedroom with an adult smoker (OR = 1.91, 95% CI 1.13, 3.21) and exposure to mosquito coil smoke (OR = 1.73, 95% CI 1.02, 2.93) were independent risk factors. Other factors independently associated with acute asthma were previous history of allergy, history of asthma in first-degree relatives, low birth weight, and the presence of a coughing sibling. There was no association between asthma and exposure to kerosene stove, wood stove, aerosol mosquito repellent, type of housing, or crowding. We conclude that indoor air pollution is an avoidable factor in the increasing morbidity due to asthma in children in a tropical environment.

  17. The Link between Knowledge, Attitudes and Practices in Relation to Atmospheric Haze Pollution in Peninsular Malaysia.

    PubMed

    De Pretto, Laura; Acreman, Stephen; Ashfold, Matthew J; Mohankumar, Suresh K; Campos-Arceiz, Ahimsa

    2015-01-01

    Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surveyed in an inner-city shopping mall. Across the whole sample, people who possessed more factual information about the haze phenomenon showed significantly higher levels of concern. Duathletes were more knowledgeable than non-duathletes and also more concerned about the negative effects of haze, especially on health. For all people who regularly practice outdoor sports (including people interviewed at the shopping mall), higher levels of knowledge and concerned attitudes translated into a greater likelihood of engaging in protective practices, such as cancelling their outdoor training sessions, while those with greater knowledge were more likely to check the relevant air pollution index on a daily basis. Our results indicate that the provision of accurate and timely information about air quality to residents will translate into beneficial practices, at least among particularly exposed individuals, such as amateur athletes who regularly practice outdoor sports.

  18. Modeling air quality in main cities of Peninsular Malaysia by using a generalized Pareto model.

    PubMed

    Masseran, Nurulkamal; Razali, Ahmad Mahir; Ibrahim, Kamarulzaman; Latif, Mohd Talib

    2016-01-01

    The air pollution index (API) is an important figure used for measuring the quality of air in the environment. The API is determined based on the highest average value of individual indices for all the variables which include sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3), and suspended particulate matter (PM10) at a particular hour. API values that exceed the limit of 100 units indicate an unhealthy status for the exposed environment. This study investigates the risk of occurrences of API values greater than 100 units for eight urban areas in Peninsular Malaysia for the period of January 2004 to December 2014. An extreme value model, known as the generalized Pareto distribution (GPD), has been fitted to the API values found. Based on the fitted model, return period for describing the occurrences of API exceeding 100 in the different cities has been computed as the indicator of risk. The results obtained indicated that most of the urban areas considered have a very small risk of occurrence of the unhealthy events, except for Kuala Lumpur, Malacca, and Klang. However, among these three cities, it is found that Klang has the highest risk. Based on all the results obtained, the air quality standard in urban areas of Peninsular Malaysia falls within healthy limits to human beings.

  19. Infrequent occurrence of vancomycin-resistant enterococci in poultry from Malaysian wet markets.

    PubMed

    Ong, C H S; Asaad, M; Lim, K C; Ngeow, Y F

    2002-12-01

    Fifty samples of chicken, duck and geese faeces were obtained from 13 wet markets in Kuala Lumpur to study the prevalence of vancomycin-resistant enterococci (VRE) among local market poultry. Biotyping of colonies grown on azide agar incubated at 45 degrees C yielded E. pseudoavium, E. faecalis, E. faecium and E. gallinarum from chicken faeces and E. malodoratus, E. faecalis, E. faecium, E. gallinarum, E. hirae/dispar, and E. durans from goose and duck faeces. On agar containing 6 mg/ l of vancomycin, one strain of E. flavescens was identified, giving a VRE detection rate of 2.0%. This isolate had a vancomycin M.I.C. of 8 mg/l as determined by the Etest, and the van C-3 gene that was identified by PCR followed by sequence analysis. The prevalence of VRE among poultry sold in local markets appears to be low, and may reflect the infrequent use of antimicrobials in our poultry farms. Nevertheless, the possibility of human acquisition of microbes via the food chain cautions against the use of antimicrobials in animal husbandry that may encourage the emergence and spread of multi-drug resistant organisms like the VRE among animal microbial flora.

  20. Real-Time Mapping: Contemporary Challenges and the Internet of Things as the Way Forward

    NASA Astrophysics Data System (ADS)

    Bęcek, Kazimierz

    2016-12-01

    The Internet of Things (IoT) is an emerging technology that was conceived in 1999. The key components of the IoT are intelligent sensors, which represent objects of interest. The adjective `intelligent' is used here in the information gathering sense, not the psychological sense. Some 30 billion sensors that `know' the current status of objects they represent are already connected to the Internet. Various studies indicate that the number of installed sensors will reach 212 billion by 2020. Various scenarios of IoT projects show sensors being able to exchange data with the network as well as between themselves. In this contribution, we discuss the possibility of deploying the IoT in cartography for real-time mapping. A real-time map is prepared using data harvested through querying sensors representing geographical objects, and the concept of a virtual sensor for abstract objects, such as a land parcel, is presented. A virtual sensor may exist as a data record in the cloud. Sensors are identified by an Internet Protocol address (IP address), which implies that geographical objects through their sensors would also have an IP address. This contribution is an updated version of a conference paper presented by the author during the International Federation of Surveyors 2014 Congress in Kuala Lumpur. The author hopes that the use of the IoT for real-time mapping will be considered by the mapmaking community.

  1. Co-infections and transmission networks of HCV, HIV-1 and HPgV among people who inject drugs

    PubMed Central

    Tien Ng, Kim; Takebe, Yutaka; Bee Chook, Jack; Zhen Chow, Wei; Gan Chan, Kok; Abed Al-Darraji, Haider Abdulrazzaq; Kamarulzaman, Adeeba; Keng Tee, Kok

    2015-01-01

    Co-infections with human immunodeficiency virus type 1 (HIV-1) and human pegivirus (HPgV) are common in hepatitis C virus (HCV)-infected individuals. However, analysis on the evolutionary dynamics and transmission network profiles of these viruses among individuals with multiple infections remains limited. A total of 228 injecting drug users (IDUs), either HCV- and/or HIV-1-infected, were recruited in Kuala Lumpur, Malaysia. HCV, HIV-1 and HPgV genes were sequenced, with epidemic growth rates assessed by the Bayesian coalescent method. Based on the sequence data, mono-, dual- and triple-infection were detected in 38.8%, 40.6% and 20.6% of the subjects, respectively. Fifteen transmission networks involving HCV (subtype 1a, 1b, 3a and 3b), HIV-1 (CRF33_01B) and HPgV (genotype 2) were identified and characterized. Genealogical estimates indicated that the predominant HCV, HIV-1 and HPgV genotypes were introduced into the IDUs population through multiple sub-epidemics that emerged as early as 1950s (HCV), 1980s (HIV-1) and 1990s (HPgV). By determining the difference in divergence times between viral lineages (ΔtMRCA), we also showed that the frequency of viral co-transmission is low among these IDUs. Despite increased access to therapy and other harm reduction interventions, the continuous emergence and coexistence of new transmission networks suggest persistent multiple viral transmissions among IDUs. PMID:26459957

  2. Indoor/outdoor of PM10 relationships and its water-soluble ions composition in selected primary schools in Malaysia

    NASA Astrophysics Data System (ADS)

    Mohamad, Noorlin; Latif, Mohd Talib

    2013-11-01

    Measurements of PM10 and water-soluble ions were carried out on indoor and outdoor PM10 (particles > 10 μm in aerodynamic diameter) aerosols sampled at selected primary schools of Kuala Lumpur (S1) and Putrajaya (S2), respectively. Samples were collected using a low volume sampler on Teflon filters. The water-soluble ions chloride (Cl-), nitrate (NO3-), sulfate (SO42-), calcium (Ca2+), magnesium (Mg2+), sodium (Na+), potassium (K+) and ammonium (NH4+) was analyzed using ion chromatography. The results showed that the indoor PM10 mass concentrations in S1 and S2 were 96.6 and 69.5 μg/m3, while the outdoor PM10 mass concentrations were 80.1 and 85.2 μg/m3, respectively. This indicated that NO3- were the most dominant ions, followed by SO42-, Ca2+, K+ and Na+, while Cl-, Mg2+ and Na+ were present at low concentrations. Pearson's correlation test applied to all the data showed high correlation between SO42- and NO3-, indicating a common anthropogenic origin. In addition, the correlations between Na+ and Ca2+ indicated crustal origins that significantly contributed to human exposure.

  3. Drug abuse, relapse, and prevention education in malaysia: perspective of university students through a mixed methods approach.

    PubMed

    Chie, Qiu Ting; Tam, Cai Lian; Bonn, Gregory; Wong, Chee Piau; Dang, Hoang Minh; Khairuddin, Rozainee

    2015-01-01

    In recent years, there have been increasing accounts of illegal substance abuse among university students and professional groups in Malaysia. This study looks at university students' perceptions about this phenomenon. Students from Malaysian universities were asked for their impressions about drug availability and abuse, as well as factors contributing to drug abuse and relapse. The questionnaire also inquired into their knowledge and views regarding government versus private rehabilitation centers, as well as their exposure to, and views about, school-based drug-prevention education. Participants were 460 university students from five Malaysian states: Penang, Selangor, Kuala Lumpur, Sabah, and Sarawak. Results showed gender differences in perceptions of relapse prevention strategies, as well as factors leading to drug abuse and relapse. Students also believed that drug education would be more effective if initiated between the ages of 11 and 12 years, which is slightly older than the common age of first exposure, and provided suggestions for improving existing programs. Implications of student perceptions for the improvement of current interventions and educational programs are discussed.

  4. Nepenthes ampullaria (Nepenthaceae) Pitchers Are Unattractive to Gravid Aedes aegypti and Aedes albopictus (Diptera: Culicidae).

    PubMed

    Chou, Lee Yiung; Dykes, Gary A; Wilson, Robyn F; Clarke, Charles M

    2016-02-01

    Nepenthes pitcher plants are colonized by a variety of specialized arthropods. As Aedes mosquitoes are container breeders, Nepenthes pitchers are a potential candidate oviposition site for vector species, such as Aedes aegypti (L.) and Aedes albopictus (Skuse). However, Aedes spp. are not commonly encountered in Nepenthes pitchers, and the environment inside the pitchers of some species is lethal to them. One exception is Nepenthes ampullaria Jack, whose pitchers are known to be colonized by Ae. albopictus on very rare occasions. Given that Ae. albopictus larvae can survive in N. ampullaria pitcher fluids, we sought to determine why pitcher colonization is rare, testing the hypothesis that gravid Aedes mosquitoes are deterred from ovipositing into container habitats that have similar characteristics to N. ampullaria pitchers. Using plastic ovitraps of different sizes, colors, and with different types of fluids (based on the characteristics of N. ampullaria pitchers), we compared oviposition rates by Aedes mosquitoes in urban and rural areas within the geographical range of N. ampullaria near Kuala Lumpur, Malaysia. Ovitraps that were black and large (>250-ml capacity) accumulated significantly more eggs than ovitraps that were smaller, or green in color. In terms of size and color, small, green ovitraps are analogous to N. ampullaria pitchers, indicating that these pitchers are not particularly attractive to gravid Ae. albopictus. Although Aedes spp. are capable of colonizing N. ampullaria pitchers, the pitchers are relatively unattractive to gravid females and do not represent a significant habitat for larvae of dengue vectors at present.

  5. Focus on Malaysia.

    PubMed

    Forman, L T

    1979-01-01

    Prospects for a stable, prospering economy in Malaysia appear threatened by an uneven distribution of wealth among non-Malay, particularly Chinese, residents. Native Malays, Bumiputra, have benefitted from the government's 20 year New Economic Policy, a system of subsidies to correct economic imbalances among the races. Malay corporate ownership has increased from 2.4% in 1970 to 28% in 1979. However, equity must increase by 26% annually to meet NEP targets. Without the GNP expanding 7-8% yearly, the government will be tempted to acquire assets at low prices. 70% of the total Malay ownership was held by public enterprises holding equity in trust. An elite group of Bumiputra will own a fair number of shares reserved by 1970. 1/5 of the population of Kuala Lumpur are squatters. Among these groups, communal tension is high. The Chinese businessmen are most resistant to native management. Since they control private domestic investment, they have political power. The Industrial Coordination Act (ICA), which gives power to civil servants through a licensing system, protects the system. The Asian Foundation supports management training, business development, and university demonstration projects in legal aid, solar energy, and community psychiatry. Malaysian competence in English enables widespread distribution of the Books for Asia program.

  6. Portfolio optimization in enhanced index tracking with goal programming approach

    NASA Astrophysics Data System (ADS)

    Siew, Lam Weng; Jaaman, Saiful Hafizah Hj.; Ismail, Hamizun bin

    2014-09-01

    Enhanced index tracking is a popular form of passive fund management in stock market. Enhanced index tracking aims to generate excess return over the return achieved by the market index without purchasing all of the stocks that make up the index. This can be done by establishing an optimal portfolio to maximize the mean return and minimize the risk. The objective of this paper is to determine the portfolio composition and performance using goal programming approach in enhanced index tracking and comparing it to the market index. Goal programming is a branch of multi-objective optimization which can handle decision problems that involve two different goals in enhanced index tracking, a trade-off between maximizing the mean return and minimizing the risk. The results of this study show that the optimal portfolio with goal programming approach is able to outperform the Malaysia market index which is FTSE Bursa Malaysia Kuala Lumpur Composite Index because of higher mean return and lower risk without purchasing all the stocks in the market index.

  7. Isolation and Characterization of an Atypical Metschnikowia sp. Strain from the Skin Scraping of a Dermatitis Patient

    PubMed Central

    Kuan, Chee Sian; Ismail, Rokiah; Kwan, Zhenli; Yew, Su Mei; Yeo, Siok Koon; Chan, Chai Ling; Toh, Yue Fen; Na, Shiang Ling; Lee, Kok Wei; Hoh, Chee-Choong; Yee, Wai-Yan; Ng, Kee Peng

    2016-01-01

    A yeast-like organism was isolated from the skin scraping sample of a stasis dermatitis patient in the Mycology Unit Department of Medical Microbiology, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia. The isolate produced no pigment and was not identifiable using chromogenic agar and API 20C AUX. The fungus was identified as Metschnikowia sp. strain UM 1034, which is close to that of Metschnikowia drosophilae based on ITS- and D1/D2 domain-based phylogenetic analysis. However, the physiology of the strain was not associated to M. drosophilae. This pathogen exhibited low sensitivity to all tested azoles, echinocandins, 5-flucytosine and amphotericin B. This study provided insight into Metschnikowia sp. strain UM 1034 phenotype profiles using a Biolog phenotypic microarray (PM). The isolate utilized 373 nutrients of 760 nutrient sources and could adapt to a broad range of osmotic and pH environments. To our knowledge, this is the first report of the isolation of Metschnikowia non-pulcherrima sp. from skin scraping, revealing this rare yeast species as a potential human pathogen that may be misidentified as Candida sp. using conventional methods. Metschnikowia sp. strain UM 1034 can survive in flexible and diverse environments with a generalist lifestyle. PMID:27280438

  8. Smartkadaster: Observing Beyond Traditional Cadastre Capabilities for Malaysia

    NASA Astrophysics Data System (ADS)

    Isa, M. N. Bin; Hua, T. C.; Halim, N. Z. Binti Abdul

    2015-10-01

    The digital age for cadastral surveying started in stages, more than 20 years ago in Malaysia and JUPEM played a vital role in its successful implementation nationwide. One of the key products of cadastral survey is cadastral maps, which provide useful information for any land information system. However, as technology evolved and simplicity is familiarised, better services are anticipated and have affected how cadastral survey information are perceived. A paradigm shift is necessary where enriched cadastral information is required for multiple usage and allow real cadastral information based services to users. On that note, JUPEM is intrigued to develop a system where National Digital Cadastral Database is value added with other geospatial information for a smart and multipurpose environment and clearly be interpreted as a decision making tool with the aids of 3D realistic spatial data, namely SmartKADASTER. The SmartKADASTER is an ongoing project developed by JUPEM with the aim to establish a realistic and SMART cadastral-based spatial analysis platform for an effective planning, decision making, enabling efficiencies and enhancing communication and management to support SMART services towards SMART City enablement in Malaysia. It is developed in phases with the Federal Territory of Putrajaya and Kuala Lumpur as the initial project implementation area. This paper provides awareness and insights of the on-going development of the project and how it could benefit potential users and stakeholders.

  9. Pathways to Youth Empowerment and Community Connectedness: A Study of Youth-Adult Partnership in Malaysian After-School, Co-Curricular Programs.

    PubMed

    Zeldin, Shepherd; Krauss, Steven Eric; Kim, Taehan; Collura, Jessica; Abdullah, Haslinda

    2016-08-01

    After-school programs are prevalent across the world, but there is a paucity of research that examines quality within the "black box" of programs at the point of service. Grounded in current theory, this research examined hypothesized pathways between the experience of youth-adult partnership (youth voice in decision-making; supportive adult relationships), the mediators of program safety and engagement, and the developmental outcomes of youth empowerment (leadership competence, policy control) and community connectedness (community connections, school attachment). Surveys were administered to 207 ethnically diverse (47.3 % female; 63.3 % Malay) youth, age 15-16, attending after-school co-curricular programs in Kuala Lumpur, Malaysia. Results showed that youth voice in program decision-making predicted both indicators of youth empowerment. Neither youth voice nor supportive adult relationships was directly associated with community connectedness, however. Program engagement mediated the associations between youth-adult partnership and empowerment. In contrast, program safety mediated the associations between youth-adult partnership and community connectedness. The findings indicate that the two core components of youth-adult partnership-youth voice and supportive adult relationships-may operate through different, yet complementary, pathways of program quality to predict developmental outcomes. Implications for future research are highlighted. For reasons of youth development and youth rights, the immediate challenge is to create opportunities for youth to speak on issues of program concern and to elevate those adults who are able and willing to help youth exercise their voice.

  10. Two new species of Scirtothrips genus-group (Thripidae) of Northern Peninsular Malaysia.

    PubMed

    Ng, Y F; Mound, L A

    2016-03-07

    The survey of Thysanoptera in peninsular Malaysia has been concentrated largely in areas growing crops and flowers around Kuala Lumpur, and the Cameron Highlands, and there are few records of these insects from native forests particularly in the northern part of the country. The two species described here were collected during a recent visit to Belum-Temengor Forest Complex, in Perak State, part of the second largest forested area on the peninsular, and connected to the Bang Lang National Park, in Yala Province, Thailand. This forest has been well known as home to a number of endangered animals, including Malayan tigers and Asian elephants, as well as remarkable plant species such as Rafflesia with the world's largest flowers (Abdullah et al. 2011). Despite this, forest areas are facing a major challenge from the insatiable demand for timber, palm oil and minerals, with an 80% increase in deforestation rate in Malaysia between 1990 and 2005 (FAO 2010). Forested land in peninsular Malaysia has been estimated at 5.88 million-ha or 44% of total area, but the coverage of reserved virgin forest is about 0.40 % or 23,002-ha (Dahlan 2008).

  11. Geographic Information System (GIS) modeling approach to determine the fastest delivery routes.

    PubMed

    Abousaeidi, Mohammad; Fauzi, Rosmadi; Muhamad, Rusnah

    2016-09-01

    This study involves the adoption of the Geographic Information System (GIS) modeling approach to determine the quickest routes for fresh vegetable delivery. During transport, fresh vegetables mainly deteriorate on account of temperature and delivery time. Nonetheless, little attention has been directed to transportation issues in most areas within Kuala Lumpur. In addition, perishable food normally has a short shelf life, thus timely delivery significantly affects delivery costs. Therefore, selecting efficient routes would consequently reduce the total transportation costs. The regression model is applied in this study to determine the parameters that affect route selection with respect to the fastest delivery of fresh vegetables. For the purpose of this research, ArcGIS software with network analyst extension is adopted to solve the problem of complex networks. The final output of this research is a map of quickest routes with the best delivery times based on all variables. The variables tested from regression analysis are the most effective parameters to make the flow of road networks slower. The objective is to improve the delivery services by achieving the least drive time. The main findings of this research are that Land use such as residential area and population as variables are the effective parameters on drive time.

  12. Pattern of homicidal deaths autopsied at Penang Hospital, Malaysia, 2007-2009: a preliminary study.

    PubMed

    Bhupinder, S; Kumara, T K; Syed, A M

    2010-12-01

    This article describes the homicide pattern in Penang Island, Malaysia over a three-year period (2007-2009). 65 homicide autopsies were performed at the Department of Forensic Medicine, Penang Hospital over the study period. The homicide rates ranged from 0.01 to 0.09/1000 population, the highest being in the Indian ethnic group. The majority (37%) of victims were in the 20-39 years age group. The male: female ratio was 3:1. The majority of deaths were caused by blunt instruments (46%), followed by stab/slash wounds (25%) and asphyxiation (12%). 63% of homicides occurred in areas served by the police stations at Jalan Patani (23.1%), Sg. Nibong (16.9%), Central (12.3%) and Bayan Lepas (10.9%). 56 (86%) victims were brought in dead to the hospital, while 9 (14%) died after admission. Most (39%) incidences occurred in the morning. The methods of homicide were different from Kuala Lumpur, another highly urbanised area of Malaysia.

  13. A double blind comparison of zuclopenthixol acetate with haloperidol in the management of acutely disturbed schizophrenics.

    PubMed

    Chin, C N; Hamid, A R; Philip, G; Ramlee, T; Mahmud, M; Zulkifli, G; Loh, C C; Zakariah, M S; Norhamidah, M S; Suraya, Y; Roslan, K A; Chandramohan, P; Cheah, Y C; Leonard, A O

    1998-12-01

    The aim of this study was to evaluate the efficacy and side effects of zuclopenthixol acetate compared with haloperidol in the management of the acutely disturbed schizophrenic patient. Suitable subjects diagnosed as having schizophreniform disorder or acute exacerbation of schizophrenia admitted to the psychiatric wards Hospital Kuala Lumpur were randomised to receive either zuclopenthixol acetate or haloperidol. They were rated blind for three consecutive days using the Brief Psychiatric Rating Scale (BPRS), Clinical Global Impression (CGI) and UKU Side Effects Scale. Apart from repeat injections of the same medication, no other anti-psychotic was given for the duration of the study. 50 subjects entered the study of which 44 completed. 23 were given zuclopenthixol acetate and 21 haloperidol. Both groups significantly reduced BPRS and CGI scores on all 3 days compared to the initial rating (p < 0.001). There was however no difference between the zuclopenthixol acetate and haloperidol group scores on all days (p > 0.05). More subjects on haloperidol than zuclopenthixol required more than 1 injection during the study. Both groups had minimal side effects. Zuclopenthixol acetate was effective in the management of the acutely disturbed schizophrenic.

  14. Human papillomavirus related diseases in Malaysians.

    PubMed

    Cheah, P L

    1994-06-01

    The surge of information on the aetiological association of the human papillomavirus (HPV) with some epithelial tumours emanating from various centres has prompted the initiation of a large-scale retrospective study at the Department of Pathology, University Hospital Kuala Lumpur to determine the prevalence and importance of this virus in some epithelial tumours of Malaysian patients. A retrospective analysis of 100 cases of large cell non-keratinising carcinoma of the uterine cervix by in-situ hybridisation on archival formalin-fixed, paraffin-embedded tissue has revealed the presence of HPV type 16 in 47% and type 18 in 41% of cases. This gives an overall detection rate of 88% of the two HPV types most commonly encountered in cervical carcinomas. Except for the unusually high frequency of HPV 18 detected in the cases, the overall prevalence is comparable to that reported in studies from most other centres. Although this higher frequency of HPV 18 may be due to geographical variation, the selection of the large cell non-keratinising type of squamous cell cervical carcinoma for study remains a possible reason for this phenomenon. In comparison to cervical carcinomas, HPV appears to be uncommon in penile carcinomas and HPV 6 was detected in only 1 of 23 cases studied.

  15. Optimization of NaOH Molarity, LUSI Mud/Alkaline Activator, and Na2SiO3/NaOH Ratio to Produce Lightweight Aggregate-Based Geopolymer

    PubMed Central

    Abdul Razak, Rafiza; Abdullah, Mohd Mustafa Al Bakri; Hussin, Kamarudin; Ismail, Khairul Nizar; Hardjito, Djwantoro; Yahya, Zarina

    2015-01-01

    This paper presents the mechanical function and characterization of an artificial lightweight geopolymer aggregate (ALGA) using LUSI (Sidoarjo mud) and alkaline activator as source materials. LUSI stands for LU-Lumpur and SI-Sidoarjo, meaning mud from Sidoarjo which erupted near the Banjarpanji-1 exploration well in Sidoarjo, East Java, Indonesia on 27 May 2006. The effect of NaOH molarity, LUSI mud/Alkaline activator (LM/AA) ratio, and Na2SiO3/NaOH ratio to the ALGA are investigated at a sintering temperature of 950 °C. The results show that the optimum NaOH molarity found in this study is 12 M due to the highest strength (lowest AIV value) of 15.79% with lower water absorption and specific gravity. The optimum LUSI mud/Alkaline activator (LM/AA) ratio of 1.7 and the Na2SiO3/NaOH ratio of 0.4 gives the highest strength with AIV value of 15.42% with specific gravity of 1.10 g/cm3 and water absorption of 4.7%. The major synthesized crystalline phases were identified as sodalite, quartz and albite. Scanning Electron Microscope (SEM) image showed more complete geopolymer matrix which contributes to highest strength of ALGA produced. PMID:26006238

  16. Science-Policy Interactions in MPA Site Selection in the Dutch Part of the North Sea

    NASA Astrophysics Data System (ADS)

    van Haastrecht, Eline K.; Toonen, Hilde M.

    2011-04-01

    At the 7th conference of the parties to the Convention on Biological Diversity (CBD-COP7, Kuala Lumpur, 2004) it was agreed to establish a global network of marine and coastal protected areas by 2012. The defined objectives of this MPA-network are based on the ecosystem approach: to protect biodiversity and other ecological values, and to ensure sustainable use. The (inter)national policy guidelines state that the selection of MPAs should be based on scientific information and ecological criteria only. As a signatory to the Convention, the Netherlands is now faced with meeting this obligation, and the process of designating the first Marine Protected Areas (MPAs) in the Dutch part of the North Sea is currently in progress. We focus on the science-policy interactions that are part of this Dutch MPA selection process. By taking a closer look at the contemporary site selection process as well as its historical background, we show that ecological, socio-economic and political considerations cannot always be easily separated. Uncertainty is high and the ultimate selection and delimitation of candidate sites rather seems to be the result of a balancing act between ecological, socio-economic and political interests, in which scientific and policy guiding procedures blend with ad-hoc political decision making, and with expert judgment in cases where data is lacking. As such, this paper presents an example of present-day environmental policy making in action.

  17. Trials of large group teaching in Malaysian private universities: a cross sectional study of teaching medicine and other disciplines

    PubMed Central

    2011-01-01

    Background This is a pilot cross sectional study using both quantitative and qualitative approach towards tutors teaching large classes in private universities in the Klang Valley (comprising Kuala Lumpur, its suburbs, adjoining towns in the State of Selangor) and the State of Negeri Sembilan, Malaysia. The general aim of this study is to determine the difficulties faced by tutors when teaching large group of students and to outline appropriate recommendations in overcoming them. Findings Thirty-two academics from six private universities from different faculties such as Medical Sciences, Business, Information Technology, and Engineering disciplines participated in this study. SPSS software was used to analyse the data. The results in general indicate that the conventional instructor-student approach has its shortcoming and requires changes. Interestingly, tutors from Medicine and IT less often faced difficulties and had positive experience in teaching large group of students. Conclusion However several suggestions were proposed to overcome these difficulties ranging from breaking into smaller classes, adopting innovative teaching, use of interactive learning methods incorporating interactive assessment and creative technology which enhanced students learning. Furthermore the study provides insights on the trials of large group teaching which are clearly identified to help tutors realise its impact on teaching. The suggestions to overcome these difficulties and to maximize student learning can serve as a guideline for tutors who face these challenges. PMID:21902839

  18. Measuring religiosity and its effects on personal well-being: a case study of Muslim female academicians in Malaysia.

    PubMed

    Achour, Meguellati; Grine, Fadila; Mohd Nor, Mohd Roslan; MohdYusoff, Mohd Yakub Zulkifli

    2015-06-01

    This study seeks to measure religiosity in an Islamic context and to assess its effects on the personal well-being of Muslims. The determinants of religiosity included under this research are prayer, beliefs, and worship. This research also attempts to examine the coping strategies Muslims use to deal with life problems and changes such as prayer, supplication, trust and reliance on God, remembrance of death, and concept of life after death. Today, many scales of religiosity are being put into use among Muslims. This study measures religiosity and its effects on the well-being of Muslim academicians. The researchers used 315 Muslim female of academic staff as respondents, working in Research Universities in the Klang Valley such as University of Malaya, National University and Putra University area of Kuala Lumpur, Malaysia. Their ages ranged from 30 to 60 years. The results of this study show that there exists a positive yet significant correlation between personal well-being and religiosity. The well-being also shows significant positive correlations with beliefs and worship and prayer.

  19. What Do Men Want from a Health Screening Mobile App? A Qualitative Study.

    PubMed

    Teo, Chin Hai; Ng, Chirk Jenn; White, Alan

    2017-01-01

    There is a lack of mobile app which aims to improve health screening uptake developed for men. As part of the study to develop an effective mobile app to increase health screening uptake in men, we conducted a needs assessment to find out what do men want from a health screening mobile app. In-depth interviews and focus group discussions were conducted with 31 men from a banking institution in Kuala Lumpur. The participants were purposely sampled according to their job position, age, ethnicity and screening status. The recruitment was stopped once data saturation was achieved. The audio-recorded interviews were transcribed verbatim and analyzed using thematic approach. Three themes emerged from the analysis and they were: content, feature and dissemination. In terms of the content, men wanted the app to provide information regarding health screening and functions that can assess their health; which must be personalized to them and are trustable. The app must have user-friendly features in terms of information delivery, ease of use, attention allocation and social connectivity. For dissemination, men proposed that advertisements, recommendations by health professionals, providing incentive and integrating the app as into existing systems may help to increase the dissemination of the app. This study identified important factors that need to be considered when developing a mobile app to improve health screening uptake. Future studies on mobile app development should elicit users' preference and need in terms of its content, features and dissemination strategies to improve the acceptability and the chance of successful implementation.

  20. Molecular basis of Rh blood group system in the Malaysian population

    PubMed Central

    Musa, Rozi Hanisa; Muhamad, Nor Asiah; Hassan, Afifah; Ayob, Yasmin; Yusoff, Narazah Mohd

    2015-01-01

    Background: Rh molecular studies have been previously mainly conducted in Caucasians and African population. There is a limited data on the molecular basis for Rh genotypes among Asians. Aims: This study aims to characterize the Rh genes and frequency of the various RH genotypes among blood donors in National Blood Centre (NBC), Kuala Lumpur. Materials and Methods: A total of 1014 blood samples were obtained from blood donors from four different ethnic groups (360 Malays, 434 Chinese, 164 Indians and 56 others). Serological and molecular analysis of all 1014 blood samples were performed. An automated deoxyribonucleic acid sequencing analysis was performed. Results: Rh phenotypes and RH genotypes showed heterogeneity and significant association with ethnicities. Discrepancies in allele D, C/c and E/e between phenotypes and genotypes results were observed. Discrepancy results in allele D showed significant association with the ethnic groups of the blood donors in NBC. There were multiple novel mutations (23) and published mutations (5) found in this study. Significant associations between discrepancy results and mutations were found in allele D and C/c. Conclusion: Performing RH molecular analysis in Malaysian population provided the basic database for the distribution of Rh genotypes of donors from major ethnic groups in Malaysia. PMID:25722573

  1. Multivariate statistical techniques for the assessment of seasonal variations in surface water quality of pasture ecosystems.

    PubMed

    Ajorlo, Majid; Abdullah, Ramdzani B; Yusoff, Mohd Kamil; Halim, Ridzwan Abd; Hanif, Ahmad Husni Mohd; Willms, Walter D; Ebrahimian, Mahboubeh

    2013-10-01

    This study investigates the applicability of multivariate statistical techniques including cluster analysis (CA), discriminant analysis (DA), and factor analysis (FA) for the assessment of seasonal variations in the surface water quality of tropical pastures. The study was carried out in the TPU catchment, Kuala Lumpur, Malaysia. The dataset consisted of 1-year monitoring of 14 parameters at six sampling sites. The CA yielded two groups of similarity between the sampling sites, i.e., less polluted (LP) and moderately polluted (MP) at temporal scale. Fecal coliform (FC), NO3, DO, and pH were significantly related to the stream grouping in the dry season, whereas NH3, BOD, Escherichia coli, and FC were significantly related to the stream grouping in the rainy season. The best predictors for distinguishing clusters in temporal scale were FC, NH3, and E. coli, respectively. FC, E. coli, and BOD with strong positive loadings were introduced as the first varifactors in the dry season which indicates the biological source of variability. EC with a strong positive loading and DO with a strong negative loading were introduced as the first varifactors in the rainy season, which represents the physiochemical source of variability. Multivariate statistical techniques were effective analytical techniques for classification and processing of large datasets of water quality and the identification of major sources of water pollution in tropical pastures.

  2. Preliminary Analytical Results for a Mud Sample Collected from the LUSI Mud Volcano, Sidoarjo, East Java, Indonesia

    USGS Publications Warehouse

    Plumlee, Geoffrey S.; Casadevall, Thomas J.; Wibowo, Handoko T.; Rosenbauer, Robert J.; Johnson, Craig A.; Breit, George N.; Lowers, Heather; Wolf, Ruth E.; Hageman, Philip L.; Goldstein, Harland L.; Anthony, Michael W.; Berry, Cyrus J.; Fey, David L.; Meeker, Gregory P.; Morman, Suzette A.

    2008-01-01

    On May 29, 2006, mud and gases began erupting unexpectedly from a vent 150 meters away from a hydrocarbon exploration well near Sidoarjo, East Java, Indonesia. The eruption, called the LUSI (Lumpur 'mud'-Sidoarjo) mud volcano, has continued since then at rates as high as 160,000 m3 per day. At the request of the United States Department of State, the U.S. Geological Survey (USGS) has been providing technical assistance to the Indonesian Government on the geological and geochemical aspects of the mud eruption. This report presents initial characterization results of a sample of the mud collected on September 22, 2007, as well as inerpretive findings based on the analytical results. The focus is on characteristics of the mud sample (including the solid and water components of the mud) that may be of potential environmental or human health concern. Characteristics that provide insights into the possible origins of the mud and its contained solids and waters have also been evaluated.

  3. Social Psychological Origins of Conspiracy Theories: The Case of the Jewish Conspiracy Theory in Malaysia

    PubMed Central

    Swami, Viren

    2012-01-01

    Two studies examined correlates of belief in a Jewish conspiracy theory among Malays in Malaysia, a culture in which state-directed conspiracism as a means of dealing with perceived external and internal threats is widespread. In Study 1, 368 participants from Kuala Lumpur, Malaysia, completed a novel measure of belief in a Jewish conspiracy theory, along with measures of general conspiracist ideation, and anomie. Initial analysis showed that the novel scale factorially reduced to a single dimension. Further analysis showed that belief in the Jewish conspiracy theory was only significantly associated with general conspiracist ideation, but the strength of the association was weak. In Study 2, 314 participants completed the measure of belief in the Jewish conspiracy theory, along with measures of general conspiracist ideation, and ideological attitudes. Results showed that belief in the Jewish conspiracy theory was associated with anti-Israeli attitudes, modern racism directed at the Chinese, right-wing authoritarianism, and social dominance orientation. General conspiracist ideation did not emerge as a significant predictor once other variables had been accounted for. These results suggest that there may be specific cultural and social psychological forces that drive belief in the Jewish conspiracy theory within the Malaysian context. Specifically, belief in the Jewish conspiracy theory among Malaysian Malays appears to serve ideological needs and as a mask for anti-Chinese sentiment, which may in turn reaffirm their perceived ability to shape socio-political processes. PMID:22888323

  4. Aedes larval population dynamics and risk for dengue epidemics in Malaysia.

    PubMed

    Rohani, A; Suzilah, I; Malinda, M; Anuar, I; Mohd Mazlan, I; Salmah Maszaitun, M; Topek, O; Tanrang, Y; Ooi, S C; Rozilawati, H; Lee, H L

    2011-08-01

    Early detection of a dengue outbreak is an important first step towards implementing effective dengue interventions resulting in reduced mortality and morbidity. A dengue mathematical model would be useful for the prediction of an outbreak and evaluation of control measures. However, such a model must be carefully parameterized and validated with epidemiological, ecological and entomological data. A field study was conducted to collect and analyse various parameters to model dengue transmission and outbreak. Dengue prone areas in Kuala Lumpur, Pahang, Kedah and Johor were chosen for this study. Ovitraps were placed outdoor and used to determine the effects of meteorological parameters on vector breeding. Vector population in each area was monitored weekly for 87 weeks. Weather stations, consisting of a temperature and relative humidity data logger and an automated rain gauge, were installed at key locations in each study site. Correlation and Autoregressive Distributed Lag (ADL) model were used to study the relationship among the variables. Previous week rainfall plays a significant role in increasing the mosquito population, followed by maximum humidity and temperature. The secondary data of rainfall, temperature and humidity provided by the meteorological department showed an insignificant relationship with the mosquito population compared to the primary data recorded by the researchers. A well fit model was obtained for each locality to be used as a predictive model to foretell possible outbreak.

  5. Comparison between goal programming and cointegration approaches in enhanced index tracking

    NASA Astrophysics Data System (ADS)

    Lam, Weng Siew; Jamaan, Saiful Hafizah Hj.

    2013-04-01

    Index tracking is a popular form of passive fund management in stock market. Passive management is a buy-and-hold strategy that aims to achieve rate of return similar to the market return. Index tracking problem is a problem of reproducing the performance of a stock market index, without purchasing all of the stocks that make up the index. This can be done by establishing an optimal portfolio that minimizes risk or tracking error. An improved index tracking (enhanced index tracking) is a dual-objective optimization problem, a trade-off between maximizing the mean return and minimizing the tracking error. Enhanced index tracking aims to generate excess return over the return achieved by the index. The objective of this study is to compare the portfolio compositions and performances by using two different approaches in enhanced index tracking problem, which are goal programming and cointegration. The result of this study shows that the optimal portfolios for both approaches are able to outperform the Malaysia market index which is Kuala Lumpur Composite Index. Both approaches give different optimal portfolio compositions. Besides, the cointegration approach outperforms the goal programming approach because the cointegration approach gives higher mean return and lower risk or tracking error. Therefore, the cointegration approach is more appropriate for the investors in Malaysia.

  6. The implementation of problem-based learning in collaborative groups in a chiropractic program in Malaysia

    PubMed Central

    Win, Ni Ni; Nadarajah, Vishna Devi V; Win, Daw Khin

    2015-01-01

    Purpose: Problem-based learning (PBL) is usually conducted in small-group learning sessions with approximately eight students per facilitator. In this study, we implemented a modified version of PBL involving collaborative groups in an undergraduate chiropractic program and assessed its pedagogical effectiveness. Methods: This study was conducted at the International Medical University, Kuala Lumpur, Malaysia, and involved the 2012 chiropractic student cohort. Six PBL cases were provided to chiropractic students, consisting of three PBL cases for which learning resources were provided and another three PBL cases for which learning resources were not provided. Group discussions were not continuously supervised, since only one facilitator was present. The students’ perceptions of PBL in collaborative groups were assessed with a questionnaire that was divided into three domains: motivation, cognitive skills, and perceived pressure to work. Results: Thirty of the 31 students (97%) participated in the study. PBL in collaborative groups was significantly associated with positive responses regarding students’ motivation, cognitive skills, and perceived pressure to work (P<0.05). The students felt that PBL with learning resources increased motivation and cognitive skills (P<0.001). Conclusion: The new PBL implementation described in this study does not require additional instructors or any additional funding. When implemented in a classroom setting, it has pedagogical benefits equivalent to those of small-group sessions. Our findings also suggest that students rely significantly on available learning resources. PMID:25961676

  7. Improving queuing service at McDonald's

    NASA Astrophysics Data System (ADS)

    Koh, Hock Lye; Teh, Su Yean; Wong, Chin Keat; Lim, Hooi Kie; Migin, Melissa W.

    2014-07-01

    Fast food restaurants are popular among price-sensitive youths and working adults who value the conducive environment and convenient services. McDonald's chains of restaurants promote their sales during lunch hours by offering package meals which are perceived to be inexpensive. These promotional lunch meals attract good response, resulting in occasional long queues and inconvenient waiting times. A study is conducted to monitor the distribution of waiting time, queue length, customer arrival and departure patterns at a McDonald's restaurant located in Kuala Lumpur. A customer survey is conducted to gauge customers' satisfaction regarding waiting time and queue length. An android app named Que is developed to perform onsite queuing analysis and report key performance indices. The queuing theory in Que is based upon the concept of Poisson distribution. In this paper, Que is utilized to perform queuing analysis at this McDonald's restaurant with the aim of improving customer service, with particular reference to reducing queuing time and shortening queue length. Some results will be presented.

  8. Cost analysis of measles in refugees arriving at Los Angeles International Airport from Malaysia.

    PubMed

    Coleman, Margaret S; Burke, Heather M; Welstead, Bethany L; Mitchell, Tarissa; Taylor, Eboni M; Shapovalov, Dmitry; Maskery, Brian A; Joo, Heesoo; Weinberg, Michelle

    2017-01-09

    Background On August 24, 2011, 31 US-bound refugees from Kuala Lumpur, Malaysia (KL) arrived in Los Angeles. One of them was diagnosed with measles post-arrival. He exposed others during a flight, and persons in the community while disembarking and seeking medical care. As a result, 9 cases of measles were identified. Methods We estimated costs of response to this outbreak and conducted a comparative cost analysis examining what might have happened had all US-bound refugees been vaccinated before leaving Malaysia. Results State-by-state costs differed and variously included vaccination, hospitalization, medical visits, and contact tracing with costs ranging from $621 to $35,115. The total of domestic and IOM Malaysia reported costs for US-bound refugees were $137,505 [range: $134,531 - $142,777 from a sensitivity analysis]. Had all US-bound refugees been vaccinated while in Malaysia, it would have cost approximately $19,646 and could have prevented 8 measles cases. Conclusion A vaccination program for US-bound refugees, supporting a complete vaccination for US-bound refugees, could improve refugees' health, reduce importations of vaccine-preventable diseases in the United States, and avert measles response activities and costs.

  9. Measles outbreak associated with an arriving refugee - Los Angeles County, California, August-September 2011.

    PubMed

    2012-06-01

    Measles is a highly communicable, acute viral illness with potential for severe complications, including death. Although endemic measles was eliminated in the United States in 2000 as a result of widespread vaccination, sporadic measles outbreaks still occur, largely associated with international travel from measles-endemic countries and pockets of unvaccinated persons. On August 26, 2011, the Los Angeles County Department of Public Health (LACDPH) was notified of suspected measles in a refugee from Burma who had arrived in Los Angeles, California, on August 24, after a flight from Kuala Lumpur, Malaysia. Passengers on the flight included 31 other refugees who then traveled to seven other states, widening the measles investigation and response activities. In California alone, 50 staff members from LACDPH and the California Department of Public Health (CDPH) interviewed and reinterviewed 298 contacts. Measles was diagnosed in three contacts of the index patient (patient A). The three contacts with measles were two passengers on the same flight as patient A and a customs worker; no secondary cases were identified. Delayed diagnosis of measles in patient A and delayed notification of health officials precluded use of measles-mumps-rubella (MMR) vaccine as an outbreak intervention. This outbreak emphasizes the importance of maintaining a high level of vaccination coverage and continued high vigilance for measles in the United States, particularly among incoming international travelers; clinicians should immediately isolate persons with suspected measles and promptly report them to health authorities.

  10. Development of a simulation model of semi-active suspension for monorail

    NASA Astrophysics Data System (ADS)

    Hasnan, K.; Didane, D. H.; Kamarudin, M. A.; Bakhsh, Qadir; Abdulmalik, R. E.

    2016-11-01

    The new Kuala Lumpur Monorail Fleet Expansion Project (KLMFEP) uses semiactive technology in its suspension system. It is recognized that the suspension system influences the ride quality. Thus, among the way to further improve the ride quality is by fine- tuning the semi-active suspension system on the new KL Monorail. The semi-active suspension for the monorail specifically in terms of improving ride quality could be exploited further. Hence a simulation model which will act as a platform to test the design of a complete suspension system particularly to investigate the ride comfort performance is required. MSC Adams software was considered as the tool to develop the simulation platform, where all parameters and data are represented by mathematical equations; whereas the new KL Monorail being the reference model. In the simulation, the model went through step disturbance on the guideway for stability and ride comfort analysis. The model has shown positive results where the monorail is in stable condition as an outcome from stability analysis. The model also scores a Rating 1 classification in ISO 2631 Ride Comfort performance which is very comfortable as an overall outcome from ride comfort analysis. The model is also adjustable, flexibile and understandable by the engineers within the field for the purpose of further development.

  11. Female labour force participation and fertility.

    PubMed

    Concepcion, M B

    1974-01-01

    The levels of labor force participation by women in selected Asian countries were recorded in a series of censuses taken over a period of years. These levels were less influenced than male employment levels by economic conditions and more influenced by cultural traits of the country. Postwar trends seem to have fallen in Korea, risen in Singapore and the Philippines, and remained steady in Japan, Malaya, and Thailand. The limitations of these data are mentioned. In Thailand and West Malaysia greater percentages of women worked in agricultural than non-agricultural employment; in the Philippines, where women did not work so much in agricultural pursuits, their jobs were still in traditional rather than in development industries. In the cities of Bangkok, Manila, and Kuala Lumpur, fertility was lower for working than for non-working women. In rural agricultural areas, the fertility of working women was minimally higher, probably due to economic need of lar ger families. It is concluded that urban life separates the employment and the family roles of working women, leading to lowered fertility; this does not occur in rural areas. The creation of new roles for women alternative or supplementary to marriage and motherhood would result in lowered fertility. In high fertility Asian countries, policies directed toward greater participation of women in non-agricultural work and great er exposure to an urban lifestyle might achieve fertility reductions.

  12. The prevalence of diabetic peripheral neuropathy in an outpatient setting.

    PubMed

    Mimi, O; Teng, C L; Chia, Y C

    2003-10-01

    This study was undertaken to clinically estimate the prevalence of diabetic peripheral neuropathy amongst patients attending an outpatient clinic and to evaluate their risk factors for developing peripheral neuropathy. It was a cross-sectional study of 134 diabetes mellitus patients who attended the Primary Care Clinic, University Hospital, Kuala Lumpur. The patients were interviewed for their demographic data, past and present medical/surgical history, social history, personal habits and symptoms of peripheral neuropathy. Foot examination and clinical neurological tests were conducted and the presence of peripheral neuropathy was assessed. The main outcome measures were the Neuropathy Symptom Score and the Neuropathy Disability Score. The prevalence of diabetic peripheral neuropathy was found to be 50.7%. Peripheral neuropathy was related to the age of the patient and the duration of diabetes but did not seem to be significantly related to diabetic control. To conclude, there was a high prevalence of peripheral neuropathy amongst the diabetics in this study. These patients developed peripheral neuropathy at a younger age and shorter duration of diabetes compared to a similar study that was done in the UK.

  13. A Psychometric Properties of the Malay-version Police Stress Questionnaire

    PubMed Central

    IRNIZA, Rasdi; EMILIA, Zainal Abidin; MUHAMMAD SALILUDDIN, Suhainizam; NIZAM ISHA, Ahmad Shahrul

    2014-01-01

    Background: Police Stress Questionnaire (PSQ) was developed to measure police-specific stressors. The present study was the first to have translated the PSQ to Malay. This study aims to test the reliability, construct validity, and component structure of the Malay-version PSQ. Methods: A set of survey consisted of the Malay-version PSQ, General Health Questionnaire (GHQ-12), Job Content Questionnaire (JCQ), Global Stress Questionnaire (GSQ) and General Self-rated Health (GSRH) were distributed to 300 traffic police officers in Kuala Lumpur and all traffic police officers in a few districts of Pahang and Negeri Sembilan. Results: The response rate was 65.5% (N = 262). The reported Cronbach’s alpha coefficient was 0.93 for Operational PSQ (PSQ-Op) and 0.94 for Organisational PSQ (PSQ-Org). Findings indicated that the PSQ had positive construct validity with the GSRH, GSQ, and GHQ. After excluding four factors related to lifestyles, all police-specific stressors were highly loaded (0.50) in one component. Conclusion: It is confirmed that the Malay-version PSQ, excluding the four factors related to lifestyle, was uni-dimensional, reliable, and a valid questionnaire. This study proffers a potentially better instrument for assessing the stressors among Malaysian police. PMID:25977621

  14. Prevalence and associations of neuropathic pain in a cohort of multi-ethnic Asian low back pain patients.

    PubMed

    Kew, Yueting; Tan, Cheng-Yin; Ng, Chong-Jing; Thang, Sue-Sien; Tan, Leong-Hooi; Khoo, Yvonne Khaii; Lim, Jun-Ni; Ng, Jia-Hui; Chan, Chris Yin-Wei; Kwan, Mun-Keong; Goh, Khean-Jin

    2017-04-01

    The prevalence of neuropathic low back pain differs in different ethnic populations. The aims of the study are to determine its frequency and associations in a multi-ethnic cohort of Asian low back pain patients. This was a cross-sectional study of low back patients seen at the University of Malaya Medical Centre, Kuala Lumpur, Malaysia. Neuropathic low back pain patients were identified using the painDETECT questionnaire and compared with non-neuropathic (unclear or nociceptive) low back pain patients, in terms of socio-demographic and clinical factors, pain severity (numerical pain rating scale, NPRS), disability (Roland Morris Disability Questionnaire, RMDQ), as well as anxiety and depression (Hospital Anxiety and Depression Scale, HADS). Of 210 patients, 26 (12.4%) have neuropathic low back pain. Neuropathic pain is associated with non-Chinese ethnicity, higher body mass index and pain radiation below the knee. Patients with neuropathic pain have significantly higher NPRS and RMDQ scores, and there are more subjects with anxiety on HADS. However, there are no differences between the groups in age, gender, pain duration or underlying diagnosis of low back pain. The prevalence of neuropathic low back pain in a multi-ethnic Malaysian cohort is lower than previously reported in other populations with possible differences between ethnic groups. It is associated with greater pain severity, disability and anxiety.

  15. Insecticide susceptibility status of field-collected Aedes (Stegomyia) aegypti (L.) at a dengue endemic site in Shah Alam, Selangor, Malaysia.

    PubMed

    Rong, Loke Seau; Ann, Andy Tan Wei; Ahmad, Nazni Wasi; Lim, Lee Han; Azirun, Mohd Sofian

    2012-01-01

    Biweekly ovitrap surveillance (OS) was conducted for a year (August 2007 - September 2008) at two different dengue endemic sites in Shah Alam, Selangor, Malaysia, 50 km from Kuala Lumpur. Aedes aegypti collected from these 2 locations were raised to the F3 stage and subjected to a WHO standard bioassay method to determine lethal time (LT) against pyrethroids (permethrin 0.75%, cyfluthrin 0.15%), organophosphates (malathion 5.0%, fenitrothion 1.0%), carbamates (propoxur 0.1%, bendiocarb 0.1%) and organochlorine (DDT 4.0%). Insecticide susceptibilities were analyzed for one year. Aedes aegypti were resistant to DDT with a mortality range of 0 - 13.3% throughout the year at both sites. Susceptibilities to pyrethroids and carbamates varied throughout the year. In contrast, susceptibilities to pyrethroids and carbamates varied throughout the year: resistant to propoxur, bendiocarb and permethrin with mortality of < 80% in most months; but, showed incipient resistant to cyfluthrin in most months. Mosquitoes were consistently susceptible to malathion and fenitrothion, with complete mortality during most months. They were especially susceptible to malathion with LT50 values of 21.32 - 36.37 minutes, suggesting effectiveness of malathion for control of dengue.

  16. Social psychological origins of conspiracy theories: the case of the jewish conspiracy theory in malaysia.

    PubMed

    Swami, Viren

    2012-01-01

    Two studies examined correlates of belief in a Jewish conspiracy theory among Malays in Malaysia, a culture in which state-directed conspiracism as a means of dealing with perceived external and internal threats is widespread. In Study 1, 368 participants from Kuala Lumpur, Malaysia, completed a novel measure of belief in a Jewish conspiracy theory, along with measures of general conspiracist ideation, and anomie. Initial analysis showed that the novel scale factorially reduced to a single dimension. Further analysis showed that belief in the Jewish conspiracy theory was only significantly associated with general conspiracist ideation, but the strength of the association was weak. In Study 2, 314 participants completed the measure of belief in the Jewish conspiracy theory, along with measures of general conspiracist ideation, and ideological attitudes. Results showed that belief in the Jewish conspiracy theory was associated with anti-Israeli attitudes, modern racism directed at the Chinese, right-wing authoritarianism, and social dominance orientation. General conspiracist ideation did not emerge as a significant predictor once other variables had been accounted for. These results suggest that there may be specific cultural and social psychological forces that drive belief in the Jewish conspiracy theory within the Malaysian context. Specifically, belief in the Jewish conspiracy theory among Malaysian Malays appears to serve ideological needs and as a mask for anti-Chinese sentiment, which may in turn reaffirm their perceived ability to shape socio-political processes.

  17. Academic staff promotion in higher education by using Analytic Hierarchy Process (AHP)

    NASA Astrophysics Data System (ADS)

    Saaludin, Nurashikin; Harun, Suriyati; Wahab, Siti Zahariah Abdul; Yahya, Yasmin

    2016-10-01

    The academic staff promotional system varies according to the nature of the work and designation within an organization. It is vital to enhance the system in local higher education standard to an international education standard. In Universiti Kuala Lumpur (UniKL); teaching and supervision, research and publication, administration and management, professional contribution to the society and scholarly recognition are the main criteria being used in appraising its staff. The purpose of this study is to improve the method of academic staff promotional system by using the Analytic Hierarchy Process (AHP). In AHP, pair wise comparison is used to obtain the weightage score for every candidate. The results show that by implementing the new system, UniKL will be able to better produce academic staff who are responsive to the university's mission and vision. The qualified candidates will be based on the highest overall score. The reliability level of the results obtained in this study is less than 0.1 of the inconsistency ratio (CR).

  18. Penalty-rewards contrast analysis (PRCA) on the KL monorail services

    NASA Astrophysics Data System (ADS)

    Muda, Nora; Suradi, Nur Riza; Mat Roji, Noor Sulawati

    2013-04-01

    Changes in living standards, tastes, views and education has changed the lifestyles where people are more emphasizing on quality and satisfaction with public amenities provided. One of the services provided is the KL Monorail; a public transport service which is based on a single beam track in the city that connects the north and center of Kuala Lumpur. Therefore, this study measures the customer satisfaction on the KL Monorail services and to identify the factors that should be given priority in improving their service levels. There were seven attributes being studied, namely the informations, the situation at the station, the situation in the KL Monorail, customer service, safety, efficiency and other aspects. The analysis found that the overall customer satisfactionis mean is 4.86. Based on the measurement of Penalty-Reward Contrast Analysis (PRCA), most of the KL Monorail service attribute are at moderate level of satisfaction except for the attributes at the station that have lower level of satisfaction. Therefore, a remedial actions or planning is needed to improve the customer satisfaction on the KL Monorail services.

  19. Evaluation of Antioxidative and Cytotoxic Activities of Streptomyces pluripotens MUSC 137 Isolated from Mangrove Soil in Malaysia

    PubMed Central

    Ser, Hooi-Leng; Ab Mutalib, Nurul-Syakima; Yin, Wai-Fong; Chan, Kok-Gan; Goh, Bey-Hing; Lee, Learn-Han

    2015-01-01

    Streptomyces pluripotens MUSC 137 was isolated from mangrove soil obtained from Tanjung Lumpur, Pahang, Malaysia. We investigated the phylogenetic, genomic, biochemical, and phenotypic characteristics of this strain. Uniquely adapted microorganisms from mangrove habitats have previously yielded compounds of biopharmaceutical interest. In order to examine the bioactivities possessed by the strain, fermentation extract was prepared through solvent extraction method prior to bioactivities screenings. Antioxidant activity was examined via DPPH assay while the cytotoxic effect was assessed by means of examining the activity of the extract against selected human cancer cell lines, namely colon cancer cells (HCT-116, Caco-2, SW480, and HT-29), breast cancer cell (MCF-7), lung cancer cell (A549), prostate cancer cell (DU145), and cervical cancer cell (Ca Ski). The results revealed MUSC 137 possesses significant antioxidant activity and demonstrates cytotoxic effect against several cancer cell lines tested. The results indicated MCF-7 cells were most susceptible to the extract with the lowest IC50 (61.33 ± 17.10 μg/mL), followed by HCT-116 and A549. Additionally, selective index (SI) showed that MUSC 137 extract was less toxic against normal cell lines when compared to MCF-7 and HCT-116 cells. The extract was further subjected to chemical analysis using GC–MS and revealed the presence of deferoxamine and pyrrolizidines related compounds which may account for the antioxidant and cytotoxic properties observed. PMID:26733951

  20. Structured student-generated videos for first-year students at a dental school in Malaysia.

    PubMed

    Omar, Hanan; Khan, Saad A; Toh, Chooi G

    2013-05-01

    Student-generated videos provide an authentic learning experience for students, enhance motivation and engagement, improve communication skills, and improve collaborative learning skills. This article describes the development and implementation of a student-generated video activity as part of a knowledge, observation, simulation, and experience (KOSE) program at the School of Dentistry, International Medical University, Kuala Lumpur, Malaysia. It also reports the students' perceptions of an activity that introduced first-year dental students (n=44) to clinical scenarios involving patients and dental team aiming to improve professional behavior and communication skills. The learning activity was divided into three phases: preparatory phase, video production phase, and video-watching. Students were organized into five groups and were instructed to generate videos addressing given clinical scenarios. Following the activity, students' perceptions were assessed with a questionnaire. The results showed that 86 percent and 88 percent, respectively, of the students agreed that preparation of the activity enhanced their understanding of the role of dentists in provision of health care and the role of enhanced teamwork. In addition, 86 percent and 75 percent, respectively, agreed that the activity improved their communication and project management skills. Overall, the dental students perceived that the student-generated video activity was a positive experience and enabled them to play the major role in driving their learning process.

  1. Geotechnical aspects of development over reclaimed former alluvial mining land and ponds in Malaysia

    NASA Astrophysics Data System (ADS)

    Yeap, E. B.; Tan, B. K.; Chow, W. S.

    Mining of tin placers in Quaternary alluvium is the main type of mining activity in Peninsular Malaysia over the past hundred years. Worked out mines have left behind a landscape consisting of highly inhomogeneous tailing fill and numerous large and medium size ponds often underlain by thick slurries of fine clay and silt on limestone bedrock. Rapid urbanization around the two main tin mining areas in Malaysia, Kuala Lumpur and Ipoh, has led to the use of this previously mined land for residential, commercial and industrial purposes. Highly irregular karstic limestone bedrock poses major problems for the construction of high-rise buildings requiring piling to bedrock. Soft slime trapped during tailing deposition or during reclamation has caused numerous and often irreparable damage to houses built on former mining land. Characterization studies were undertaken on two ponds for their chemical, physical, mineralogical and engineering properties with the aim of finding a solution to the reclamation of slime filled mine ponds. Environmental considerations favour the slime material to be used as foundation material or as raw material for ceramic or bricks. Increase of the solid content by dewatering constitutes the best option to increase the strength of the slime material so as to make it acceptable as foundation material after further treatment. Studies indicate that a few reagents can be used to successfully dewater the slime. Development of a reclamation technique along this line is being carried out.

  2. Simulation of Sub-Drains Performance Using Visual MODFLOW for Slope Water Seepage Problem

    NASA Astrophysics Data System (ADS)

    Baharuddin, M. F. T.; Tajudin, S. A. A.; Abidin, M. H. Z.; Yusoff, N. A.

    2016-07-01

    Numerical simulation technique was used for investigating water seepage problem at the Botanic Park Kuala Lumpur. A proposed sub-drains installation in problematic site location was simulated using Modular Three-Dimensional Finite Difference Groundwater Flow (MODFLOW) software. The results of simulation heads during transient condition showed that heads in between 43 m (water seepage occurred at level 2) until 45 m (water seepage occurred at level 4) which heads measurement are referred to mean sea level. However, elevations measurements for level 2 showed the values between 41 to 42 m from mean sea level and elevations for level 4 between 42 to 45 m from mean sea level. These results indicated an increase in heads for level 2 and level 4 between 1 to 2 m when compared to elevations slope at the level 2 and level 4. The head increases surpass the elevation level of the slope area that causing water seepage at level 2 and level 4. In order to overcome this problems, the heads level need to be decrease to 1 until 2 m by using two options of sub-drain dimension size. Sub-drain with the dimension of 0.0750 m (diameter), 0.10 m (length) and using 4.90 m spacing was the best method to use as it was able to decrease the heads to the required levels of 1 to 2 m.

  3. Clinical presentation of retinoblastoma in Malaysia: a review of 64 patients

    PubMed Central

    Reddy, S C; Anusya, S

    2010-01-01

    AIM To analyze the demography, presenting clinical features, spread of the disease of retinoblastoma in patients who were treated in two tertiary hospitals in Malaysia. METHODS In this retrospective study, information of gender, age, race, presenting clinical features, findings of CT scan orbits and brain, lumbar puncture and bone marrow aspiration results were collected from the medical records of retinoblastoma patients diagnosed in Hospital of Universiti Sains Malaysia and General Hospital of Kuala Lumpur over a period of ten years. The data were collected in the same type of proforma from both hospitals. RESULTS A total of 64 patients were treated in both hospitals together, of whom boys and girls were almost equally affected. The mean age of children at presentation was 24.2 (range 3-84) months, 53 (82.8%) children were under 36 months old. The disease was unilateral in 39 (60.9%) patients. The most common presenting signs were leukocoria in 46 (71.8%), followed by proptosis in 21 (32.8%) patients. Routine screening of the siblings of affected children revealed retinoblastoma in 2 patients. There was intracranial extension in 8 (12.5%) and metastasis in bone marrow in 6 (9.3%) patients. CONCLUSION Leukocoria is the most common presentation of retinoblastoma in Malaysia. However, the disease was intraocular in 40 (62.5%) and extraocular (orbital involvement, intracranial and distant metastasis) in 24 (37.5%) patients. PMID:22553520

  4. Are health professionals responsible for the shortage of organs from deceased donors in Malaysia?

    PubMed

    Abidin, Zada L Zainal; Ming, Wee Tong; Loch, Alexander; Hilmi, Ida; Hautmann, Oliver

    2013-02-01

    The rate of organ donations from deceased donors in Malaysia is among the lowest in the world. This may be because of the passivity among health professionals in approaching families of potential donors. A questionnaire-based study was conducted amongst health professionals in two tertiary hospitals in Kuala Lumpur, Malaysia. Four hundred and sixty-two questionnaires were completed. 93.3% of health professionals acknowledged a need for organ transplantation in Malaysia. 47.8% were willing to donate their organs (with ethnic and religious differences). Factors which may be influencing the shortage of organs from deceased donors include: nonrecognition of brainstem death (38.5%), no knowledge on how to contact the Organ Transplant Coordinator (82.3%), and never approaching families of a potential donor (63.9%). There was a general attitude of passivity in approaching families of potential donors and activating transplant teams among many of the health professionals. A misunderstanding of brainstem death and its definition hinder identification of a potential donor. Continuing medical education and highlighting the role of the Organ Transplant Coordinator, as well as increasing awareness of the public through religion and the media were identified as essential in improving the rate of organ donations from deceased donors in Malaysia.

  5. Identification of High Potential Bays for HABs Occurrence in Peninsular Malysia Using Palsar Remote Sensing Data

    NASA Astrophysics Data System (ADS)

    Pour, A. B.; Hashim, M.

    2016-09-01

    Increasing frequency, intensity, and geographic distribution of Harmful algal blooms (HABs) poses a serious threat to the coastal fish/shellfish aquaculture and fisheries in Malaysian bays. Rising in sea level, shoreline erosion, stresses on fisheries, population pressure, interference of land-use and lack of institutional capabilities for integrated management make major challenges. Recent investigations and satellite observations indicate HABs originated from specific coast that have favourable geographic, geomorphic and coastal geology conditions to bring the green macro algae from the coast offshore. Therefore, the identification of high HABs frequented bays using remote sensing and geology investigations in Malaysian waters is required to reduce future challenges in this unique case. This research implemented comprehensive geomorphic and coastal geology investigations combined with remote sensing digital image processing approach to identify Malaysian bays frequented with HABs occurrence in Malaysian waters territory. The landscape and geomorphological features of the Malaysian bays were constructed from the Phased Array type L-band Synthetic Aperture Radar (PALSAR) remote sensing satellite data combined with field observations and surveying. The samples for laboratory analysis were collected from the sediment stations with different distance across shorelines features and watersheds of the Johor Bahru estuary. This research identified that semi-enclosed bays such as Kuala Lumpur and Johor Bahru bays with connection to estuaries have high potential to be frequented with HABs occurrence.

  6. Isolation and Characterization of an Atypical Metschnikowia sp. Strain from the Skin Scraping of a Dermatitis Patient.

    PubMed

    Kuan, Chee Sian; Ismail, Rokiah; Kwan, Zhenli; Yew, Su Mei; Yeo, Siok Koon; Chan, Chai Ling; Toh, Yue Fen; Na, Shiang Ling; Lee, Kok Wei; Hoh, Chee-Choong; Yee, Wai-Yan; Ng, Kee Peng

    2016-01-01

    A yeast-like organism was isolated from the skin scraping sample of a stasis dermatitis patient in the Mycology Unit Department of Medical Microbiology, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia. The isolate produced no pigment and was not identifiable using chromogenic agar and API 20C AUX. The fungus was identified as Metschnikowia sp. strain UM 1034, which is close to that of Metschnikowia drosophilae based on ITS- and D1/D2 domain-based phylogenetic analysis. However, the physiology of the strain was not associated to M. drosophilae. This pathogen exhibited low sensitivity to all tested azoles, echinocandins, 5-flucytosine and amphotericin B. This study provided insight into Metschnikowia sp. strain UM 1034 phenotype profiles using a Biolog phenotypic microarray (PM). The isolate utilized 373 nutrients of 760 nutrient sources and could adapt to a broad range of osmotic and pH environments. To our knowledge, this is the first report of the isolation of Metschnikowia non-pulcherrima sp. from skin scraping, revealing this rare yeast species as a potential human pathogen that may be misidentified as Candida sp. using conventional methods. Metschnikowia sp. strain UM 1034 can survive in flexible and diverse environments with a generalist lifestyle.

  7. Penang.

    PubMed

    Hanna, W A

    1979-01-01

    The Malaysian state of Penang consists of the Island of Penang and the adjacent mainland Province Wellesley. Its total area is 1044 square kilometers and its total population is 776,000. The island population is 65% Chinese and 21% Malay; the mainland population is 44.5% Chinese and 43% Malay. Although Penang, like Malaysia as a whole, has suffered violent racial conflict between the Malays and the Chinese in the past, the future for the whole of the nation, including Penang, seems promising. Some racial inequality, however, continues to exist. The main industries of Penang are fishing (now in a depressed state through overexploitation of the fisheries), electronics manufacture, and tourism, which has not been deterred by some degree of environmental pollution. Relations between Georgetown, the state capital, and Kuala Lumpur are generally good, although there is routine rivalry for national development funds, and Penang's Chief Minister frequently prefers to look to Singapore for his inspiration as well as his practical guidance in undertaking programs relating to public housing, industrialization, and social welfare. At the same time Penang represents an alluring place for Singaporean investment.

  8. Epidemiology of head injury in Malaysian children: a hospital-based study.

    PubMed

    Rohana, J; Ong, L C; Abu Hassan, A

    1998-09-01

    A prospective observational study was carried out at the Emergency Department, Hospital Kuala Lumpur to determine the proportion of accidental head injury among children and the circumstances of injury. The study was carried out from November 1993 to January 1994 on all children below 14 years who presented to the Emergency Department with accidental head injury. Accidental head injury made up (4.75%) of all cases seen at the Casualty Department. The ratio of boys to girls was 2:1. The mean age of head injured children was 5.2 (S.D. 3.63) years. The leading cause of head injury was fall (63%) followed by road traffic accidents (RTA) in (30.7%) while the rest were due to 'impact' (injury caused by flying object or missiles) injuries. More than half (54.4%) of those injured in RTA were pedestrians. Pedestrian injury was particularly important in the 5-< 14 years age group, where adult supervision was lacking in two thirds of the children. None of the patients who were involved in vehicle-related injuries had used a suitable protective or restraining device. All three patients who died were from this group. This study emphasises the need for stricter enforcement of laws related to the use of protective devices and measures to decrease child pedestrian injury. The issues of lack of adult supervision, both in and outside the home need to be addressed.

  9. Detection of protozoan and bacterial pathogens of public health importance in faeces of Corvus spp. (large-billed crow).

    PubMed

    Lee, H Y; Stephen, A; Sushela, D; Mala, M

    2008-08-01

    Parasites and bacteria are reported in the faeces of birds in the current study. Fresh faecal samples of the large-billed crow (Corvus spp.) were collected from the study site at Bangsar, an urban setting in Kuala Lumpur, Malaysia. These samples were transported to laboratory and analysed for parasites and bacteria. Pre-prepared XLD agar plates were used for culturing the bacteria in the laboratory. Using the API 20ETM Test Strips, 9 different species of bacteria were identified belonging to the family Enterobacteriacea. They were Citrobacter freundii, Enterobacter cloacae, Proteus mirabilis, Klebsiella pneumoniae, Kluyvera ascorbata, Salmonella arizonae, Salmonella typhi, Shigella flexneri and Shigella sonnei. The protozoan parasites detected include Cryptosporidium spp., Cyclospora spp., Blastocystis spp., and Capillaria hepatica and Ascaris lumbricoidus ova. Environmental air samples collected on agar plates using an air sampler in the area only produced fungal colonies. Some of these pathogens found in the crows are of zoonotic importance, especially Cryptosporidium, Blastocystis, Cyclopsora, Salmonella, Shigella and Kluyvera. The finding of Kluyvera spp. in crows in our current study highlights its zoonotic potential in an urban setting.

  10. Estimates of Average Glandular Dose with Auto-modes of X-ray Exposures in Digital Breast Tomosynthesis

    PubMed Central

    Kamal, Izdihar; Chelliah, Kanaga K.; Mustafa, Nawal

    2015-01-01

    Objectives: The aim of this research was to examine the average glandular dose (AGD) of radiation among different breast compositions of glandular and adipose tissue with auto-modes of exposure factor selection in digital breast tomosynthesis. Methods: This experimental study was carried out in the National Cancer Society, Kuala Lumpur, Malaysia, between February 2012 and February 2013 using a tomosynthesis digital mammography X-ray machine. The entrance surface air kerma and the half-value layer were determined using a 100H thermoluminescent dosimeter on 50% glandular and 50% adipose tissue (50/50) and 20% glandular and 80% adipose tissue (20/80) commercially available breast phantoms (Computerized Imaging Reference Systems, Inc., Norfolk, Virginia, USA) with auto-time, auto-filter and auto-kilovolt modes. Results: The lowest AGD for the 20/80 phantom with auto-time was 2.28 milliGray (mGy) for two dimension (2D) and 2.48 mGy for three dimensional (3D) images. The lowest AGD for the 50/50 phantom with auto-time was 0.97 mGy for 2D and 1.0 mGy for 3D. Conclusion: The AGD values for both phantoms were lower against a high kilovolt peak and the use of auto-filter mode was more practical for quick acquisition while limiting the probability of operator error. PMID:26052465

  11. Victimization After Meeting With Online Acquaintances: A Cross-Sectional Survey of Adolescents in Malaysia.

    PubMed

    Marret, Mary J; Choo, Wan-Yuen

    2016-01-18

    This study aimed to determine contact and privacy risks encountered by Malaysian adolescents with access to the Internet and mobile phones and factors associated with face-to-face meetings with online acquaintances as well as to estimate the prevalence of subsequent victimization. Secondary school students from randomly selected public schools in Selangor and Kuala Lumpur responded to an anonymous self-administered questionnaire (78% response rate). Out of 3,349 Internet or mobile phone users, 51% had been invited to meet offline with an online-meeting acquaintance and 30% complied. Of the 1,005 respondents who went to offline meetings, 55% had meetings with more than six people. Male gender, Malay ethnicity, online access at an Internet café, viewing pornography on the Internet, the absence of parental restrictions on visiting certain website and chat rooms, not being explicitly forbidden to meet strangers encountered online, and disclosure of personal information were significantly associated with increased odds of face-to-face meetings with online acquaintances. Verbal, physical, or sexual assaults were reported by 5.5% of the 1,005 including 13 males and five females who reported forced sexual intercourse. Similarities as well as differences in factors associated with risk-taking behavior compared with adolescents in Western countries have important implications on policy and intervention.

  12. Drug Abuse, Relapse, and Prevention Education in Malaysia: Perspective of University Students Through a Mixed Methods Approach

    PubMed Central

    Chie, Qiu Ting; Tam, Cai Lian; Bonn, Gregory; Wong, Chee Piau; Dang, Hoang Minh; Khairuddin, Rozainee

    2015-01-01

    In recent years, there have been increasing accounts of illegal substance abuse among university students and professional groups in Malaysia. This study looks at university students’ perceptions about this phenomenon. Students from Malaysian universities were asked for their impressions about drug availability and abuse, as well as factors contributing to drug abuse and relapse. The questionnaire also inquired into their knowledge and views regarding government versus private rehabilitation centers, as well as their exposure to, and views about, school-based drug-prevention education. Participants were 460 university students from five Malaysian states: Penang, Selangor, Kuala Lumpur, Sabah, and Sarawak. Results showed gender differences in perceptions of relapse prevention strategies, as well as factors leading to drug abuse and relapse. Students also believed that drug education would be more effective if initiated between the ages of 11 and 12 years, which is slightly older than the common age of first exposure, and provided suggestions for improving existing programs. Implications of student perceptions for the improvement of current interventions and educational programs are discussed. PMID:25999867

  13. The use of classroom training and simulation in the training of medical responders for airport disaster.

    PubMed

    Idrose, A M; Adnan, W A W; Villa, G F; Abdullah, A H A

    2007-01-01

    There is a dire need to have complementary form of disaster training which is cost effective, relatively easy to conduct, comprehensive, effective and acceptable. This will complement field drills training. A classroom-based training and simulation module was built by combining multiple tools: Powerpoint lectures, simulations utilising the Kuala Lumpur International Airport (KLIA) schematic module into 'floortop' model and video show of previous disaster drill. 76 participants made up of medical responders, categorised as Level 1 (specialists and doctors), Level 2 (paramedics), Level 3 (assistant paramedics) and Level 4 (health attendants and drivers) were trained using this module. A pre-test with validated questions on current airport disaster plans was carried out before the training. At the end of training, participants answered similar questions as post-test. Participants also answered questionnaire for assessment of training's acceptance. There was a mean rise from 47.3 (18.8%) to 84.0 (18.7%) in post-test (p<0.05). For Levels 1, 2, 3 and 4 the scores were 94.8 (6.3)%, 90.1 (11)%, 80.3 (20.1)% and 65 (23.4)% respectively. Nevertheless Level 4 group gained most increase in knowledge rise from baseline pre-test score (51.4%). Feedback from the questionnaire showed that the training module was highly acceptable. A classroom-based training can be enhanced with favourable results. The use of classroom training and simulation effectively improves the knowledge of disaster plan significantly on the back of its low cost, relatively-easy to conduct, fun and holistic nature. All Levels of participants (from specialists to drivers) can be grouped together for training. Classroom training and simulation can overcome the problem of "dead-document" phenomenon or "paper-plan syndrome".

  14. Trend analysis of a tropical urban river water quality in Malaysia.

    PubMed

    Othman, Faridah; M E, Alaa Eldin; Mohamed, Ibrahim

    2012-12-01

    Rivers play a significant role in providing water resources for human and ecosystem survival and health. Hence, river water quality is an important parameter that must be preserved and monitored. As the state of Selangor and the city of Kuala Lumpur, Malaysia, are undergoing tremendous development, the river is subjected to pollution from point and non-point sources. The water quality of the Klang River basin, one of the most densely populated areas within the region, is significantly degraded due to human activities as well as urbanization. Evaluation of the overall river water quality status is normally represented by a water quality index (WQI), which consists of six parameters, namely dissolved oxygen, biochemical oxygen demand, chemical oxygen demand, suspended solids, ammoniacal nitrogen and pH. The objectives of this study are to assess the water quality status for this tropical, urban river and to establish the WQI trend. Using monthly WQI data from 1997 to 2007, time series were plotted and trend analysis was performed by employing the first-order autocorrelated trend model on the moving average values for every station. The initial and final values of either the moving average or the trend model were used as the estimates of the initial and final WQI at the stations. It was found that Klang River water quality has shown some improvement between 1997 and 2007. Water quality remains good in the upper stream area, which provides vital water sources for water treatment plants in the Klang valley. Meanwhile, the water quality has also improved in other stations. Results of the current study suggest that the present policy on managing river quality in the Klang River has produced encouraging results; the policy should, however, be further improved alongside more vigorous monitoring of pollution discharge from various point sources such as industrial wastewater, municipal sewers, wet markets, sand mining and landfills, as well as non-point sources such as

  15. Factors influencing young men's decision to undergo health screening in Malaysia: a qualitative study

    PubMed Central

    Teo, Chin Hai; Ng, Chirk Jenn; White, Alan

    2017-01-01

    Objectives Uptake of health screening is low in men, particularly among those aged <40 years. This study aimed to explore factors that influence health screening behaviour in younger men. Design This qualitative study employed an interpretive descriptive approach. Two trained researchers conducted in-depth interviews (IDIs) and focus group discussions (FGDs) using a semi-structured topic guide, which was developed based on literature review and behavioural theories. All IDIs and FGDs were audio-recorded and transcribed verbatim. Two researchers analysed the data independently using a thematic approach. Participants and setting Men working in a banking institution in Kuala Lumpur were recruited to the study. They were purposively sampled according to their ethnicity, job position, age and screening status in order to achieve maximal variation. Results Eight IDIs and five FGDs were conducted (n=31) and six themes emerged from the analysis. (1) Young men did not consider screening as part of prevention and had low risk perception. (2) The younger generation was more receptive to health screening due to their exposure to health information through the internet. (3) Health screening was not a priority in young men except for those who were married. (4) Young men had limited income and would rather invest in health insurance than screening. (5) Young men tended to follow doctors' advice when it comes to screening and preferred doctors of the same gender and ethnicity. (6) Medical overuse was also raised where young men wanted more screening tests while doctors tended to promote unnecessary screening tests to them. Conclusions This study identified important factors that influenced young men's screening behaviour. Health authorities should address young men's misperceptions, promote the importance of early detection and develop a reasonable health screening strategy for them. Appropriate measures must be put in place to reduce low value screening practices. PMID

  16. Automatic ICD-10 multi-class classification of cause of death from plaintext autopsy reports through expert-driven feature selection

    PubMed Central

    Mujtaba, Ghulam; Shuib, Liyana; Raj, Ram Gopal; Rajandram, Retnagowri; Shaikh, Khairunisa; Al-Garadi, Mohammed Ali

    2017-01-01

    Objectives Widespread implementation of electronic databases has improved the accessibility of plaintext clinical information for supplementary use. Numerous machine learning techniques, such as supervised machine learning approaches or ontology-based approaches, have been employed to obtain useful information from plaintext clinical data. This study proposes an automatic multi-class classification system to predict accident-related causes of death from plaintext autopsy reports through expert-driven feature selection with supervised automatic text classification decision models. Methods Accident-related autopsy reports were obtained from one of the largest hospital in Kuala Lumpur. These reports belong to nine different accident-related causes of death. Master feature vector was prepared by extracting features from the collected autopsy reports by using unigram with lexical categorization. This master feature vector was used to detect cause of death [according to internal classification of disease version 10 (ICD-10) classification system] through five automated feature selection schemes, proposed expert-driven approach, five subset sizes of features, and five machine learning classifiers. Model performance was evaluated using precisionM, recallM, F-measureM, accuracy, and area under ROC curve. Four baselines were used to compare the results with the proposed system. Results Random forest and J48 decision models parameterized using expert-driven feature selection yielded the highest evaluation measure approaching (85% to 90%) for most metrics by using a feature subset size of 30. The proposed system also showed approximately 14% to 16% improvement in the overall accuracy compared with the existing techniques and four baselines. Conclusion The proposed system is feasible and practical to use for automatic classification of ICD-10-related cause of death from autopsy reports. The proposed system assists pathologists to accurately and rapidly determine underlying

  17. Fatal lightning strikes in Malaysia.

    PubMed

    Murty, O P; Kian, Chong Kah; Ari Husin, Mohammed Husrul; Nanta Kumar, Ranjeev Kumar; Mohammed Yusuf, Wan Yuhana W

    2009-09-01

    Lightning strike is a natural phenomenon with potentially devastating effects and represents one of the important causes of deaths from environmental phenomena. Almost every organ system may be affected as lightning current passes through the human body taking the shortest pathways between the contact points. A 10 years retrospective study (1996-2005) was conducted at University Hospital Kuala Lumpur (20 cases) also including cases during last 3 years from Hospital Tengku Ampuan Rahimah, Klang (7 cases) from the autopsy reports at Forensic Pathology Units of these 2 hospitals. Both these hospitals are attached to University of Malaya. There were 27 fatal cases of lightning strike with male preponderance(92.59%) and male to female ratio of 12.5:1. Majority of victims of lightning strike were from the age group between 30 and 39 years old. Most of the victims were foreign workers. Indonesians workers contributed to 59.26% of overall cases. Majority of them were construction workers who attributed i.e.11 of 27 cases (40.74%). Most of the victims were brought in dead (37.04%). In majority of the cases the lightning incidence occurred in the evenings, with the frequency of 15 of 27 cases (62.5%). The month of December represented with the highest number of cases (5 cases of 23 cases); 2004 had the highest incidence of lightning strike which was 5 (19.23%). Lightning strike incidence occurred when victims had taken shelter (25.9%) under trees or shades. Lightning strike in open areas occurred in 10 of 27 cases (37.0%). Head and neck were the most commonly affected sites with the incidence of 77.78% and 74% respectively in all the victims. Only 29.63% of the cases presented with ear bleeding.

  18. Determining the best forecasting method to estimate unitary charges price indexes of PFI data in central region Peninsular Malaysia

    NASA Astrophysics Data System (ADS)

    Ahmad Kamaruddin, Saadi Bin; Md Ghani, Nor Azura; Mohamed Ramli, Norazan

    2013-04-01

    The concept of Private Financial Initiative (PFI) has been implemented by many developed countries as an innovative way for the governments to improve future public service delivery and infrastructure procurement. However, the idea is just about to germinate in Malaysia and its success is still vague. The major phase that needs to be given main attention in this agenda is value for money whereby optimum efficiency and effectiveness of each expense is attained. Therefore, at the early stage of this study, estimating unitary charges or materials price indexes in each region in Malaysia was the key objective. This particular study aims to discover the best forecasting method to estimate unitary charges price indexes in construction industry by different regions in the central region of Peninsular Malaysia (Selangor, Federal Territory of Kuala Lumpur, Negeri Sembilan, and Melaka). The unitary charges indexes data used were from year 2002 to 2011 monthly data of different states in the central region Peninsular Malaysia, comprising price indexes of aggregate, sand, steel reinforcement, ready mix concrete, bricks and partition, roof material, floor and wall finishes, ceiling, plumbing materials, sanitary fittings, paint, glass, steel and metal sections, timber and plywood. At the end of the study, it was found that Backpropagation Neural Network with linear transfer function produced the most accurate and reliable results for estimating unitary charges price indexes in every states in central region Peninsular Malaysia based on the Root Mean Squared Errors, where the values for both estimation and evaluation sets were approximately zero and highly significant at p < 0.01. Therefore, artificial neural network is sufficient to forecast construction materials price indexes in Malaysia. The estimated price indexes of construction materials will contribute significantly to the value for money of PFI as well as towards Malaysian economical growth.

  19. CARIBIC observations of short-lived halocarbons and carbonyl sulphide over Asia

    NASA Astrophysics Data System (ADS)

    Leedham, E.; Wisher, A.; Oram, D.; Baker, A. K.; Brenninkmeijer, C. A.

    2013-12-01

    The CARIBIC project (Civil Aircraft for the Regular Investigation of the atmosphere Based on an Instrument Container, www.caribic-atmospheric.com) aims to investigate the spatial and temporal distribution of a wide-range of compounds, including those of marine origin/influence, via ~monthly flights to collect in situ data and whole air samples aboard a commercial Lufthansa aircraft. CARIBIC measures up to an altitude of 12 km, allowing the influence of marine compounds on the upper troposphere/lower stratosphere (UTLS) to be explored. In particular, CARIBIC is a useful tool for exploring the impact of very short lived halocarbons (e.g. CH2Br2, CHBr3), whose impact on stratospheric ozone is dependent on convective uplift to the UTLS, a process which is not yet fully quantified. As part of the suite of CARIBIC measurements, whole air samples are analysed at the University of East Anglia (UEA) via gas chromatography mass spectrometry for carbonyl sulphide (OCS) and up to 40 halocarbons (accounting for virtually 100% of organic chlorine, bromine and iodine in the UTLS). Here we present an overview of short-lived halocarbons and OCS measured by CARIBIC. We focus on two regions of particular interest. (1) measurements made in 2012 over the tropical west Pacific to link with UEA measurements made during the SHIVA campaign. (2) measurements made during a collection of flights over India in 2008. Flights over India investigated the impact of monsoon circulation on the distribution of these compounds; for example, elevated concentrations of OCS were seen in CARIBIC samples taken over India during the summer monsoon (July - September). These flights, along with a wider range of flights over Asia (from Frankfurt to Guangzhou, Manila, Bangkok and Kuala Lumpur) can provide unique information on the influence of tropical convection and monsoon circulation on halocarbon and OCS transport within this region.

  20. Role of primary care providers in dengue prevention and control in the community.

    PubMed

    Ang, K T; Rohani, I; Look, C H

    2010-03-01

    Dengue fever is a major public health threat in Malaysia, especially in the highly urbanized states of Selangor and the Federal Territory of Kuala Lumpur. It is believed that many seek treatment at the primary care clinics and are not admitted. This study aims at establishing the fact that primary care practitioners, as the first point of patient contacts, play a crucial role in advising patients suspected of having dengue to take early preventive measures to break the chain of dengue transmission. A total of 236 patients admitted to two government hospitals for suspected dengue fever were interviewed using a structured questionnaire over a one week period in December 2008. It was found that 83.9% of the patients had sought treatment at a Primary Care (PC) facility before admission to the hospital, with 68.7% of them seeking treatment on two or more occasions. The mean time period for seeking treatment at primary care clinic was one and a half (1.4) days of fever, compared to almost five (4.9) days for admission. The majority of patients (96-98%) reported that primary care practitioners had not given them any advice on preventive measures to be taken even though 51.9% of the patients had been told they could be having dengue fever. This study showed the need for primary care providers to be more involved in the control and prevention of dengue in the community, as these patients were seen very early in their illness compared to when they were admitted.

  1. Health care consumers’ perspectives on pharmacist integration into private general practitioner clinics in Malaysia: a qualitative study

    PubMed Central

    Saw, Pui San; Nissen, Lisa M; Freeman, Christopher; Wong, Pei Se; Mak, Vivienne

    2015-01-01

    Background Pharmacists are considered medication experts but are underutilized and exist mainly at the periphery of the Malaysian primary health care team. Private general practitioners (GPs) in Malaysia are granted rights under the Poison Act 1952 to prescribe and dispense medications at their primary care clinics. As most consumers obtain their medications from their GPs, community pharmacists’ involvement in ensuring safe use of medicines is limited. The integration of a pharmacist into private GP clinics has the potential to contribute to quality use of medicines. This study aims to explore health care consumers’ views on the integration of pharmacists within private GP clinics in Malaysia. Methods A purposive sample of health care consumers in Selangor and Kuala Lumpur, Malaysia, were invited to participate in focus groups and semi-structured interviews. Sessions were audio recorded and transcribed verbatim and thematically analyzed using NVivo 10. Results A total of 24 health care consumers participated in two focus groups and six semi-structured interviews. Four major themes were identified: 1) pharmacists’ role viewed mainly as supplying medications, 2) readiness to accept pharmacists in private GP clinics, 3) willingness to pay for pharmacy services, and 4) concerns about GPs’ resistance to pharmacist integration. Consumers felt that a pharmacist integrated into a private GP clinic could offer potential benefits such as to provide trustworthy information on the use and potential side effects of medications and screening for medication misadventure. The potential increase in costs passed on to consumers and GPs’ reluctance were perceived as barriers to integration. Conclusion This study provides insights into consumers’ perspectives on the roles of pharmacists within private GP clinics in Malaysia. Consumers generally supported pharmacist integration into private primary health care clinics. However, for pharmacists to expand their capacity in

  2. Applying theory of planned behavior to predict exercise maintenance in sarcopenic elderly

    PubMed Central

    Ahmad, Mohamad Hasnan; Shahar, Suzana; Teng, Nur Islami Mohd Fahmi; Manaf, Zahara Abdul; Sakian, Noor Ibrahim Mohd; Omar, Baharudin

    2014-01-01

    This study aimed to determine the factors associated with exercise behavior based on the theory of planned behavior (TPB) among the sarcopenic elderly people in Cheras, Kuala Lumpur. A total of 65 subjects with mean ages of 67.5±5.2 (men) and 66.1±5.1 (women) years participated in this study. Subjects were divided into two groups: 1) exercise group (n=34; 25 men, nine women); and 2) the control group (n=31; 22 men, nine women). Structural equation modeling, based on TPB components, was applied to determine specific factors that most contribute to and predict actual behavior toward exercise. Based on the TPB’s model, attitude (β=0.60) and perceived behavioral control (β=0.24) were the major predictors of intention to exercise among men at the baseline. Among women, the subjective norm (β=0.82) was the major predictor of intention to perform the exercise at the baseline. After 12 weeks, attitude (men’s, β=0.68; women’s, β=0.24) and subjective norm (men’s, β=0.12; women’s, β=0.87) were the predictors of the intention to perform the exercise. “Feels healthier with exercise” was the specific factor to improve the intention to perform and to maintain exercise behavior in men (β=0.36) and women (β=0.49). “Not motivated to perform exercise” was the main barrier among men’s intention to exercise. The intention to perform the exercise was able to predict actual behavior regarding exercise at the baseline and at 12 weeks of an intervention program. As a conclusion, TPB is a useful model to determine and to predict maintenance of exercise in the sarcopenic elderly. PMID:25258524

  3. Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi-urban and rural communities in Malaysia.

    PubMed

    Al-Dubai, Sami Abdo Radman; Ganasegeran, Kurubaran; Mohanad Rahman, Alwan; Alshagga, Mustafa Ahmed; Saif-Ali, Riyadh

    2013-01-01

    Dengue fever is a major public health problem in Malaysia. This study aimed to assess factors affecting knowledge, attitudes, and practices regarding dengue fever among a selected population in Malaysia. A descriptive, community-based, cross sectional study was conducted with 300 participants from three different geographical settings in urban, semi-urban, and rural areas within the states of Selangor and Kuala Lumpur. The questionnaire included questions on demographic data, knowledge, attitudes, and practices regarding dengue fever. Mean age of respondents was 34.4 (+/- 5.7) years, and the age ranged from 18 to 65 years. The majority of respondents were married (54.7%), Malays (72.7%) and heard about dengue fever (89.7%). Television was the common source of information about dengue fever (97.0%). Participants answered 4 out of 15 items of knowledge incorrectly. There was no significant association between knowledge score and socio-demographic factors. About one-fifth of the respondents (24%) believed that immediate treatment is not necessary for dengue fever, and the majority of them were not afraid of the disease (96.0%). Attitudes toward dengue fever were significantly associated with the level of education and employment status (p < 0.05). Practice was associated significantly with age, marital status, and geographic area (p < 0.05) and knowledge on dengue fever (p = 0.030). There is a need to increase health promotion activities through campaigns and social mobilization to increase knowledge regarding dengue fever. This would help to mold positive attitudes and cultivate better preventive practices among the public to eliminate dengue in the country.

  4. Utilization of debate as an educational tool to learn health economics for dental students in Malaysia.

    PubMed

    Khan, Saad A; Omar, Hanan; Babar, Muneer Gohar; Toh, Chooi G

    2012-12-01

    Health economics, a special branch of science applying economic principles to the health delivery system, is a relatively young subdiscipline. The literature is scanty about teaching health economics in the medical and dental fields. Delivery methods of this topic vary from one university to another, with lectures, seminars, and independent learning reported as teaching/learning tools used for the topic. Ideally, debates should foster the development of logical reasoning and communication skills. Health economics in dentistry is taught under the community oral health module that constitutes part of an outcome-based dental curriculum in a private dental school in Kuala Lumpur, Malaysia. For this study, the students were divided into two groups: active participants (active debaters) and supporting participants (nonactive debaters). The debate style chosen for this activity was parliamentary style. Active and nonactive debaters' perceptions were evaluated before and after the activity through a structured questionnaire using a five-point rating scale addressing the topic and perceptions about debate as an educational tool. Cronbach's alpha coefficient was used as a measure of internal consistency for the questionnaire items. Among a total of eighty-two third-year dental students of two successive cohorts (thirty-eight students and forty-four students), seventy-three completed the questionnaire, yielding a response rate of 89 percent. Students' responses to the questionnaire were analyzed with the Kruskal-Wallis analysis of variance test. Results revealed that the students felt that their interest in debate, knowledge of the topic, and reinforcement of the previous knowledge had improved following participation in the debate. Within the limitations of this study, it can be concluded that debate was a useful tool in teaching health economics to dental students.

  5. Precipitation over urban areas in the western Maritime Continent using a convection-permitting model

    NASA Astrophysics Data System (ADS)

    Argüeso, Daniel; Di Luca, Alejandro; Evans, Jason P.

    2016-08-01

    This study investigates the effects of urban areas on precipitation in the western Maritime Continent using a convection-permitting regional atmospheric model. The Weather Research and Forecasting model was used to simulate the atmosphere at a range of spatial resolutions using a multiple nesting approach. Two experiments (with and without urban areas) were completed over a 5-year period (2008-2012) each to estimate the contribution of cities to changes in local circulation. At first, the model is evaluated against two satellite-derived precipitation products and the benefit of using a very high-resolution model (2-km grid spacing) over a region where rainfall is dominated by convective processes is demonstrated, particularly in terms of its diurnal cycle phase and amplitude. The influence of cities on precipitation characteristics is quantified for two major urban nuclei in the region (Jakarta and Kuala Lumpur) and results indicate that their presence locally enhances precipitation by over 30 %. This increase is mainly due to an intensification of the diurnal cycle. We analyse the impact on temperature, humidity and wind to put forward physical mechanisms that explain such changes. Cities increase near surface temperature, generating instability. They also make land-sea temperature contrasts stronger, which enhances sea breeze circulations. Together, they increase near-surface moisture flux convergence and favour convective processes leading to an overall increase of precipitation over urban areas. The diurnal cycle of these effects is reflected in the atmospheric footprint of cities on variables such as humidity and cloud mixing ratio and accompanies changes in precipitation.

  6. The NADI program and the JOICFP integrated project: partners in delivering primary health care.

    PubMed

    Arshat, H; Othman, R; Kuan Lin Chee; Abdullah, M

    1985-10-01

    The NADI program (pulse in Malay) was initially launched as a pilot project in 1980 in Kuala Lumpur, Malaysia. It utilized an integrated approach involving both the government and the private sectors. By sharing resources and expertise, and by working together, the government and the people can achieve national development faster and with better results. The agencies work through a multi-level supportive structure, at the head of which is the steering committee. The NADI teams at the field level are the focal points of services from the various agencies. Members of NADI teams also work with urban poor families as well as health groups, parents-teachers associations, and other similar groups. The policy and planning functions are carried out by the steering committee, the 5 area action committees and the community action committees, while the implementation function is carried out by the area program managers and NADI teams. The chairman of each area action committee is the head of the branch office of city hall. Using intestinal parasite control as the entry point, the NADI Integrated Family Development Program has greatly helped in expanding inter-agency cooperation and exchange of experiences by a coordinated, effective and efficient resource-mobilization. The program was later expanded to other parts of the country including the industrial and estate sectors. Services provided by NADI include: comprehensive health services to promote maternal and child health; adequate water supply, proper waste disposal, construction of latrines and providing electricity; and initiating community and family development such as community education, preschool education, vocational training, family counseling and building special facilities for recreational and educational purposes.

  7. Study of characteristics of condom-acceptors using condom as first choice and alternative method of contraception in 1981-1987 at the NPFDB, GHKL.

    PubMed

    Low Boon Song

    1990-06-01

    Factors influencing condom acceptance were studied and compared in 2 groups of condom-acceptors--those using condoms as a 1st method of contraception and those using condoms as an alternative method of contraception. Data was obtained by reviewing the condom-acceptor cards during 1981-1987 at the General Hospital in Kuala Lumpur, Malaysia; 208 cards for the 1st group and 230 for the 2nd group were included in the study. Statistical analysis was conducted to determine characteristics influencing condom-use. AGe of wife, duration of marriage, number of living children, wife's level of education and socioeconomic status were identified as factors influencing condom acceptance. No significant difference was observed between the 2 group concerning their purpose of contraception. Age of wife had a significant influence on the use of condoms as contraception. Age of wife had a significant influence on the use of condoms as contraception; 74.5% of group 1 users were 31 years and 56.5% of group 2 users were 30 years. A very significant relationship also exist between condom use and duration of marriage and number of living children; condom-acceptors using condoms as the 1st method of contraception did so within 9 years of marriage (85.6%) and practiced condom use when they had 2 of children (73.6%) while those who used condoms subsequently were married 10 years (46.5%) and did so after having 3 or children (57.8%). Significant differences were observed between groups in higher socioeconomic status and higher level of education. With 7 or more years of education, a significant proportion of condom-acceptors used condoms as a 1st method of contraception as compared with those who used it as a subsequent method of contraception. For the higher socioeconomic, a significant number of acceptors used condoms as a 1st method of contraception.

  8. Hyphema due to blunt injury: a review of 118 patients

    PubMed Central

    Ulagantheran, V; Ahmad Fauzi, M S; Reddy, S C

    2010-01-01

    AIM To determine the causes, associated ocular findings and visual acuity on presentation, complications and visual outcome following treatment in patients of hyphema due to blunt injury METHODS A retrospective study was performed in 118 patients with hyphema due to blunt injury admitted in University of Malaya Medical Centre, Kuala Lumpur, Malaysia. The gender, age, race, cause of blunt injury resulting in hyphema, eye involved, vision at admission, other associated ophthalmological findings, complications and visual outcome were noted from the case records of patients. The data were analyzed using SPSS programme. RESULTS Males were more predominantly affected (93.2%). Two-thirds of patients (67.8%) were aged below 30 years. Sports related injury (38.1%) was the most common cause for hyphema. Hyphema disappeared within 5 days in 66.9% of patients. Iris injuries were very commonly associated in the form of mydriasis, sphincter tear and iridodialysis. Associated vitreous haemorrhage was noted in 11.9% of patients. During the hospital stay, secondary haemorrhage was observed in 3.4% of patients. The best corrected vision of 6/18 or better was noted in 85.4% of patients at the last follow-up. The follow-up of these subjects was very poor and thus the incidence of secondary glaucoma could not be established. Moderate blood staining of cornea occurred in 0.8% of patients. CONCLUSION Sports related injury is the most common cause of hyphema in Malaysia. Good visual recovery, without serious complications, is possible with appropriate and in-time treatment in hyphema patients due to blunt injury. PMID:22553571

  9. Pilot study to investigate the feasibility of the Home Falls and Accidents Screening Tool (HOME FAST) to identify older Malaysian people at risk of falls

    PubMed Central

    Romli, Muhammad Hibatullah; Mackenzie, Lynette; Lovarini, Meryl; Tan, Maw Pin

    2016-01-01

    Objective The relationship between home hazards and falls in older Malaysian people is not yet fully understood. No tools to evaluate the Malaysian home environment currently exist. Therefore, this study aimed to pilot the Home Falls and Accidents Screening Tool (HOME FAST) to identify hazards in Malaysian homes, to evaluate the feasibility of using the HOME FAST in the Malaysian Elders Longitudinal Research (MELoR) study and to gather preliminary data about the experience of falls among a small sample of Malaysian older people. Design A cross-sectional pilot study was conducted. Setting An urban setting in Kuala Lumpur. Participants 26 older people aged 60 and over were recruited from the control group of a related research project in Malaysia, in addition to older people known to the researchers. Primary outcome measure The HOME FAST was applied with the baseline survey for the MELoR study via a face-to-face interview and observation of the home by research staff. Results The majority of the participants were female, of Malay or Chinese ethnicity and living with others in a double-storeyed house. Falls were reported in the previous year by 19% and 80% of falls occurred at home. Gender and fear of falling had the strongest associations with home hazards. Most hazards were detected in the bathroom area. A small number of errors were detected in the HOME FAST ratings by researchers. Conclusions The HOME FAST is feasible as a research and clinical tool for the Malaysian context and is appropriate for use in the MELoR study. Home hazards were prevalent in the homes of older people and further research with the larger MELoR sample is needed to confirm the validity of using the HOME FAST in Malaysia. Training in the use of the HOME FAST is needed to ensure accurate use by researchers. PMID:27531736

  10. Evidence for widespread tropospheric Cl chemistry in free tropospheric air masses from the South China Sea

    NASA Astrophysics Data System (ADS)

    Baker, Angela K.; Sauvage, Carina; Thorenz, Ute R.; Brenninkmeijer, Carl A. M.; Oram, David E.; van Velthoven, Peter; Zahn, Andreas; Williams, Jonathan

    2015-04-01

    While the primary global atmospheric oxidant is the hydroxyl radical (OH), under certain circumstances chlorine radicals (Cl) can compete with OH and perturb the oxidative cycles of the troposphere. During flights between Bangkok, Thailand and Kuala Lumpur, Malaysia conducted over two fall/winter seasons (November 2012 - March 2013 and November 2013 - January 2014) the IAGOS-CARIBIC (www.caribic-atmospheric.com) observatory consistently encountered free tropospheric air masses (9-11 km) originating over the South China Sea which had non-methane hydrocarbon (NMHC) signatures characteristic of processing by Cl. These signatures were observed in November and December of both years, but were not seen in other months, suggesting that oxidation by Cl is a persistent seasonal feature in this region. These Cl signatures were observed over a range of ~1500 km indicating a large-scale phenomenon. In this region, where transport patterns facilitate global redistribution of pollutants and persistent deep convection creates a fast-track for cross-tropopause transport, there exists the potential for regional chemistry to have impacts further afield. Here we use observed relationships between NMHCs to estimate the significance and magnitude of Cl oxidation in this region. From the relative depletions of NMHCs in these air masses we infer OH to Cl ratios of 83±28 to 139±40 [OH]/[Cl], which we believe represents an upper limit, based on the technique employed. At a predicted average [OH] of 1.5×106 OH cm-3 this corresponds to an average (minimum) [Cl] exposure of 1-2×104 Cl cm-3 during air mass transport. Lastly, in addition to estimating Cl abundances we have used IAGOS-CARIBIC observations to elucidate whether the origin of this Cl is predominantly natural or anthropogenic.

  11. Short-term effects of daily air pollution on mortality

    NASA Astrophysics Data System (ADS)

    Wan Mahiyuddin, Wan Rozita; Sahani, Mazrura; Aripin, Rasimah; Latif, Mohd Talib; Thach, Thuan-Quoc; Wong, Chit-Ming

    2013-02-01

    The daily variations of air pollutants in the Klang Valley, Malaysia, which includes Kuala Lumpur were investigated for its association with mortality counts using time series analysis. This study located in the tropic with much less seasonal variation than typically seen in more temperate climates. Data on daily mortality for the Klang Valley (2000-2006), daily mean concentrations of air pollutants of PM10, SO2, CO, NO2, O3, daily maximum O3 and meteorological conditions were obtained from Malaysian Department of Environment. We examined the association between pollutants and daily mortality using Poisson regression while controlling for time trends and meteorological factors. Effects of the pollutants (Relative Risk, RR) on current-day (lag 0) mortality to seven previous days (lag 7) and the effects of the pollutants from the first two days (lag 01) to the first eight days (lag 07) were determined. We found significant associations in the single-pollutant model for PM10 and the daily mean O3 with natural mortality. For the daily mean O3, the highest association was at lag 05 (RR = 1.0215, 95% CI = 1.0013-1.0202). CO was found not significantly associated with natural mortality, however the RR's of CO were found to be consistently higher than PM10. In spite of significant results of PM10, the magnitude of RR's of PM10 was not important for natural mortality in comparison with either daily mean O3 or CO. There is an association between daily mean O3 and natural mortality in a two-pollutants model after adjusting for PM10. Most pollutants except SO2, were significantly associated with respiratory mortality in a single pollutant model. Daily mean O3 is also important for respiratory mortality, with over 10% of mortality associated with every IQR increased. These findings are noteworthy because seasonal confounding is unlikely in this relatively stable climate, by contrast with more temperate regions.

  12. Decadal changes in shortwave irradiance at the surface in the period from 1960 to 2000 estimated from Global Energy Balance Archive Data

    NASA Astrophysics Data System (ADS)

    Gilgen, H.; Roesch, A.; Wild, M.; Ohmura, A.

    2009-05-01

    Decadal changes in shortwave irradiance at the Earth's surface are estimated for the period from approximately 1960 through to 2000 from pyranometer records stored in the Global Energy Balance Archive. For this observational period, estimates could be calculated for a total of 140 cells of the International Satellite Cloud Climatology Project grid (an equal area 2.5° × 2.5° grid at the equator) using regression models allowing for station effects. In large regions worldwide, shortwave irradiance decreases in the first half of the observational period, recovers from the decrease in the 1980s, and thereafter increases, in line with previous reports. Years of trend reversals are determined for the grid cells which are best described with a second-order polynomial model. This reversal of the trend is observed in the majority of the grid cells in the interior of Europe and in Japan. In China, shortwave irradiance recovers during the 1990s in the majority of the grid cells in the southeast and northeast from the decrease observed in the period from 1960 through to 1990. A reversal of the trend in the 1980s or early 1990s is also observed for two grid cells in North America, and for the grid cells containing the Kuala Lumpur (Malaysia), Singapore, Casablanca (Morocco), Valparaiso (Chile) sites, and, noticeably, the remote South Pole and American Samoa sites. Negative trends persist, i.e., shortwave radiation decreases, for the observational period 1960 through to 2000 at the European coasts, in central and northwest China, and for three grid cells in India and two in Africa.

  13. Prevalence of a koinobiont endoparasitoid Misotermes mindeni (Diptera: Phoridae) in colonies of the fungus-growing termite Macrotermes gilvus (Blattodea: Termitidae) in Malaysia.

    PubMed

    Foo, Foong-Kuan; Singham, G Veera; Othman, Ahmad Sofiman; Lee, Chow-Yang

    2011-10-01

    A survey of the infestation rate of colonies of Macrotermes gilvus (Hagen) (Termitidae: Macrotermitinae) with the koinobiont endoparasitoid Misotermes mindeni Disney & Neoh (Diptera: Phoridae) was conducted in Malaysia from September 2009 to January 2011 in the states of Kedah, Penang, Perak, Selangor, Kuala Lumpur, Johor, Terengganu, and Sarawak. Of the 1,125 M. gilvus mounds surveyed, 12.4% contained termites parasitized by M. mindeni and these mounds occurred only in the states of Penang and Perak. High frequencies of mounds containing parasitized termites were found at sites in Penang: Bayan Lepas (21.1%), Minden Campus of Universiti Sains Malaysia ([USM]; 24.5%), Teluk Bahang (28.0%), and Bukit Mertajam (35.0%); the lowest frequency (4.0%) was recorded from Gelugor. The parasitized colonies at all sites were classified as healthy, with exception of several from the Minden Campus of USM (96.4% healthy) and Ayer Itam (87.5% healthy). Most parasitized colonies (71.2%) had a low level of M. mindeni infestation. Only 16.7 and 12.1% of the infested colonies had moderate or high parasite infestation levels, respectively. The height of infected mounds was significantly higher than that of the healthy mounds, but there was no difference between the mound diameters of infested and uninfested mounds. Parasite infestation level was not significantly correlated with mound height or mound diameter. The ambient light intensity at sites with infested mounds was significantly lower than that of uninfested mounds. There was also a significant negative relationship between light intensity and degree of parasitism.

  14. Regional assessment of pan-Pacific urban environments over 25 years using annual gap free Landsat data

    NASA Astrophysics Data System (ADS)

    Lu, Yuhao; Coops, Nicholas C.; Hermosilla, Txomin

    2016-08-01

    Urbanization and the associated change in land cover has been intensifying across the globe in recent decades. Regional studies on the rate and amount of urban expansion are critical for understanding how patterns of change differ within and among cities with varying structure and development characteristics. Yet spatially consistent and timely information on urban development is difficult to access particularly across international jurisdictions. Remote sensing based technologies offer a unique perspective on urban land cover with the data offering significant potential to urban studies due to its consistent and ubiquitous nature. In this research we applied a pixel-based image composite technique to generate annual gap-free surface reflectance Landsat composites from 1984 to 2012 for 25 urban environments across 12 countries in the Pacific Rim. Using time series composites, spectral indices were calculated and compared using a hexagonal grid ring model to assess changes in vegetative and urban patterns. Trajectories were then clustered to further investigate the spatio-temporal dynamics and relationships among the 25 cities. Performance of the clustering analyses varied depended on the temporal and spatial metrics however overall clustering results indicated relatively strong spatio-temporal similarities among a number of key cities. Three pairs of cities-Melbourne and Sydney; Tianjin and Manila; and Singapore City and Kuala Lumpur were found to be highly similar in their urban and vegetation dynamics temporally and spatially. In contrast Vancouver and Las Vegas had no similar analogous. This work demonstrates the value of utilising annual Landsat time series composites for assessing urban vegetation and urban dynamics at regional scales and potential use in sustainable urban planning, resources allocation, and policy making.

  15. Development of Hydrological Model of Klang River Valley for flood forecasting

    NASA Astrophysics Data System (ADS)

    Mohammad, M.; Andras, B.

    2012-12-01

    This study is to review the impact of climate change and land used on flooding through the Klang River and to compare the changes in the existing river system in Klang River Basin with the Storm water Management and Road Tunnel (SMART) which is now already operating in the city centre of Kuala Lumpur. Klang River Basin is the most urbanized region in Malaysia. More than half of the basin has been urbanized on the land that is prone to flooding. Numerous flood mitigation projects and studies have been carried out to enhance the existing flood forecasting and mitigation project. The objective of this study is to develop a hydrological model for flood forecasting in Klang Basin Malaysia. Hydrological modelling generally requires large set of input data and this is more often a challenge for a developing country. Due to this limitation, the Tropical Rainfall Measuring Mission (TRMM) rainfall measurement, initiated by the US space agency NASA and Japanese space agency JAXA was used in this study. TRMM data was transformed and corrected by quantile to quantile transformation. However, transforming the data based on ground measurement doesn't make any significant improvement and the statistical comparison shows only 10% difference. The conceptual HYMOD model was used in this study and calibrated using ROPE algorithm. But, using the whole time series of the observation period in this area resulted in insufficient performance. The depth function which used in ROPE algorithm are then used to identified and calibrated using only unusual event to observed the improvement and efficiency of the model.

  16. Impacts of current and projected oil palm plantation expansion on air quality over Southeast Asia

    NASA Astrophysics Data System (ADS)

    Silva, Sam J.; Heald, Colette L.; Geddes, Jeffrey A.; Austin, Kemen G.; Kasibhatla, Prasad S.; Marlier, Miriam E.

    2016-08-01

    Over recent decades oil palm plantations have rapidly expanded across Southeast Asia (SEA). According to the United Nations, oil palm production in SEA increased by a factor of 3 from 1995 to 2010. We investigate the impacts of current (2010) and near-term future (2020) projected oil palm expansion in SEA on surface-atmosphere exchange and the resulting air quality in the region. For this purpose, we use satellite data, high-resolution land maps, and the chemical transport model GEOS-Chem. Relative to a no oil palm plantation scenario (˜ 1990), overall simulated isoprene emissions in the region increased by 13 % due to oil palm plantations in 2010 and a further 11 % in the near-term future. In addition, the expansion of palm plantations leads to local increases in ozone deposition velocities of up to 20 %. The net result of these changes is that oil palm expansion in SEA increases surface O3 by up to 3.5 ppbv over dense urban regions, and in the near-term future could rise more than 4.5 ppbv above baseline levels. Biogenic secondary organic aerosol loadings also increase by up to 1 µg m-3 due to oil palm expansion, and could increase by a further 2.5 µg m-3 in the near-term future. Our analysis indicates that while the impact of recent oil palm expansion on air quality in the region has been significant, the retrieval error and sensitivity of the current constellation of satellite measurements limit our ability to observe these impacts from space. Oil palm expansion is likely to continue to degrade air quality in the region in the coming decade and hinder efforts to achieve air quality regulations in major urban areas such as Kuala Lumpur and Singapore.

  17. Identification and evolutionary dynamics of two novel human coronavirus OC43 genotypes associated with acute respiratory infections: phylogenetic, spatiotemporal and transmission network analyses

    PubMed Central

    Oong, Xiang Yong; Ng, Kim Tien; Takebe, Yutaka; Ng, Liang Jie; Chan, Kok Gan; Chook, Jack Bee; Kamarulzaman, Adeeba; Tee, Kok Keng

    2017-01-01

    Human coronavirus OC43 (HCoV-OC43) is commonly associated with respiratory tract infections in humans, with five genetically distinct genotypes (A to E) described so far. In this study, we obtained the full-length genomes of HCoV-OC43 strains from two previously unrecognized lineages identified among patients presenting with severe upper respiratory tract symptoms in a cross-sectional molecular surveillance study in Kuala Lumpur, Malaysia, between 2012 and 2013. Phylogenetic, recombination and comparative genomic analyses revealed two distinct clusters diverging from a genotype D-like common ancestor through recombination with a putative genotype A-like lineage in the non-structural protein (nsp) 10 gene. Signature amino acid substitutions and a glycine residue insertion at the N-terminal domain of the S1 subunit of the spike gene, among others, exhibited further distinction in a recombination pattern, to which these clusters were classified as genotypes F and G. The phylogeographic mapping of the global spike gene indicated that the genetically similar HCoV-OC43 genotypes F and G strains were potentially circulating in China, Japan, Thailand and Europe as early as the late 2000s. The transmission network construction based on the TN93 pairwise genetic distance revealed the emergence and persistence of multiple sub-epidemic clusters of the highly prevalent genotype D and its descendant genotypes F and G, which contributed to the spread of HCoV-OC43 in the region. Finally, a more consistent nomenclature system for non-recombinant and recombinant HCoV-OC43 lineages is proposed, taking into account genetic recombination as an important feature in HCoV evolution and classification. PMID:28050020

  18. Fatigue experienced by patients receiving maintenance dialysis in hemodialysis units.

    PubMed

    Letchmi, Santhna; Das, Srijit; Halim, Hasliza; Zakariah, Farid Azizul; Hassan, Hamidah; Mat, Samsiah; Packiavathy, Ruth

    2011-03-01

    The fatigue that is observed in patients who are undergoing dialysis is usually associated with an impaired quality of life. The present cross-sectional study was conducted from January to April 2009 in three hemodialysis units in Kuala Lumpur, Malaysia. In this study, the Multidimensional Fatigue Inventory and Depression Anxiety and Stress Score 21 were used to determine the level of fatigue, depression, anxiety, and stress of patients who were undergoing dialysis. The data were obtained from a calculated sample of 116 and a total of 103 respondents participated in the study. A total of 56 (54.4%) and 47 (45.6%) respondents experienced a high level and a low level of fatigue, respectively. There was a significant relationship between the duration of treatment and the level of fatigue. The respondents who had been receiving treatment for > 2 years experienced more fatigue, compared to the respondents who had been undergoing hemodialysis for > 2 years. There was a significant difference in relation to the age of the participants regarding the level of fatigue. No significant relationship between the sex of the participants, anemia, depression, anxiety, stress, and the level of fatigue was observed. Special attention needs to be paid to both the younger and older adults who are receiving treatment. In addition, proper planning is needed for the patients regarding their daily activities in order to reduce fatigue. Nurses who work in hemodialysis units are recommended to provide exercise classes or group therapy in order to boost the energy levels among patients who are undergoing dialysis. Health professionals should provide appropriate treatment for patients who are experiencing fatigue in order to prevent any other complications that could arise.

  19. Treatment readiness, attitudes toward, and experiences with methadone and buprenorphine maintenance therapy among people who inject drugs in Malaysia

    PubMed Central

    Vijay, Aishwarya; Bazazi, Alexander R.; Yee, Ilias; Kamarulzaman, Adeeba; Altice, Frederick L.

    2016-01-01

    Background Little is known about attitudes toward and experiences with opioid maintenance therapy (OMT) among people who inject drugs in Malaysia, a country where people who inject drugs comprise 1.3% of the adult population. Methods In 2010, 460 people who inject drugs in Greater Kuala Lumpur, Malaysia were surveyed to evaluate attitudes toward and experience with OMT and treatment readiness. Attitudes towards OMT with both methadone and buprenorphine were assessed using an opinions scale. Multivariable linear regression was used to assess correlates of treatment readiness, measured with the 19-item Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Results All 460 participants used opioids and nearly all (99.1%) met criteria for opioid dependence. Few had had previous experience with methadone (9.3%) or buprenorphine (12.6%) maintenance therapy, yet many had used methadone (55.2%) or buprenorphine (51.7%) outside of treatment settings. Fifteen percent had injected buprenorphine in the past month, and of the few that were currently receiving buprenorphine maintenance therapy, almost all were injecting it. The majority of subjects exhibited a moderate level of treatment readiness and a preference for methadone over buprenorphine. Those with low treatment readiness scores were more likely to have previous experience with compulsory drug detention centers (p<0.01), needle/syringe exchange programs (p<0.005), or be of Indian ethnicity (p<0.001). Past use of methadone (p<0.01), older age (p<0.001), stress symptom severity (p<0.001), and sharing of needles or syringes (p<0.05) were associated with higher treatment readiness scores. Conclusion There are suboptimal levels of OMT experience among people who inject drugs that may be improved by addressing factors that influence patient attitudes. Those individuals with moderate treatment readiness may be targeted by brief motivational and cognitive interventions in primary care, prisons or OMT clinics

  20. Patients' Perceptions of Dental Students' Empathic, Person-Centered Care in a Dental School Clinic in Malaysia.

    PubMed

    Babar, Muneer Gohar; Hasan, Syed Shahzad; Yong, Wong Mei; Mitha, Shahid; Al-Waeli, Haider Abdulameer

    2017-04-01

    Empathy has been identified as a crucial foundation in building an effective dentist-patient relationship. The aim of this study was to assess patients' perceptions of dental students' empathic care in the primary oral health care clinic at International Medical University in Kuala Lumpur, Malaysia in May-October 2014. The study also assessed the validity and reliability of the Consultation and Relational Empathy (CARE) Measure in this setting; the association between number of encounters and students' CARE Measure scores; and the association between students' empathy (measured by the Toronto Empathy Questionnaire) and CARE Measure scores. Participants were 283 patients (aged ≥18 years) who were asked to self-complete the ten-item CARE Measure immediately after their clinical encounter with students who provided care under supervision of the teaching staff. The results showed that the CARE Measure demonstrated good internal consistency (Cronbach's α=0.95). A single factor solution emerged, accounting for 69% of the variance. The mean CARE Measure score in the consultations was 43.55±6.14, and 26% of the students achieved the maximum possible score of 50. The mean number of encounters with each student was 2.33±2.78. An increase of one episode was associated with an insignificant average CARE score decrease of 0.05 (-0.28, 0.38), whereas students' empathy was associated with a small increase in average CARE Measure score of 0.63 (0.08, 1.18). These results provide evidence of the measure's ability to support feedback to dental students on their empathy when interacting with patients.

  1. The Lusi seismic experiment: An initial study to understand the effect of seismic activity to Lusi

    SciTech Connect

    Karyono; Mazzini, Adriano; Sugiharto, Anton; Lupi, Matteo; Syafri, Ildrem; Masturyono,; Rudiyanto, Ariska; Pranata, Bayu; Muzli,; Widodo, Handi Sulistyo; Sudrajat, Ajat

    2015-04-24

    The spectacular Lumpur Sidoarjo (Lusi) eruption started in northeast Java on the 29 of May 2006 following a M6.3 earthquake striking the island [1,2]. Initially, several gas and mud eruption sites appeared along the reactivated strike-slip Watukosek fault system [3] and within weeks several villages were submerged by boiling mud. The most prominent eruption site was named Lusi. The Lusi seismic experiment is a project aims to begin a detailed study of seismicity around the Lusi area. In this initial phase we deploy 30 seismometers strategically distributed in the area around Lusi and along the Watukosek fault zone that stretches between Lusi and the Arjuno Welirang (AW) complex. The purpose of the initial monitoring is to conduct a preliminary seismic campaign aiming to identify the occurrence and the location of local seismic events in east Java particularly beneath Lusi.This network will locate small event that may not be captured by the existing BMKG network. It will be crucial to design the second phase of the seismic experiment that will consist of a local earthquake tomography of the Lusi-AW region and spatial and temporal variations of vp/vs ratios. The goal of this study is to understand how the seismicity occurring along the Sunda subduction zone affects to the behavior of the Lusi eruption. Our study will also provide a large dataset for a qualitative analysis of earthquake triggering studies, earthquake-volcano and earthquake-earthquake interactions. In this study, we will extract Green’s functions from ambient seismic noise data in order to image the shallow subsurface structure beneath LUSI area. The waveform cross-correlation technique will be apply to all of recordings of ambient seismic noise at 30 seismographic stations around the LUSI area. We use the dispersive behaviour of the retrieved Rayleigh waves to infer velocity structures in the shallow subsurface.

  2. Spectral Discrimination of Fine and Coarse Mode Aerosol Optical Depth from AERONET Direct Sun Data of Singapore and South-East Asia

    NASA Astrophysics Data System (ADS)

    Salinas Cortijo, S.; Chew, B.; Liew, S.

    2009-12-01

    Aerosol optical depth combined with the Angstrom exponent and its derivative, are often used as a qualitative indicator of aerosol particle size, with Angstrom exp. values greater than 2 indicating small (fine mode) particles associated with urban pollution and bio-mass burning. Around this region, forest fires are a regular occurrence during the dry season, specially near the large land masses of Sumatra and Borneo. The practice of clearing land by burning the primary and sometimes secondary forest, results in a smog-like haze covering large areas of regional cities such as cities Singapore, Kuala Lumpur and sometimes the south of Thailand, often reducing visibility and increasing health problems for the local population. In Singapore, the sources of aerosols are mostly from fossil fuel burning (energy stations, incinerators, urban transport etc.) and from the industrial and urban areas. The proximity to the sea adds a possible oceanic source. However, as stated above and depending on the time of the year, there can be a strong bio-mass component coming from forest fires from various regions of the neighboring countries. Bio-mass related aerosol particles are typically characterized by showing a large optical depth and small, sub-micron particle size distributions. In this work, we analyze three years of direct Sun measurements performed with a multi-channel Cimel Sun-Photometer (part of the AERONET network) located at our site. In order to identify bio-mass burning events in this region, we perform a spectral discrimination between coarse and fine mode optical depth; subsequently, the fine mode parameters such as optical depth, optical ratio and fine mode Angstrom exponents (and its derivative) are used to identify possible bio-mass related events within the data set.

  3. Assessing the children's views on foods and consumption of selected food groups: outcome from focus group approach

    PubMed Central

    Sharif Ishak, Sharifah Intan Zainun; Kandiah, Mirnalini

    2013-01-01

    The food choices in childhood have high a probability of being carried through into their adulthood life, which then contributes to the risk of many non-communicable diseases. Therefore, there is a need to gather some information about children's views on foods which may influence their food choices for planning a related dietary intervention or programme. This paper aimed to explore the views of children on foods and the types of foods which are usually consumed by children under four food groups (snacks, fast foods, cereals and cereal products; and milk and dairy products) by using focus group discussions. A total of 33 school children aged 7-9 years old from Selangor and Kuala Lumpur participated in the focus groups. Focus groups were audio-taped, transcribed and analyzed according to the listed themes. The outcomes show that the children usually consumed snacks such as white bread with spread or as a sandwich, local cakes, fruits such as papaya, mango and watermelon, biscuits or cookies, tea, chocolate drink and instant noodles. Their choices of fast foods included pizza, burgers, French fries and fried chicken. For cereal products, they usually consumed rice, bread and ready-to-eat cereals. Finally, their choices of dairy products included milk, cheese and yogurt. The reasons for the food liking were taste, nutritional value and the characteristics of food. The outcome of this study may provide additional information on the food choices among Malaysian children, especially in urban areas with regard to the food groups which have shown to have a relationship with the risk of childhood obesity. PMID:23610606

  4. Developing a Vulnerability Mapping Methodology: Applying the Water-Associated Disease Index to Dengue in Malaysia

    PubMed Central

    Dickin, Sarah K.; Schuster-Wallace, Corinne J.; Elliott, Susan J.

    2013-01-01

    The Water-associated Disease Index (WADI) was developed to identify and visualize vulnerability to different water-associated diseases by integrating a range of social and biophysical determinants in map format. In this study vulnerability is used to encompass conditions of exposure, susceptibility, and differential coping capacity to a water-associated health hazard. By assessing these conditions, the tool is designed to provide stakeholders with an integrated and long-term understanding of subnational vulnerabilities to water-associated disease and contribute to intervention strategies to reduce the burden of illness. The objective of this paper is to describe and validate the WADI tool by applying it to dengue. A systemic ecohealth framework that considers links between people, the environment and health was applied to identify secondary datasets, populating the index with components including climate conditions, land cover, education status and water use practices. Data were aggregated to create composite indicators of exposure and of susceptibility in a Geographic Information System (GIS). These indicators were weighted by their contribution to dengue vulnerability, and the output consisted of an overall index visualized in map format. The WADI was validated in this Malaysia case study, demonstrating a significant association with dengue rates at a sub-national level, and illustrating a range of factors that drive vulnerability to the disease within the country. The index output indicated high vulnerability to dengue in urban areas, especially in the capital Kuala Lumpur and surrounding region. However, in other regions, vulnerability to dengue varied throughout the year due to the influence of seasonal climate conditions, such as monsoon patterns. The WADI tool complements early warning models for water-associated disease by providing upstream information for planning prevention and control approaches, which increasingly require a comprehensive and

  5. What Do Men Want from a Health Screening Mobile App? A Qualitative Study

    PubMed Central

    2017-01-01

    There is a lack of mobile app which aims to improve health screening uptake developed for men. As part of the study to develop an effective mobile app to increase health screening uptake in men, we conducted a needs assessment to find out what do men want from a health screening mobile app. In-depth interviews and focus group discussions were conducted with 31 men from a banking institution in Kuala Lumpur. The participants were purposely sampled according to their job position, age, ethnicity and screening status. The recruitment was stopped once data saturation was achieved. The audio-recorded interviews were transcribed verbatim and analyzed using thematic approach. Three themes emerged from the analysis and they were: content, feature and dissemination. In terms of the content, men wanted the app to provide information regarding health screening and functions that can assess their health; which must be personalized to them and are trustable. The app must have user-friendly features in terms of information delivery, ease of use, attention allocation and social connectivity. For dissemination, men proposed that advertisements, recommendations by health professionals, providing incentive and integrating the app as into existing systems may help to increase the dissemination of the app. This study identified important factors that need to be considered when developing a mobile app to improve health screening uptake. Future studies on mobile app development should elicit users’ preference and need in terms of its content, features and dissemination strategies to improve the acceptability and the chance of successful implementation. PMID:28060953

  6. Community-acquired methicillin-resistant Staphylococcus aureus in a Malaysian tertiary centre.

    PubMed

    Rashid, Zetti Zainol; Bahari, Norazlah; Othman, Amizah; Jaafar, Roslinda; Mohamed, Nurul Azmawati; Jabbari, Idimaz; Sulong, Anita; Hashim, Rohaidah; Ahmad, Norazah

    2013-01-01

    Abstract. Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is a pathogen recognized to be distinct in both phenotype and genotype from hospital-acquired MRSA. We have identified CA-MRSA cases in Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia, including their antibiotic susceptibility patterns and genotypic characteristics. Cases were identified during January to December 2009 from routine clinical specimens, where culture and antibiotic susceptibility results yielded pauci-resistant MRSA isolates suspected as being CA-MRSA. The patients' clinical data were collected and their specimens were sent for molecular confirmation and analysis. Five cases of CA-MRSA were identified, which had a multi-sensitive pattern on antibiotic susceptibility tests and were resistant to only penicillin and oxacillin. All cases were skin and soft-tissue infections, including diabetic foot with gangrene, infected scalp hematoma, philtrum abscess in a healthcare worker, thrombophlebitis complicated with abscess and infected bedsore. All five cases were confirmed MRSA by detection of mecA. SCCmec typing (ccr and mec complex) revealed SCCmec type IV for all cases except the infected bedsore case. Panton-Valentine leukocidin gene was positive in all isolates. As clinical features among methicillin-sensitive Staphylococcus aureus, CA-MRSA and "nosocomial CA-MRSA" are indistinct, early recognition is necessary in order to initiate appropriate antibiotics and infection control measures. Continual surveillance of pauci-resistant MRSA and molecular analysis are necessary in order to identify emerging strains as well as their epidemiology and transmission, both in the community and in healthcare setting.

  7. Complex Network Theory Applied to the Growth of Kuala Lumpur’s Public Urban Rail Transit Network

    PubMed Central

    Ding, Rui; Ujang, Norsidah; Hamid, Hussain bin; Wu, Jianjun

    2015-01-01

    Recently, the number of studies involving complex network applications in transportation has increased steadily as scholars from various fields analyze traffic networks. Nonetheless, research on rail network growth is relatively rare. This research examines the evolution of the Public Urban Rail Transit Networks of Kuala Lumpur (PURTNoKL) based on complex network theory and covers both the topological structure of the rail system and future trends in network growth. In addition, network performance when facing different attack strategies is also assessed. Three topological network characteristics are considered: connections, clustering and centrality. In PURTNoKL, we found that the total number of nodes and edges exhibit a linear relationship and that the average degree stays within the interval [2.0488, 2.6774] with heavy-tailed distributions. The evolutionary process shows that the cumulative probability distribution (CPD) of degree and the average shortest path length show good fit with exponential distribution and normal distribution, respectively. Moreover, PURTNoKL exhibits clear cluster characteristics; most of the nodes have a 2-core value, and the CPDs of the centrality’s closeness and betweenness follow a normal distribution function and an exponential distribution, respectively. Finally, we discuss four different types of network growth styles and the line extension process, which reveal that the rail network’s growth is likely based on the nodes with the biggest lengths of the shortest path and that network protection should emphasize those nodes with the largest degrees and the highest betweenness values. This research may enhance the networkability of the rail system and better shape the future growth of public rail networks. PMID:26448645

  8. Exploring the challenges faced by polytechnic students

    NASA Astrophysics Data System (ADS)

    Matore, Mohd Effendi @ Ewan Mohd; Khairani, Ahmad Zamri

    2015-02-01

    This study aims to identify other challenges besides those already faced by students, in seven polytechnics in Malaysia as a continuation to the previous research that had identified 52 main challenges faced by students using the Rasch Model. The explorative study focuses on the challenges that are not included in the Mooney Problem Checklist (MPCL). A total of 121 polytechnic students submitted 183 written responses through the open questions provided. Two hundred fifty two students had responded from a students' perspective on the dichotomous questions regarding their view on the challenges faced. The data was analysed qualitatively using the NVivo 8.0. The findings showed that students from Politeknik Seberang Perai (PSP) gave the highest response, which was 56 (30.6%) and Politeknik Metro Kuala Lumpur (PMKL) had the lowest response of 2 (1.09%). Five dominant challenges were identified, which were the English language (32, 17.5%), learning (14, 7.7%), vehicles (13, 7.1%), information technology and communication (ICT) (13, 7.1%), and peers (11, 6.0%). This article, however, focus on three apparent challenges, namely, English language, vehicles, as well as computer and ICT, as the challenges of learning and peers had been analysed in the previous MPCL. The challenge of English language that had been raised was regarding the weakness in commanding the aspects of speech and fluency. The computer and ICT challenge covered the weakness in mastering ICT and computers, as well as computer breakdowns and low-performance computers. The challenge of vehicles emphasized the unavailability of vehicles to attend lectures and go elsewhere, lack of transportation service in the polytechnic and not having a valid driving license. These challenges are very relevant and need to be discussed in an effort to prepare polytechnics in facing the transformational process of polytechnics.

  9. Ubiquitous occurrence of sulfonamides in tropical Asian waters.

    PubMed

    Shimizu, Akiko; Takada, Hideshige; Koike, Tatsuya; Takeshita, Ayako; Saha, Mahua; Rinawati; Nakada, Norihide; Murata, Ayako; Suzuki, Tokuma; Suzuki, Satoru; Chiem, Nguyen H; Tuyen, Bui Cach; Viet, Pham Hung; Siringan, Maria Auxilia; Kwan, Charita; Zakaria, Mohamad P; Reungsang, Alissara

    2013-05-01

    Seven sulfonamides, trimethoprim, five macrolides, lincomycin and three tetracyclines were measured in 150 water samples of sewage, livestock and aquaculture wastewater, and river and coastal waters, in five tropical Asian countries. The sum of the concentrations of the target antibiotics in sewage and heavily sewage-impacted waters were at sub- to low-ppb levels. The most abundant antibiotic was sulfamethoxazole (SMX), followed by lincomycin and sulfathiazole. The average concentration of SMX in sewage or heavily sewage-impacted waters was 1720 ng/L in Vietnam (Hanoi, Ho Chi Minh, Can Tho; n=15), 802ng/L in the Philippines (Manila; n=4), 538 ng/L in India (Kolkata; n=4), 282 ng/L in Indonesia (Jakarta; n=10), and 76 ng/L in Malaysia (Kuala Lumpur; n=6). These concentrations were higher than those in Japan, China, Europe, the US and Canada. A predominance of sulfonamides, especially SMX, is notable in these tropical countries. The higher average concentrations, and the predominance of SMX, can be ascribed to the lower cost of the antibiotics. Both the concentration and composition of antibiotics in livestock and aquaculture wastewater varied widely. In many cases, sulfamethazine (SMT), oxytetracycline (OTC), lincomycin, and SMX were predominant in livestock and aquaculture wastewater. Both human and animal antibiotics were widely distributed in the respective receiving waters (i.e., the Mekong River and Manila Bay). SMT/SMX ratios indicate a significant contribution from livestock wastewater to the Mekong River and nearby canals, with an estimated ~10% of river water SMX derived from such wastewater. Mass flow calculations estimate that 12 tons of SMX is discharged annually from the Mekong River into the South China Sea. Riverine inputs of antibiotics may significantly increase the concentration of such antibiotics in the coastal waters.

  10. Bounded agency in humanitarian settings: a qualitative study of adherence to antiretroviral therapy among refugees situated in Kenya and Malaysia.

    PubMed

    Mendelsohn, Joshua B; Rhodes, Tim; Spiegel, Paul; Schilperoord, Marian; Burton, John Wagacha; Balasundaram, Susheela; Wong, Chunting; Ross, David A

    2014-11-01

    HIV-positive refugees confront a variety of challenges in accessing and adhering to antiretroviral therapy (ART) and attaining durable viral suppression; however, there is little understanding of what these challenges are, how they are navigated, or how they may differ across humanitarian settings. We sought to document and examine accounts of the threats, barriers and facilitators experienced in relation to HIV treatment and care and to conduct comparisons across settings. We conducted semi-structured interviews among a purposive sample of 14 refugees attending a public, urban HIV clinic in Kuala Lumpur, Malaysia (July-September 2010), and 12 refugees attending a camp-based HIV clinic in Kakuma, Kenya (February-March 2011). We used framework methods and between-case comparison to analyze and interpret the data, identifying social and environmental factors that influenced adherence. The multiple issues that threatened adherence to antiretroviral therapy or precipitated actual adherence lapses clustered into three themes: "migration", "insecurity", and "resilience". The migration theme included issues related to crossing borders and integrating into treatment systems upon arrival in a host country. Challenges related to crossing borders were reported in both settings, but threats pertaining to integration into, and navigation of, a new health system were exclusive to the Malaysian setting. The insecurity theme included food insecurity, which was most commonly reported in the Kenyan setting; health systems insecurity, reported in both settings; and emotional insecurity, which was most common in the Kenyan setting. Resilient processes were reported in both settings. We drew on the concept of "bounded agency" to argue that, despite evidence of personal and community resilience, these processes were sometimes insufficient for overcoming social and environmental barriers to adherence. In general, interventions might aim to bolster individuals' range of action with

  11. Compliance with WHO IYCF Indicators and Dietary Intake Adequacy in a Sample of Malaysian Infants Aged 6–23 Months

    PubMed Central

    Khor, Geok Lin; Tan, Sue Yee; Tan, Kok Leong; Chan, Pauline S.; Amarra, Maria Sofia V.

    2016-01-01

    Background: The 2010 World Health Organisation (WHO) Infant and Young Child Feeding (IYCF) indicators are useful for monitoring feeding practices. Methods: A total sample of 300 subjects aged 6 to 23 months was recruited from urban suburbs of Kuala Lumpur and Putrajaya. Compliance with each IYCF indicator was computed according to WHO recommendations. Dietary intake based on two-day weighed food records was obtained from a sub-group (N = 119) of the total sample. The mean adequacy ratio (MAR) value was computed as an overall measure of dietary intake adequacy. Contributions of core IYCF indicators to MAR were determined by multinomial logistic regression. Results: Generally, the subjects showed high compliance for (i) timely introduction of complementary foods at 6 to 8 months (97.9%); (ii) minimum meal frequency among non-breastfed children aged 6 to 23 months (95.2%); (iii) consumption of iron-rich foods at 6 to 23 months (92.3%); and minimum dietary diversity (78.0%). While relatively high proportions achieved the recommended intake levels for protein (87.4%) and iron (71.4%), lower proportions attained the recommendations for calcium (56.3%) and energy (56.3%). The intake of micronutrients was generally poor. The minimum dietary diversity had the greatest contribution to MAR (95% CI: 3.09, 39.87) (p = 0.000) among the core IYCF indicators. Conclusion: Malaysian urban infants and toddlers showed moderate to high compliance with WHO IYCF indicators. The robustness of the analytical approach in this study in quantifying contributions of IYCF indicators to MAR should be further investigated. PMID:27916932

  12. Adapting to a US Medical Curriculum in Malaysia: A Qualitative Study on Cultural Dissonance in International Education

    PubMed Central

    Shields, Ryan Y

    2016-01-01

    Context Minimal research has examined the recent exportation of medical curricula to international settings. Johns Hopkins University School of Medicine in Baltimore, USA partnered with Perdana University Graduate School of Medicine in Kuala Lumpur, Malaysia and implemented the same curriculum currently used at Johns Hopkins University to teach medical students at Perdana University. This study aimed to explore the perspectives of first-year medical students at Perdana University, focusing on issues of cultural dissonance during adaptation to a US curriculum. Methods In-depth semi-structured interviews with the inaugural class of first-year students (n=24) were conducted, audio-recorded, and transcribed. Two reviewers independently coded and analyzed the qualitative data for major themes. Results The most prominent themes identified were the transition from a “passive” to an “active” learning environment and the friendliness and openness of the professors. Students noted that “[Perdana University] is a whole new, different culture and now we are adapting to the culture.” Being vocal during classes and taking exams based on conceptual understanding and knowledge application/integration proved to be more challenging for students than having classes taught entirely in English or the amount of material covered. Discussion This study reinforced many cultural education theories as it revealed the major issues of Malaysian graduate students adapting to a US-style medical curriculum. Despite coming from a collectivistic, Confucian-based cultural learning background, the Malaysian students at Perdana University adopted and adapted to, and subsequently supported, the US learning expectations. PMID:27672530

  13. Malaysian made condoms sold locally as well as exported.

    PubMed

    1979-01-01

    Malaysia, famous for its natural rubber, is also producing condoms made from local rubber. About 40,000 gross of condoms a month are being produced by a factory with about 30 female workers. 30-40% of the production is exported to Europe, Middle East, Asia, Japan, Singapore and South America. The size of the condoms conform to international standards, 49 mm and 52 mm. As there is a greater demand for the 52 mm. condoms overseas, the company produces more of this than the 49 mm. condoms. In April 1975, the Standard Institution and Industrial Research of Malaysia gave its quality control approval to a condom which can hold 5 gallons of water and with thickness varying from 0.03 mm, 0.06 mm. and 0.05-0.07 mm. A 10% tax/piece and a 5% surtax are imposed on imported condoms to protect the local industry from foreign competition. Local condoms are sold tax-free. Pink and black colored condoms appear to be popular among consumers. Although complaints are few, 1 in 10,000 users may suffer from allergic problems because of the silicone oil treatment of the condoms. Another local condom factory which uses Malaysian rubber for condom manufacture is located in Klang, approximately 24 miles from Kuala Lumpur; the factory has 25 workers producing 12,000 gross of lubricated and non-lubricated condoms for local consumption only. There is increasing evidence that condoms are increasing in popularity in Malaysia and that the average consumer is now being more selective in choosing contraceptive methods.

  14. Decompressive craniectomy for malignant middle cerebral artery infarction: Impact on mortality and functional outcome

    PubMed Central

    Raffiq, Mohammad Azman Mohammed; Haspani, Mohammed Saffari Mohammad; Kandasamy, Regunath; Abdullah, Jafri Malin

    2014-01-01

    Background: Malignant middle cerebral artery (MCA) infarction is a devastating clinical entity affecting about 10% of stroke patients. Decompressive craniectomy has been found to reduce mortality rates and improve outcome in patients. Methods: A retrospective case review study was conducted to compare patients treated with medical therapy and decompressive surgery for malignant MCA infarction in Hospital Kuala Lumpur over a period of 5 years (from January 2007 to December 2012). A total of 125 patients were included in this study; 90 (72%) patients were treated with surgery, while 35 (28%) patients were treated with medical therapy. Outcome was assessed in terms of mortality rate at 30 days, Glasgow Outcome Score (GOS) on discharge, and modified Rankin scale (mRS) at 3 and 6 months. Results: Decompressive craniectomy resulted in a significant reduction in mortality rate at 30 days (P < 0.05) and favorable GOS outcome at discharge (P < 0.05). Good functional outcome based on mRS was seen in 48.9% of patients at 3 months and in 64.4% of patients at 6 months (P < 0.05). Factors associated with good outcome include infarct volume of less than 250 ml, midline shift of less than 10 mm, absence of additional vascular territory involvement, good preoperative Glasgow Coma Scale (GCS) score, and early surgical intervention (within 24 h) (P < 0.05). Age and dominant hemisphere infarction had no significant association with functional outcome. Conclusion: Decompressive craniectomy achieves good functional outcome in, young patients with good preoperative GCS score and favorable radiological findings treated with surgery within 24 h of ictus. PMID:25101197

  15. EDITORIAL: The 2nd International Symposium on Functional Materials

    NASA Astrophysics Data System (ADS)

    Lu, L.; Lai, M. O.

    2007-12-01

    Following the success of the 1st International Symposium on Functional Materials held in Kuala Lumpur, Malaysia, 5-8 December 2005, the second symposium was held in the beautiful city of Hangzhou, People's Republic of China, 16-19 May 2007. The latter symposium was a gathering of about 200 renowned researchers from 16 countries around the world. The conference consisted of 24 symposia, 5 keynote papers, 21 invited papers, 108 oral presentations and about 160 poster papers covering the frontier areas of materials science and technology of functional materials. They included topics such as energy storage materials, ferroelectric materials, ferromagnetic materials, ferroelectric thin films, applications of functional materials, nanofabrication, computational design, shape memory alloys, application of shape memory materials, ferroelectrics and thermoelectrics, advances in characterizations, magneto-optical materials, Zn and Ti oxides, synthesis of nanopowders and wires, and many other advanced functional materials. With the receipt of more than 396 abstracts, this conference was a gathering of great minds in one place to discuss the research frontiers and discoveries in functional materials. The Organizing Committee would like to express its sincere thanks to the members of the International Advisory Committee for their invaluable contributions to the symposium. The committee is also grateful for the generous support from the many sponsors. A word of sincere thanks needs to go to Professor Roger Wäppling, Editor-in-Chief and the editorial staff of IOP Publishing for the publication of selected papers in this special issue of Physica Scripta. Finally, our deepest gratitude should be directed to the National University of Singapore, Zhejiang University and the General Research Institute for Nonferrous Metals, People's Republic of China for, without their support, the conference would not have been a success.

  16. Developing a vulnerability mapping methodology: applying the water-associated disease index to dengue in Malaysia.

    PubMed

    Dickin, Sarah K; Schuster-Wallace, Corinne J; Elliott, Susan J

    2013-01-01

    The Water-associated Disease Index (WADI) was developed to identify and visualize vulnerability to different water-associated diseases by integrating a range of social and biophysical determinants in map format. In this study vulnerability is used to encompass conditions of exposure, susceptibility, and differential coping capacity to a water-associated health hazard. By assessing these conditions, the tool is designed to provide stakeholders with an integrated and long-term understanding of subnational vulnerabilities to water-associated disease and contribute to intervention strategies to reduce the burden of illness. The objective of this paper is to describe and validate the WADI tool by applying it to dengue. A systemic ecohealth framework that considers links between people, the environment and health was applied to identify secondary datasets, populating the index with components including climate conditions, land cover, education status and water use practices. Data were aggregated to create composite indicators of exposure and of susceptibility in a Geographic Information System (GIS). These indicators were weighted by their contribution to dengue vulnerability, and the output consisted of an overall index visualized in map format. The WADI was validated in this Malaysia case study, demonstrating a significant association with dengue rates at a sub-national level, and illustrating a range of factors that drive vulnerability to the disease within the country. The index output indicated high vulnerability to dengue in urban areas, especially in the capital Kuala Lumpur and surrounding region. However, in other regions, vulnerability to dengue varied throughout the year due to the influence of seasonal climate conditions, such as monsoon patterns. The WADI tool complements early warning models for water-associated disease by providing upstream information for planning prevention and control approaches, which increasingly require a comprehensive and

  17. Vitamin D status and its associated factors of free living Malay adults in a tropical country, Malaysia.

    PubMed

    Moy, Foong Ming

    2011-09-02

    Vitamin D status is influenced by sun exposure, geographic latitude, daily outdoor activities, body surface exposed to sunlight and dietary intakes. Malaysia, is sunny all year round. However, the vitamin D status of this population especially among the healthy and free living adults is not known. Therefore a study of vitamin D status and associated factors was initiated among an existing Malay cohort in Kuala Lumpur. A total of 380 subjects were sampled to have their vitamin D status assessed using 25-hydroxyvitamin D (25(OH)D). A short questionnaire enquiring socio-demographic characteristics, exposure to sunlight and clothing style was administered. Their mean age was 48.5±5.2years and the mean 25(OH)D for males and females were 56.2±18.9nmol/L and 36.2±13.4nmol/L respectively. There were significant positive correlation for sun exposure score (r=0.27, p<0.001) and negative correlation for sun protection score (r=-0.41, p<0.001) with 25(OH)D levels. In the logistic regression model, females (OR=2.93; 95% CI: 1.17, 7.31), BMI (1.1; 1.03, 1.20) and sun exposure score (0.998; 0.996, 0.999) were significantly associated with vitamin D status as represented by 25(OH)D levels. Our findings show that obesity, lifestyle behaviours and clothing style are directly associated with our participants especially females' low vitamin D status.

  18. Gravity and Rossby Wave Signatures in the Tropical Troposphere and Lower Stratosphere Based on Southern Hemisphere Additional Ozonesondes (SHADOZ), 1998-2007

    NASA Technical Reports Server (NTRS)

    Thompson, Anne M.; Allen, Amber L.; Lee, Sukyoung; Miller, Sonya K.; Witte, Jacquelyn C.

    2011-01-01

    Prior investigations attempted to determine the relative influence of advection and convective processes on ozone and water vapor distributions in the tropical tropopause layer (TTL) through analyses of tracers, related physical parameters (e.g., outgoing long-wave radiation, precipitable water, and temperature), or with models. In this study, stable laminae in Southern Hemisphere Additional Ozonesonde Network (SHADOZ) ozone profIles from 1998 to 2007 are interpreted in terms of gravity waves (GW) or Rossby waves (RW) that are identified with vertical and quasi-horizontal displacements, respectively. Using the method of Pierce and Grant (1998) as applied by Thompson et al. (2007a, 2007b, 2010, 2011), amplitudes and frequencies in ozone laminae are compared among representative SHADOZ sites over Africa and the Pacific, Indian, and Atlantic oceans. GW signals maximize in the TTL and lower stratosphere. Depending on site and season, GW are identified in up to 90% of the soundings. GW are most prevalent over the Pacific and eastern Indian oceans, a distribution consistent with vertically propagating equatorial Kelvin waves. Ozone laminae from RW occur more often below the tropical tropopause and with lower frequency 20%). Gravity wave and Rossby wave indices (GWI, RWI) are formulated to facilitate analysis of interannual variability of wave signatures among sites. GWI is positively correlated with a standard ENSO (El Nino-Southern Oscillation) index over American Samoa (14degS, 171degW) and negatively correlated at Watukosek, Java (7.5degS, 114degE), Kuala Lumpur (3degN, 102degE), and Ascension Island (80degS, 15degW). Generally, the responses of GW and RW to ENSO are consistent with prior studies.

  19. Genetic diversity of avian haemosporidians in Malaysia: cytochrome b lineages of the genera Plasmodium and Haemoproteus (Haemosporida) from Selangor.

    PubMed

    Ivanova, Karina; Zehtindjiev, Pavel; Mariaux, Jean; Georgiev, Boyko B

    2015-04-01

    The knowledge of the diversity of haemosporidian parasites is of primary importance as their representatives include agents of bird malaria. We investigated the occurrence of Haemoproteus spp. and Plasmodium spp. in bird populations from a single locality in the State of Selangor, Peninsular Malaysia, and report on the parasite prevalence of the two genera. A combination of methods (molecular and morphological) was used for detecting these parasites. Seventy-nine bird individuals were caught using mist-nets in July and August 2010 at Gombak Field Station of the University of Malaya, Kuala Lumpur. In total, 23 birds were identified as positive for Haemoproteus or Plasmodium infection and one individual was recognized as carrying mixed infection. The total prevalence of haemosporidians in the collected samples was 30.3%. Infections with parasites of the genus Haemoproteus were predominant compared to those of the genus Plasmodium. In total, 10 new cyt b lineages of Haemoproteus spp. and 3 new cyt b lineages of Plasmodium spp. were recorded in this study. From all recorded haemosporidian lineages (16 in total), 3 were known from previous studies - hCOLL2, hYWT2 and pNILSUN1. Two of them are linked with their corresponding morphospecies - Haemoproteus pallidus (COLL2) and Haemoproteus motacillae (YWT2). The morphological analysis in the present study confirmed the results obtained by the PCR method relative to prevalence, with 25.3% total prevalence of Haemoproteus and Plasmodium parasites. The intensities of infection varied between 0.01% and 19%. Most infections were light, with intensities below 0.1%. The present study is the first molecular survey of the protozoan blood parasites of the order Haemosporida recorded in Malaysia.

  20. Assessment of water quality parameters using multivariate analysis for Klang River basin, Malaysia.

    PubMed

    Mohamed, Ibrahim; Othman, Faridah; Ibrahim, Adriana I N; Alaa-Eldin, M E; Yunus, Rossita M

    2015-01-01

    This case study uses several univariate and multivariate statistical techniques to evaluate and interpret a water quality data set obtained from the Klang River basin located within the state of Selangor and the Federal Territory of Kuala Lumpur, Malaysia. The river drains an area of 1,288 km(2), from the steep mountain rainforests of the main Central Range along Peninsular Malaysia to the river mouth in Port Klang, into the Straits of Malacca. Water quality was monitored at 20 stations, nine of which are situated along the main river and 11 along six tributaries. Data was collected from 1997 to 2007 for seven parameters used to evaluate the status of the water quality, namely dissolved oxygen, biochemical oxygen demand, chemical oxygen demand, suspended solids, ammoniacal nitrogen, pH, and temperature. The data were first investigated using descriptive statistical tools, followed by two practical multivariate analyses that reduced the data dimensions for better interpretation. The analyses employed were factor analysis and principal component analysis, which explain 60 and 81.6% of the total variation in the data, respectively. We found that the resulting latent variables from the factor analysis are interpretable and beneficial for describing the water quality in the Klang River. This study presents the usefulness of several statistical methods in evaluating and interpreting water quality data for the purpose of monitoring the effectiveness of water resource management. The results should provide more straightforward data interpretation as well as valuable insight for managers to conceive optimum action plans for controlling pollution in river water.

  1. Assessing the children's views on foods and consumption of selected food groups: outcome from focus group approach.

    PubMed

    Sharif Ishak, Sharifah Intan Zainun; Shohaimi, Shamarina; Kandiah, Mirnalini

    2013-04-01

    The food choices in childhood have high a probability of being carried through into their adulthood life, which then contributes to the risk of many non-communicable diseases. Therefore, there is a need to gather some information about children's views on foods which may influence their food choices for planning a related dietary intervention or programme. This paper aimed to explore the views of children on foods and the types of foods which are usually consumed by children under four food groups (snacks, fast foods, cereals and cereal products; and milk and dairy products) by using focus group discussions. A total of 33 school children aged 7-9 years old from Selangor and Kuala Lumpur participated in the focus groups. Focus groups were audio-taped, transcribed and analyzed according to the listed themes. The outcomes show that the children usually consumed snacks such as white bread with spread or as a sandwich, local cakes, fruits such as papaya, mango and watermelon, biscuits or cookies, tea, chocolate drink and instant noodles. Their choices of fast foods included pizza, burgers, French fries and fried chicken. For cereal products, they usually consumed rice, bread and ready-to-eat cereals. Finally, their choices of dairy products included milk, cheese and yogurt. The reasons for the food liking were taste, nutritional value and the characteristics of food. The outcome of this study may provide additional information on the food choices among Malaysian children, especially in urban areas with regard to the food groups which have shown to have a relationship with the risk of childhood obesity.

  2. Residual effects of TMOF-Bti formulations against 1st instar Aedes aegypti Linnaeus larvae outside laboratory

    PubMed Central

    Saiful, AN; Lau, MS; Sulaiman, S; Hidayatulfathi, O

    2012-01-01

    Objective To evaluate the effectiveness and residual effects of trypsin modulating oostatic factor-Bacillus thuringiensis israeliensis (TMOF-Bti) formulations against Aedes aegypti (Ae. aegypti) (L.) larvae at UKM Campus Kuala Lumpur. Methods Twenty first instar Ae. aegypti larvae were added in each bucket containing 4 L of water supplied with crushed dried leaf powder as their source of food. Combination of TMOF-Bti in rice husk formulation with the following weights viz 10, 25, 50 and 100 mg, respectively in duplicate was distributed in the buckets; while TMOF-Bti in wettable powder formulation each weighing viz 2, 5, 10 and 20 mg, respectively in duplicate was also placed in the buckets. The control buckets run in duplicate with 4 L of water and 20 first instar Ae. aegypti larvae. All buckets were covered with mosquito netting. Larval mortality was recorded after 24 hours and weekly for five weeks. A new batch of 20 1st instar larvae Ae. aegypti was introduced into each bucket weekly without additional TMOF-Bti rice husk formulation or wettable powder. The experiment was repeated for four times. Results The result of the study showed that all formulations were very effective on the first two weeks by giving 100% larval mortality for all concentrations applied. The TMOF (2%) + Bti (2%) had a good residual effect until the end of 3rd week, TMOF (4%) + Bti (4%) until 4th week, wettable powder TMOF (20%) + Bti (20%) until the third week. Conclusions From the results it can be concluded that the TMOF-Bti formulations can be utilized in dengue vector control. PMID:23569922

  3. Food intake and colorectal adenomas: a case-control study in Malaysia.

    PubMed

    Ramadas, Amutha; Kandiah, Mirnalini

    2009-01-01

    It is well established that almost all colorectal cancers arise from benign, neoplastic adenomatous polyps. In previous studies, intake of fruits, vegetables and legumes were found to decrease the risk for colorectal adenomas (CRA) and colorectal cancer. This case-control study aimed to evaluate the roles of a variety of foods in contributing to the risk of CRA in Malaysian subjects. One hundred and eighteen subjects were recruited into case (n=59) and control (n=59) groups at Hospital Kuala Lumpur (HKL). A pre-tested quantitative food frequency questionnaire (FFQ) was used to record the types of food items and frequency consumed. Logistic regression was used to determine the crude and adjusted odds ratios of the independent variables. Soy bean and soy products were associated with a reduced risk for CRA (OR = 0.38, 95% CI = 0.15-0.98), while tubers were associated with increase in risk four-fold (OR = 4.14, 95% CI = 1.60-10.70) and red meat intake was found to increase the risk two and a half-fold (OR = 2.51, 95% CI = 1.02-6.28). Higher servings of fruits and vegetables were found to significantly decrease the risk (OR fruits = 0.47, 95% CI = 0.30-0.74; OR vegetables = 0.49, 95% = 0.29-0.80). In conclusion, our data support protective roles for soy, fruits and vegetables in the aetiology of colorectal adenomas and increase in risk in those with high intakes of red meat and tubers. Food intake of an individual may have an influence on one's risk for developing CRA. This finding warrants further investigation before the protective effect of these food items is to be accepted. New studies should explore the possibility of these associations among individuals in the general population especially with regard to different ethnic or other groups in Malaysia with low fruit and vegetable consumption.

  4. Non-practice of breast self examination and marital status are associated with delayed presentation with breast cancer.

    PubMed

    Ghazali, Sumarni Mohd; Othman, Zabedah; Cheong, Kee Chee; Hock, Lim Kuang; Wan Mahiyuddin, Wan Rozita; Kamaluddin, Muhammad Amir; Yusoff, Ahmad Faudzi; Mustafa, Amal Nasir

    2013-01-01

    Delay in seeking treatment for breast cancer is a barrier to the early diagnosis and management of the disease, resulting in a poorer prognosis. We here estimated the prevalence of delayed presentation for breast cancer and identified possible influential sociodemographic factors in a cross-sectional study of 250 patients diagnosed with primary breast cancer at the Radiotherapy and Oncology Clinic in Kuala Lumpur Hospital. Data were collected by face-to-face interview using a structured questionnaire and from medical records. We examined associations between delayed presentation (presenting to a physician more than 3 months after self-discovery of a symptom) and sociodemographic characteristics, practice of breast self examination (BSE), history of benign breast disease, family history of breast cancer and type of symptom, symptom disclosure and advice from others to seek treatment using multiple logistic regression. Time from self-discovery of symptom to presentation ranged from tghe same day to 5 years. Prevalence of delayed presentation was 33.1% (95%CI: 27.4, 39.3). A significantly higher proportion of delayers presented with late stages (stage III/IV) (58.3% vs. 26.9%, p<0.001). Divorced or widowed women (OR: 2.23, 95% CI: 1.11, 4.47) had a higher risk of delayed presentation than married women and women who never performed breast self examination were more likely to delay presentation compared to those who regularly performed BSE (OR: 2.74, 95% CI: 1.33, 5.64). Our findings indicate that delayed presentation for breast cancer symptoms among Malaysian women is high and that marital status and breast self examination play major roles in treatment-seeking for breast cancer symptoms.

  5. Healthcare Professionals’ and Policy Makers’ Views on Implementing a Clinical Practice Guideline of Hypertension Management: A Qualitative Study

    PubMed Central

    Lee, Ping Yein; Liew, Su May; Abdullah, Adina; Abdullah, Nurdiana; Ng, Chirk Jenn; Hanafi, Nik Sherina; Chia, Yook Chin; Lai, Pauline S. M.; Wong, Stalia S. L.; Khoo, Ee Ming

    2015-01-01

    Introduction Most studies have reported barriers to guideline usage mainly from doctors’ perspective; few have reported the perspective of other stakeholders. This study aimed to determine the views and barriers to adherence of a national clinical practice guideline (CPG) on management of hypertension from the perspectives of policymakers, doctors and allied healthcare professionals. Methods This study used a qualitative approach with purposive sampling. Seven in depth interviews and six focus group discussions were conducted with 35 healthcare professionals (policy makers, doctors, pharmacists and nurses) at a teaching hospital in Kuala Lumpur, Malaysia, between February and June 2013. All interviews were audio-recorded, transcribed verbatim and checked. Thematic approach was used to analyse the data. Results Two main themes and three sub-themes emerged from this study. The main themes were (1) variation in the use of CPG and (2) barriers to adherence to CPG. The three sub-themes for barriers were issues inherent to the CPG, systems and policy that is not supportive of CPG use, and attitudes and behaviour of stakeholders. The main users of the CPG were the primary care doctors. Pharmacists only partially use the guidelines, while nurses and policy makers were not using the CPG at all. Participants had suggested few strategies to improve usage and adherence to CPG. First, update the CPG regularly and keep its content simple with specific sections for allied health workers. Second, use technology to facilitate CPG accessibility and provide protected time for implementation of CPG recommendations. Third, incorporate local CPG in professional training, link CPG adherence to key performance indicators and provide incentives for its use. Conclusions Barriers to the use of CPG hypertension management span across all stakeholders. The development and implementation of CPG focused mainly on doctors with lack of involvement of other healthcare stakeholders. Guidelines

  6. Federation of Malaysia. Country profile.

    PubMed

    Newcomb, L

    1985-01-01

    The 1984 population of Malaysia has been estimated at 14.7 million and the population growth rate averaged 2.3% in 1970-80. Population growth is officially encouraged to form a substantial home market for economic development. Toward this end, the 1985 budget has increased tax deductions for families with 5 children. The capital city of Kuala Lumpur is the largest metropolitan area (1 million population) and the Federal Territory is the most densely populated region. Immigration is strictly controlled by the government, and the percentage of foreign-born citizens was 5% in 1980. China, India, and Pakistan are decreasing in importance as countries of origin. Internal mobility, however, is increasing. Rural-rural migration accounted for 45% of internal migration in 1970-80 and was largely motivated by family reasons. Only 7% of Malaysians are estimated to move in search of work. Racial tensions led the government to grant special economic privileges to native-born Islamic Malays. The greatest proportion of the population is centered in the lowest age groups. The percentage of females 15-29 years of age rose from 26% in 1970 to 30% in 1980 and is expected to continue to rise. Fertility is on the decline. The majority of households in the country involve nuclear families. There has been an increase in the number of men and women who delay marriage or remain single. Education is widely available for children aged 6-15 years and those who meet certain academic standards receive free education up to age 19 years. The current labor force is estimated at 5.4 million, with an annual growth rate of 3.1%. Malaysia's per capita income (US $1860 in 1982) is among the highest in Southeast Asia and the gross national product increased by an average annual rate of 8% in 1970-81. The government plans to move toward the development of heavier industries and more manufacturing concerns.

  7. Mechanisms of cervical spine injuries for non-fatal motorcycle road crash.

    PubMed

    Ooi, S S; Wong, S V; Radin Umar, R S; Azhar, A A; Yeap, J S; Megat Ahmad, M M H

    2004-06-01

    Cervical spine injuries such as subluxation and fracture dislocation have long been known to result in severe consequences, as well as the trauma management itself. The injury to the region has been identified as one of the major causes of death in Malaysian motorcyclists involved in road crashes, besides head and chest injuries (Pang, 1999). Despite this, cervical spine injury in motorcyclists is not a well-studied injury, unlike the whiplash injury in motorcar accidents. The present study is a retrospective study on the mechanisms of injury in cervical spine sustained by Malaysian motorcyclists, who were involved in road crash using an established mechanistic classification system. This will serve as an initial step to look at the cervical injuries pattern. The information obtained gives engineer ideas to facilitate design and safety features to reduce injuries. All cervical spine injured motorcyclists admitted to Hospital Kuala Lumpur between January 1, 2000 and December 31, 2001 were included in the present study. Based on the medical notes and radiological investigations (X-rays, CT and MRI scans), the mechanisms of injuries were formulated using the injury mechanics classification. The result shows that flexion of the cervical vertebrae is the most common vertebral kinematics in causing injury to motorcyclists. This indicates that the cervical vertebrae sustained a high-energy loading at flexion movement in road crash, and exceeded its tolerance level. The high frequency of injury at the C5 vertebra, C6 vertebra and C5-C6 intervertebral space are recorded. Classification based on the Abbreviated Injury Scale (AIS) is made to give a view on injury severity, 9.1% of the study samples have been classified as AIS code 1, 51.5% with AIS 2 and 21.2% with AIS 3.

  8. The Lusi seismic experiment: An initial study to understand the effect of seismic activity to Lusi

    NASA Astrophysics Data System (ADS)

    Karyono, Mazzini, Adriano; Lupi, Matteo; Syafri, Ildrem; Masturyono, Rudiyanto, Ariska; Pranata, Bayu; Muzli, Widodo, Handi Sulistyo; Sudrajat, Ajat; Sugiharto, Anton

    2015-04-01

    The spectacular Lumpur Sidoarjo (Lusi) eruption started in northeast Java on the 29 of May 2006 following a M6.3 earthquake striking the island [1,2]. Initially, several gas and mud eruption sites appeared along the reactivated strike-slip Watukosek fault system [3] and within weeks several villages were submerged by boiling mud. The most prominent eruption site was named Lusi. The Lusi seismic experiment is a project aims to begin a detailed study of seismicity around the Lusi area. In this initial phase we deploy 30 seismometers strategically distributed in the area around Lusi and along the Watukosek fault zone that stretches between Lusi and the Arjuno Welirang (AW) complex. The purpose of the initial monitoring is to conduct a preliminary seismic campaign aiming to identify the occurrence and the location of local seismic events in east Java particularly beneath Lusi.This network will locate small event that may not be captured by the existing BMKG network. It will be crucial to design the second phase of the seismic experiment that will consist of a local earthquake tomography of the Lusi-AW region and spatial and temporal variations of vp/vs ratios. The goal of this study is to understand how the seismicity occurring along the Sunda subduction zone affects to the behavior of the Lusi eruption. Our study will also provide a large dataset for a qualitative analysis of earthquake triggering studies, earthquake-volcano and earthquake-earthquake interactions. In this study, we will extract Green's functions from ambient seismic noise data in order to image the shallow subsurface structure beneath LUSI area. The waveform cross-correlation technique will be apply to all of recordings of ambient seismic noise at 30 seismographic stations around the LUSI area. We use the dispersive behaviour of the retrieved Rayleigh waves to infer velocity structures in the shallow subsurface.

  9. PREFACE Conference on Advanced Materials and Nanotechnology (CAMAN 2009)

    NASA Astrophysics Data System (ADS)

    Ali, Aidy

    2011-02-01

    This special issue of IOP Conference Series: Materials science and Engineering contains papers contributed to the Conference on Advanced Materials and Nanotechnology (CAMAN 2009) held on 3-5 November 2009 in Putra World Trade Centre (PWTC), Kuala Lumpur, Malaysia. The objective of the congress is to provide a platform for professionals, academicians and researchers to exchange views, findings, ideas and experiences on advanced science and technology. After careful refereeing of all manuscripts, 50 papers were selected for publications in this issue. The policy of editing was the content of the material and its rapid dissemination was more important than its form. In 2009, the conference received close to 120 papers from leading researchers and participants from countries such as Iran, India, Switzerland, Myanmar, Nigeria, Canada, Yemen and Malaysia. We strongly hope the new ideas and results presented will stimulate and enhance the progress of research on the above conference theme. We are grateful to all the authors for their papers and presentations in this conference. They are also the ones who help make this conference possible through their hard work in the preparation of the manuscripts. We would also like to offer our sincere thanks to all the invited speakers who came to share their knowledge with us. We would also like to acknowledge the untiring efforts of the reviewers, research assistants and students in meeting deadlines and for their patience and perseverance. We wish to thank all the authors who contributed papers to the conference and all reviewers for their efforts to review the papers as well as the sponsors. We would also like to thank the members of the CAMAN 2009 Organising Committee and the International Advisory Committee for their efforts in making the conference a success. Thank you very much indeed. Guest Editor Aidy Ali

  10. Identification of geographical origin of Lignosus samples using Fourier transform infrared and two-dimensional infrared correlation spectroscopy

    NASA Astrophysics Data System (ADS)

    Choong, Yew-Keong; Xu, Chang-Hua; Lan, Jin; Chen, Xiang-Dong; Jamal, Jamia Azdina

    2014-07-01

    Lignosus spp. is a medicinal mushroom that has been used as a folk remedy for 'clearing heat', eliminating phlegm, 'moistening the lungs' and as an anti-breast cancer agent. The objective of this study was to identify the active chemical constituents of the mushroom limited number of sample by using Fourier transform infrared (FTIR) and two-dimensional correlation Fourier transform infrared spectroscopy (2DIR). The sample M26/08 was purchased from a Chinese medicine shop in Kuala Lumpur, while M49/07 and M23/08 were collected from Semenyih and Kuala Lipis respectively. The three samples have strong absorption peaks corresponding to the stretching vibration of conjugated carbonyl Cdbnd O group. Both fresh sample M49/07 and M23/08 showed an identical peak of 1655 cm-1, whereby M26/08 contained stretching vibration of 1648 cm-1. The peaks from 1260 cm-1 onwards were assignation of carbohydrate content including saccharides. Spectrum of M26/08 showed region from 1260 cm-1 to 950 cm-1 which was 99.4% similar to M23/08. The chemical constitutes of M26/08 and M23/08 were closely correlated (r = 0.97), whereas the correlation coefficient of M26/08 and M49/07 was 0.94. The use of second derivative and 2DIR spectroscopy enhanced the distinct differences to a more significant level. Although the geographical origin of M26/08 was unknown, its origin was determined by comparing with M49/07 and M23/08. The visual and colorful 2DIR spectra provided dynamic structural information of the chemical components analyzed and demonstrated a powerful and useful approach using the spectroscopy of different samples.

  11. Anthropogenic impacts on the distribution and biodiversity of benthic macroinvertebrates and water quality of the Langat River, Peninsular Malaysia.

    PubMed

    Azrina, M Z; Yap, C K; Rahim Ismail, A; Ismail, A; Tan, S G

    2006-07-01

    A study of the impacts of anthropogenic activities on the distribution and biodiversity of benthic macroinvertebrates and water quality of the Langat River (Peninsular Malaysia) was conducted. Four pristine stations from the upstream and 4 stations at the downstream receiving anthropogenic impacts were selected along the river. For 4 consecutive months (March-June 1999), based on the Malaysian DOE (Malaysia Environmental Quality Report 2000, Department of Environment, Ministry of Science, Technology and Environment Malaysia. Maskha Sdn. Bhd. Kuala Lumpur, 86pp; Malaysia Environmental Quality Report 2001, Department of Environment, Ministry of Science, Technology and the Environment Malaysia) water quality index classes, the upstream stations recorded significantly (P<0.05) higher Biological Monitoring Working Party scores and better water quality indices than those of the downstream. The total number of macrobenthic taxa and their overall richness indices and diversity indices were significantly (P<0.05) higher at the upstream stations (54 taxa) than at the downstream stations (5 taxa). The upstream of the Langat River was dominated by Ephemeroptera and chironomid dipterans while other orders found in small quantities included Trichoptera, Diptera, Plecoptera, Odonata, Ephemeraptera, Coleoptera, and Gastropoda. On the other hand, the downstream of the river was mainly inhabited by the resistant Oligochaeta worms Limnodrilus spp. and Branchiodrilus sp. and Hirudinea in small numbers. The relationships between the physicochemical and the macrobenthic data were investigated by Pearson correlation analysis and multiple stepwise regression analysis. These statistical analyses showed that the richness and diversity indices were generally influenced by the total suspended solids and the conductivity of the river water. This study also highlighted the impacts of anthropogenic land-based activities such as urban runoff on the distribution and species diversity of

  12. Attenuation of Inflammatory Mediators (TNF-α and Nitric Oxide) and Up-Regulation of IL-10 by Wild and Domesticated Basidiocarps of Amauroderma rugosum (Blume & T. Nees) Torrend in LPS-Stimulated RAW264.7 Cells

    PubMed Central

    2015-01-01

    Amauroderma rugosum, commonly known as “Jiǎzī” in China, is a wild mushroom traditionally used by the Chinese to reduce inflammation, to treat diuretic and upset stomach, and to prevent cancer. It is also used by the indigenous communities in Malaysia to prevent epileptic episodes and incessant crying by babies. The aim of this study was to compare the wild and domesticated basidiocarps of A. rugosum for antioxidant and in vitro anti-inflammatory effects in LPS-stimulated RAW264.7 cells. The wild basidiocarps of A. rugosum were collected from the Belum Forest, Perak, Malaysia and the domesticated basidiocarps of A. rugosum were cultivated in the mushroom house located in the University of Malaya, Kuala Lumpur, Malaysia. Both the wild and domesticated basidiocarps were subjected to ethanolic extraction and the extracts were tested for antioxidant and anti-inflammatory activities. In this study, the crude ethanolic extract of wild (WB) and domesticated (DB) basidiocarps of A. rugosum had comparable total phenolic content and DPPH scavenging activity. However, WB (EC50 = 222.90 μg/mL) displayed a better ABTS cation radical scavenging activity than DB (EC50 = 469.60 μg/mL). Both WB and DB were able to scavenge nitric oxide (NO) radical and suppress the NO production in LPS-stimulated RAW264.7 cells and this effect was mediated through the down-regulation of inducible nitric oxide synthase (iNOS) gene. In addition, both WB and DB caused down-regulation of the inflammatory gene TNF-α and the up-regulation of the anti-inflammatory gene IL-10. There was no inhibitory effect of WB and DB on nuclear translocation of NF-κB p65. In conclusion, the wild and domesticated basidiocarps of A. rugosum possessed antioxidant and in vitro anti-inflammatory properties. WB and DB inhibited downstream inflammatory mediators (TNF-α and NO) and induced anti-inflammatory cytokine IL-10 production. No inhibitory effects shown on upstream nuclear translocation of NF-κB p65. WB and

  13. Molecular identification of adenovirus causing respiratory tract infection in pediatric patients at the University of Malaya Medical Center

    PubMed Central

    2010-01-01

    Background There are at least 51 adenovirus serotypes (AdV) known to cause human infections. The prevalence of the different human AdV (HAdV) serotypes varies among different regions. Presently, there are no reports of the prevalent HAdV types found in Malaysia. The present study was undertaken to identify the HAdV types associated primarily with respiratory tract infections (RTI) of young children in Malaysia. Methods Archived HAdV isolates from pediatric patients with RTI seen at the University of Malaya Medical Center (UMMC), Kuala Lumpur, Malaysia from 1999 to 2005 were used. Virus isolates were inoculated into cell culture and DNA was extracted when cells showed significant cytopathic effects. AdV partial hexon gene was amplified and the sequences together with other known HAdV hexon gene sequences were used to build phylogenetic trees. Identification of HAdV types found among young children in Malaysia was inferred from the phylograms. Results At least 2,583 pediatric patients with RTI sought consultation and treatment at the UMMC from 1999 to 2005. Among these patients, 48 (< 2%) were positive for HAdV infections. Twenty-seven isolates were recovered and used for the present study. Nineteen of the 27 (~70%) isolates belonged to HAdV species C (HAdV-C) and six (~22%) were of HAdV species B (HAdV-B). Among the HAdV-C species, 14 (~74%) of them were identified as HAdV type 1 (HAdV-1) and HAdV type 2 (HAdV-2), and among the HAdV-B species, HAdV type 3 (HAdV-3) was the most common serotype identified. HAdV-C species also was isolated from throat and rectal swabs of children with hand, foot, and mouth disease (HFMD). Two isolates were identified as corresponding to HAdV-F species from a child with HFMD and a patient with intestinal obstruction. Conclusions HAdV-1 and HAdV-2 were the most common HAdV isolated from pediatric patients who sought treatment for RTI at the UMMC from 1999 to 2005. HAdV-B, mainly HAdV-3, was recovered from ~22% of the patients. These

  14. A Newly Emerging HIV-1 Recombinant Lineage (CRF58_01B) Disseminating among People Who Inject Drugs in Malaysia

    PubMed Central

    Chow, Wei Zhen; Takebe, Yutaka; Syafina, Nur Ezreen; Prakasa, Malarvelli Soorya; Chan, Kok Gan; Al-Darraji, Haider Abdulrazzaq Abed; Koh, Clayton; Kamarulzaman, Adeeba; Tee, Kok Keng

    2014-01-01

    The HIV epidemic is primarily characterised by the circulation of HIV-1 group M (main) comprising of 11 subtypes and sub-subtypes (A1, A2, B–D, F1, F2, G, H, J, and K) and to date 55 circulating recombinant forms (CRFs). In Southeast Asia, active inter-subtype recombination involving three main circulating genotypes—subtype B (including subtype B′, the Thai variant of subtype B), CRF01_AE, and CRF33_01B—have contributed to the emergence of novel unique recombinant forms. In the present study, we conducted the molecular epidemiological surveillance of HIV-1 gag-RT genes among 258 people who inject drugs (PWIDs) in Kuala Lumpur, Malaysia, between 2009 and 2011 whereby a novel CRF candidate was recently identified. The near full-length genome sequences obtained from six epidemiologically unlinked individuals showed identical mosaic structures consisting of subtype B′ and CRF01_AE, with six unique recombination breakpoints in the gag-RT, pol, and env regions. Among the high-risk population of PWIDs in Malaysia, which was predominantly infected by CRF33_01B (>70%), CRF58_01B circulated at a low but significant prevalence (2.3%, 6/258). Interestingly, the CRF58_01B shared two unique recombination breakpoints with other established CRFs in the region: CRF33_01B, CRF48_01B, and CRF53_01B in the gag gene, and CRF15_01B (from Thailand) in the env gene. Extended Bayesian Markov chain Monte Carlo sampling analysis showed that CRF58_01B and other recently discovered CRFs were most likely to have originated in Malaysia, and that the recent spread of recombinant lineages in the country had little influence from neighbouring countries. The isolation, genetic characterization, and evolutionary features of CRF58_01B among PWIDs in Malaysia signify the increasingly complex HIV-1 diversity in Southeast Asia that may hold an implication on disease treatment, control, and prevention. PMID:24465513

  15. Cross-Sectional Survey on the Dengue Knowledge, Attitudes and Preventive Practices Among Students and Staff of a Public University in Malaysia.

    PubMed

    Lugova, H; Wallis, S

    2017-04-01

    Behavioural impact programmes are especially effective for dengue control and prevention. Universities are key settings for health promotion, so understanding factors that influence the practice of dengue prevention within a university community becomes important. This study aimed to examine the factors affecting dengue knowledge, attitude and preventive practices amongst students and staff of a public university. A cross-sectional survey study was conducted in Kuala Lumpur, Malaysia. A total of 372 students and staff of the NDUM were recruited by stratified sampling method. Data were collected via self-administered pre-tested structured questionnaires covering socio-demography and dengue KAP. Data were analysed descriptively. For bivariate analysis, Chi square test was applied. To explore the factors independently associated with the practice of dengue prevention, a logistic regression model was introduced. Overall, the participants had moderate dengue-related knowledge, good attitudes and good preventive practices. The majority had misconceptions about mosquito biting habits (83.8 %), seasonality of dengue epidemics (73.2 %), and mosquito breeding sites (70.3 %). Staff were more likely to have good dengue-related knowledge (p < 0.001) and attitudes (p = 0.008) than students. There was statistically significant positive association between the level of dengue knowledge and monthly average household income (p = 0.008), age (p < 0.001) and education (p < 0.001). Having good attitudes towards dengue was associated with being a non-Malay (p = 0.034), having higher monthly average household income (p = 0.047) and tertiary education (p < 0.001). In regression analysis, only dengue knowledge and dengue attitudes were significantly and positively associated with practice of dengue prevention. Dengue preventive strategies amongst university students and staff should focus on maintaining good dengue-related preventive practices

  16. The influence of socioeconomic and demographic variables on willingness to donate cadaveric human organs in Malaysia.

    PubMed

    Rasiah, Rajah; Manikam, Rishya; Chandarsekaran, Sankara K; Thangiah, Govindamal; Puspharajan, Saravanan; Swaminathan, Dasan

    2014-11-01

    The growing shortage in human organs has raised serious concerns. To address this problem, we examine in this article the association between demographic and socioeconomic factors, and respondents' willingness to donate cadaveric organs using a large survey of Malaysian adults aged 18 years and above.A convenience sampling method was used to extract information from a total of 10,350 participants from Metropolitan Kuala Lumpur over the period of April 2, 2013 to February 29, 2014. In addition to analyzing the data using incidence of willingness to donate by demographic and socioeconomic factors, we carried out logistic regression analysis to estimate the odds ratio of respondents' willingness to become cadaveric organ donors controlling for age.About less than a third of the participants pledged to donate their organs upon death with women (35.6%) showing a higher incidence compared with men (33.2%). The Chinese (35.7%) and Malays (35.0%) pledged to contribute more than the Indians (31.6%) and the logistic regressions show that Malays (adjusted odds ration [OR] = 1.18) and Chinese (adjusted OR = 1.21) are more likely to donate than Indians (reference group). The results by religion were significant among Muslims and Hindus but not Buddhists. The likelihood of Muslims donating was the lowest (adjusted OR = 0.26). Income was also highly significant but the relationship with willingness to donate was negative. Against tertiary education, all other occupations were significant. However, the respondents with primary education enjoyed the highest adjusted OR (5.46) whereas that of secondary (0.48) and higher secondary (0.83) education was low. Among occupations (against supervisory, clerical, and direct workers), it was significant only among the unemployed and managers with adjusted OR of 1.50 and 1.58, respectively.Sex, education, ethnicity, religion, and income are important demographic and socioeconomic influences on the likelihood of Malaysians willing to become

  17. Pyrethroid Resistance in Malaysian Populations of Dengue Vector Aedes aegypti Is Mediated by CYP9 Family of Cytochrome P450 Genes

    PubMed Central

    Ishak, Intan H.; Kamgang, Basile; Ibrahim, Sulaiman S.; Riveron, Jacob M.; Irving, Helen

    2017-01-01

    Background Dengue control and prevention rely heavily on insecticide-based interventions. However, insecticide resistance in the dengue vector Aedes aegypti, threatens the continued effectiveness of these tools. The molecular basis of the resistance remains uncharacterised in many endemic countries including Malaysia, preventing the design of evidence-based resistance management. Here, we investigated the underlying molecular basis of multiple insecticide resistance in Ae. aegypti populations across Malaysia detecting the major genes driving the metabolic resistance. Methodology/Principal Findings Genome-wide microarray-based transcription analysis was carried out to detect the genes associated with metabolic resistance in these populations. Comparisons of the susceptible New Orleans strain to three non-exposed multiple insecticide resistant field strains; Penang, Kuala Lumpur and Kota Bharu detected 2605, 1480 and 425 differentially expressed transcripts respectively (fold-change>2 and p-value ≤ 0.05). 204 genes were commonly over-expressed with monooxygenase P450 genes (CYP9J27, CYP6CB1, CYP9J26 and CYP9M4) consistently the most up-regulated detoxification genes in all populations, indicating that they possibly play an important role in the resistance. In addition, glutathione S-transferases, carboxylesterases and other gene families commonly associated with insecticide resistance were also over-expressed. Gene Ontology (GO) enrichment analysis indicated an over-representation of GO terms linked to resistance such as monooxygenases, carboxylesterases, glutathione S-transferases and heme-binding. Polymorphism analysis of CYP9J27 sequences revealed a high level of polymorphism (except in Joho Bharu), suggesting a limited directional selection on this gene. In silico analysis of CYP9J27 activity through modelling and docking simulations suggested that this gene is involved in the multiple resistance in Malaysian populations as it is predicted to metabolise

  18. Correlation between thoracolumbar curvatures and respiratory function in older adults.

    PubMed

    Rahman, Nor Najwatul Akmal Ab; Singh, Devinder Kaur Ajit; Lee, Raymond

    2017-01-01

    Aging is associated with alterations in thoracolumbar curvatures and respiratory function. Research information regarding the correlation between thoracolumbar curvatures and a comprehensive examination of respiratory function parameters in older adults is limited. The aim of the present study was to examine the correlation between thoracolumbar curvatures and respiratory function in community-dwelling older adults. Thoracolumbar curvatures (thoracic and lumbar) were measured using a motion tracker. Respiratory function parameters such as lung function, respiratory rate, respiratory muscle strength and respiratory muscle thickness (diaphragm and intercostal) were measured using a spirometer, triaxial accelerometer, respiratory pressure meter and ultrasound imaging, respectively. Sixty-eight community-dwelling older males and females from Kuala Lumpur, Malaysia, with mean (standard deviation) age of 66.63 (5.16) years participated in this cross-sectional study. The results showed that mean (standard deviation) thoracic curvature angle and lumbar curvature angles were -46.30° (14.66°) and 14.10° (10.58°), respectively. There was a significant negative correlation between thoracic curvature angle and lung function (forced expiratory volume in 1 second: r=-0.23, P<0.05; forced vital capacity: r=-0.32, P<0.05), quiet expiration intercostal thickness (r=-0.22, P<0.05) and deep expiration diaphragm muscle thickness (r=-0.21, P<0.05). The lumbar curvature angle had a significant negative correlation with respiratory muscle strength (r=-0.29, P<0.05) and diaphragm muscle thickness at deep inspiration (r=-0.22, P<0.05). However, respiratory rate was correlated neither with thoracic nor with lumbar curvatures. The findings of this study suggest that increase in both thoracic and lumbar curvatures is correlated with decrease in respiratory muscle strength, respiratory muscle thickness and some parameters of lung function. Clinically, both thoracic and lumbar curvatures

  19. Detection of free living amoebae, Acanthamoeba and Naegleria, in swimming pools, Malaysia.

    PubMed

    Init, I; Lau, Y L; Arin Fadzlun, A; Foead, A I; Neilson, R S; Nissapatorn, V

    2010-12-01

    This study reports the detection of Acanthamoeba and Naegleria species in 14 swimming pools around Petaling Jaya and Kuala Lumpur, Malaysia. Sampling was carried out at 4 sites (the platforms (P), wall (W), 1 meter from the wall (1) and middle (2)) of each swimming pool. These free living amoebae (FLA) were detected under light and inverted microscopes after being cultured on the surface of non-nutrient agar lawned with Escherichia coli. Acanthamoeba species were detected in higher number of culture plates from all sampling sites of all the swimming pools. While Naegleria, were detected in fewer culture plates at 3 sampling sites (absent at site P) of 8 swimming pools. This suggested that the thick double-walled cysts of Acanthamoeba were more resistant, thus remaining viable in the dry-hot areas of the platforms and in chlorinated water of the swimming pools whereas Naegleria cysts, that are fragile and susceptible to desiccation, preferred watery or moist areas for growth and proliferation. The prevalence of both FLA was highest at site W (76.2%), followed by site 1 (64.7%), lowest at site 2 (19.4%), and could be detected at all 3 sampling levels (top, middle and bottom) of these 3 sites. The surface of site W might act as a bio-film that accumulated all kinds of microbes providing sufficient requirement for the FLA to develop and undergo many rounds of life cycles as well as moving from top to bottom in order to graze food. Other factors such as human activities, the circulating system which was fixed at all swimming pools, blowing wind which might carry the cysts from surroundings and the swimming flagellate stage of Naegleria could also contribute to the distribution of the FLA at these sampling sites. Both FLA showed highest growth (80.4%) at room temperature (25-28 ºC) and lesser (70.0%) at 37 ºC which might be due to the overgrowth of other microbes (E. coli, fungi, algae, etc). While at 44 ºC, only Acanthamoeba species could survive thus showing that

  20. Nutrition and educational achievement of urban primary schoolchildren in Malaysia.

    PubMed

    Shariff, Z M; Bond, J T; Johnson, N E

    2000-12-01

    The relationship between nutrition, health and educational achievement of school-age population in less developed countries has been of interest to many researchers due to the frequent observation that many children did not complete primary school and those who completed, did not do as well as children in the developed countries. Nevertheless, nutritional and health status by itself is not the only variable affecting educational achievement, since biological, psychological, socioeconomic and cultural factors could directly or indirectly affect both nutrition, health status and educational achievement. The mechanism by which health and nutrition influence educational achievement is not well established, but poor health and malnutrition in early childhood may affect cognitive abilities, necessary for learning process and consequently educational achievement. A study was conducted in Kuala Lumpur, Malaysia, to investigate the relationship between nutritional status and educational achievement among primary schoolchildren from low income households (n = 399). A high percentage of them were mild-significantly underweight (52%), stunted (47%) and wasted (36%) and increasingly overweight (6%). In general, more boys than girls were found to experience some form of malnutrition. While weight-for-height did not differ significantly according to family, child and school factors, weight-for-age and height-for-age differed significantly by gender. Also, height-for-age was significantly related to household income. This indicates that stunting may be a consequence of prolonged socioeconomic deprivation. Educational achievement was measured based on test scores for Malay language (ML), English language (EL) and mathematics (MT). While a majority of the schoolchildren obtained optimum scores (>75) for ML and MT, the majority of them had insufficient scores (<50) for EL. Children's total score (TS) for the three subjects was significantly associated with household socioeconomic

  1. Cross-border sexual transmission of the newly emerging HIV-1 clade CRF51_01B.

    PubMed

    Cheong, Hui Ting; Ng, Kim Tien; Ong, Lai Yee; Chook, Jack Bee; Chan, Kok Gan; Takebe, Yutaka; Kamarulzaman, Adeeba; Tee, Kok Keng

    2014-01-01

    A novel HIV-1 recombinant clade (CRF51_01B) was recently identified among men who have sex with men (MSM) in Singapore. As cases of sexually transmitted HIV-1 infection increase concurrently in two socioeconomically intimate countries such as Malaysia and Singapore, cross transmission of HIV-1 between said countries is highly probable. In order to investigate the timeline for the emergence of HIV-1 CRF51_01B in Singapore and its possible introduction into Malaysia, 595 HIV-positive subjects recruited in Kuala Lumpur from 2008 to 2012 were screened. Phylogenetic relationship of 485 amplified polymerase gene sequences was determined through neighbour-joining method. Next, near-full length sequences were amplified for genomic sequences inferred to be CRF51_01B and subjected to further analysis implemented through Bayesian Markov chain Monte Carlo (MCMC) sampling and maximum likelihood methods. Based on the near full length genomes, two isolates formed a phylogenetic cluster with CRF51_01B sequences of Singapore origin, sharing identical recombination structure. Spatial and temporal information from Bayesian MCMC coalescent and maximum likelihood analysis of the protease, gp120 and gp41 genes suggest that Singapore is probably the country of origin of CRF51_01B (as early as in the mid-1990s) and featured a Malaysian who acquired the infection through heterosexual contact as host for its ancestral lineages. CRF51_01B then spread rapidly among the MSM in Singapore and Malaysia. Although the importation of CRF51_01B from Singapore to Malaysia is supported by coalescence analysis, the narrow timeframe of the transmission event indicates a closely linked epidemic. Discrepancies in the estimated divergence times suggest that CRF51_01B may have arisen through multiple recombination events from more than one parental lineage. We report the cross transmission of a novel CRF51_01B lineage between countries that involved different sexual risk groups. Understanding the cross

  2. B2, B7 or B10: Which palm-based blend mandate wise to be chosen in Malaysia?

    NASA Astrophysics Data System (ADS)

    Applanaidu, Shri-Dewi; Abidin, Norhaslinda Zainal; Ali, Anizah Md.

    2015-12-01

    The diminishing fossil energy resources, coupled with heightened interest in the abatement of greenhouse gas emissions and concerns about energy security have motivated Malaysia to produce palm-based biodiesel and it has been started to be exported since 2006. In line with this issue, the government in Malaysia launched the palm-based biodiesel blending mandate of five percent (B5) in the federal administration of Putrajaya on 1st June 2011. This was then followed by four states: Malacca on July 11, Negeri Sembilan on August 1, Kuala Lumpur on September 1 and Selangor on October 1 of the same year but it is yet to be implemented nationwide. However what is the wise blend mandate to be chosen? Thus, this paper seeks to examine the possible impact of various blend mandates implementation (B2, B7 and B10) on the palm oil industry market variables (stock and price) since the main aim of biodiesel industry in Malaysia is to reduce domestic palm oil stock to below one million tones and provide a floor price to support Crude Palm Oil (CPO) prices at RM2,000 per tonne. A structural econometric model consisting of nine structural equations and three identities was proposed in this study. The model has been estimated by two stage least squares (2SLS) method using annual data for the period 1976-2013. The study indicates that counterfactual simulation of a decrease from B5 to B2 predicts a decrease (11.2 per cent) in CPO domestic consumption for biodiesel usage, 731.02 per cent reduction in CPO stock and an increase of 27.41 percent in domestic price of CPO. However the increase in the blend mandate from B5 to B7 and B10 suggest that domestic consumption of CPO for biodiesel purpose increase 7.40 and 18.55 percent respectively. The interesting findings in this study suggest that no matter whether Malaysian government increase or decrease the blend mandate the increase in the price of CPO are the same with an increase of is 27.41 percent. Hence, this study suggests that the

  3. Diplomacy Through Earth Sciences: An Overview of US Geological Survey Technical Assistance Regarding the Ongoing LUSI Mud Eruption, East Java, Indonesia

    NASA Astrophysics Data System (ADS)

    Casadevall, T. J.

    2009-12-01

    In June 2007, the US Department of State (DOS) requested assistance from the USGS to provide technical guidance and advice to the US Mission in Indonesia regarding the Lumpur Sidoarjo (LUSI) mud crisis. In May 2006, LUSI began as a mud eruption from a series of mud springs adjacent to an oil and gas exploration well being drilled near Surabaya, East Java, Indonesia. The production of mud and waters from the LUSI crater area has now continued for more than 3 years with no significant change in mud production rate (~110,000 cubic meters per day) nor in temperature of the mud (70-80 degrees C). Engineers suggest that mud production will continue at these rates for years to decades to come. Regardless of future activity at LUSI, the current mud accumulation of more than 100 million cubic meters poses a physical and environmental hazard which requires continuous monitoring and observation. The first response to the 2007 DOS request involved a site visit to Indonesia in September 2007. The result of that visit was to recommend to the Government of Indonesia (GOI) that they focus on long-term management of the mud rather than focus on the controversy as to the cause of the eruption or the debate about stopping the flow. Other recommendations from the initial 2007 technical visit included contracting for a US scientist to be co-located with engineers of the Sidoarjo Mud Management Board (BPLS) in Surabaya, East Java, to advise and consult on day-to-day developments at the site of the mud eruption. A second technical team visit by USGS scientists and an engineer from the US Army Corps of Engineers in October-November 2008 made additional recommendations on the long-term management of the mud and was followed in December by the start of a 6 month contract for the US mud adviser. From the start of activity in mid-2006 through late-2008, there was a clear sense of urgency at the US Mission in Indonesia to provide guidance and advice and included the personal intervention of

  4. B2, B7 or B10: Which palm-based blend mandate wise to be chosen in Malaysia?

    SciTech Connect

    Applanaidu, Shri-Dewi Ali, Anizah Md.; Abidin, Norhaslinda Zainal

    2015-12-11

    The diminishing fossil energy resources, coupled with heightened interest in the abatement of greenhouse gas emissions and concerns about energy security have motivated Malaysia to produce palm-based biodiesel and it has been started to be exported since 2006. In line with this issue, the government in Malaysia launched the palm-based biodiesel blending mandate of five percent (B5) in the federal administration of Putrajaya on 1{sup st} June 2011. This was then followed by four states: Malacca on July 11, Negeri Sembilan on August 1, Kuala Lumpur on September 1 and Selangor on October 1 of the same year but it is yet to be implemented nationwide. However what is the wise blend mandate to be chosen? Thus, this paper seeks to examine the possible impact of various blend mandates implementation (B2, B7 and B10) on the palm oil industry market variables (stock and price) since the main aim of biodiesel industry in Malaysia is to reduce domestic palm oil stock to below one million tones and provide a floor price to support Crude Palm Oil (CPO) prices at RM2,000 per tonne. A structural econometric model consisting of nine structural equations and three identities was proposed in this study. The model has been estimated by two stage least squares (2SLS) method using annual data for the period 1976-2013. The study indicates that counterfactual simulation of a decrease from B5 to B2 predicts a decrease (11.2 per cent) in CPO domestic consumption for biodiesel usage, 731.02 per cent reduction in CPO stock and an increase of 27.41 percent in domestic price of CPO. However the increase in the blend mandate from B5 to B7 and B10 suggest that domestic consumption of CPO for biodiesel purpose increase 7.40 and 18.55 percent respectively. The interesting findings in this study suggest that no matter whether Malaysian government increase or decrease the blend mandate the increase in the price of CPO are the same with an increase of is 27.41 percent. Hence, this study suggests that

  5. An exploratory study on risk factors for chronic non-communicable diseases among adolescents in Malaysia: overview of the Malaysian Health and Adolescents Longitudinal Research Team study (The MyHeART study)

    PubMed Central

    2014-01-01

    Background The National Health & Morbidity Survey (NHMS) IV (2011) observed that the prevalence of obese children aged less than 18 years in Malaysia is 6.1% compared to 5.4% overweight and obese in NHMS III (2006). As such, this observation is of public health importance as obesity is a forewarning risk factor for chronic diseases such as type-2 diabetes, cardiovascular diseases (CVD) and certain types of cancers. This MyHeART (Malaysian Health and Adolescents longitudinal Research Team) study aims to examine risk factors of non-communicable diseases (NCD) among adolescents. Methods/design The MyHeART study is longitudinal cohort study of 1361 schoolchildren (13-years old) attending 15 public secondary schools from the central (Kuala Lumpur and Selangor) and northern (Perak) regions of Peninsular Malaysia. The study used a stratified sampling design to select the study participants. Data collected at baseline included socio-economic, lifestyle (e.g. smoking, physical activity assessment, fitness assessment, seven-day diet history), and environmental information, anthropometric measurements, blood pressure, handgrip strength and bone mineral density. Blood samples for fasting blood glucose and lipid profiles, full blood count, renal profile, as well as bone profile and serum vitamin D were taken. This study cohort will be followed up again when participants turn 15, 17 and lastly, after a period of ten years (around the age of 27). Results Nine percent of the adolescents from this study were obese. More male participants smoked compared to female participants (15.4% vs. 4.7%). Adolescent males had higher fasting blood glucose but the female participants had lower high density lipoprotein (HDL-cholesterol) and higher low density lipoprotein (LDL-cholesterol). In addition, adolescents from the rural area had higher fasting blood glucose, diastolic blood pressure, total cholesterol and LDL-cholesterol. Discussion Our results demonstrated that adolescents from the

  6. Effects of sharing information on drug administration errors in pediatric wards: a pre–post intervention study

    PubMed Central

    Chua, Siew-Siang; Choo, Sim-Mei; Sulaiman, Che Zuraini; Omar, Asma; Thong, Meow-Keong

    2017-01-01

    Background and purpose Drug administration errors are more likely to reach the patient than other medication errors. The main aim of this study was to determine whether the sharing of information on drug administration errors among health care providers would reduce such problems. Patients and methods This study involved direct, undisguised observations of drug administrations in two pediatric wards of a major teaching hospital in Kuala Lumpur, Malaysia. This study consisted of two phases: Phase 1 (pre-intervention) and Phase 2 (post-intervention). Data were collected by two observers over a 40-day period in both Phase 1 and Phase 2 of the study. Both observers were pharmacy graduates: Observer 1 just completed her undergraduate pharmacy degree, whereas Observer 2 was doing her one-year internship as a provisionally registered pharmacist in the hospital under study. A drug administration error was defined as a discrepancy between the drug regimen received by the patient and that intended by the prescriber and also drug administration procedures that did not follow standard hospital policies and procedures. Results from Phase 1 of the study were analyzed, presented and discussed with the ward staff before commencement of data collection in Phase 2. Results A total of 1,284 and 1,401 doses of drugs were administered in Phase 1 and Phase 2, respectively. The rate of drug administration errors reduced significantly from Phase 1 to Phase 2 (44.3% versus 28.6%, respectively; P<0.001). Logistic regression analysis showed that the adjusted odds of drug administration errors in Phase 1 of the study were almost three times that in Phase 2 (P<0.001). The most common types of errors were incorrect administration technique and incorrect drug preparation. Nasogastric and intravenous routes of drug administration contributed significantly to the rate of drug administration errors. Conclusion This study showed that sharing of the types of errors that had occurred was significantly

  7. Correlation between thoracolumbar curvatures and respiratory function in older adults

    PubMed Central

    Rahman, Nor Najwatul Akmal Ab; Singh, Devinder Kaur Ajit; Lee, Raymond

    2017-01-01

    Aging is associated with alterations in thoracolumbar curvatures and respiratory function. Research information regarding the correlation between thoracolumbar curvatures and a comprehensive examination of respiratory function parameters in older adults is limited. The aim of the present study was to examine the correlation between thoracolumbar curvatures and respiratory function in community-dwelling older adults. Thoracolumbar curvatures (thoracic and lumbar) were measured using a motion tracker. Respiratory function parameters such as lung function, respiratory rate, respiratory muscle strength and respiratory muscle thickness (diaphragm and intercostal) were measured using a spirometer, triaxial accelerometer, respiratory pressure meter and ultrasound imaging, respectively. Sixty-eight community-dwelling older males and females from Kuala Lumpur, Malaysia, with mean (standard deviation) age of 66.63 (5.16) years participated in this cross-sectional study. The results showed that mean (standard deviation) thoracic curvature angle and lumbar curvature angles were −46.30° (14.66°) and 14.10° (10.58°), respectively. There was a significant negative correlation between thoracic curvature angle and lung function (forced expiratory volume in 1 second: r=−0.23, P<0.05; forced vital capacity: r=−0.32, P<0.05), quiet expiration intercostal thickness (r=−0.22, P<0.05) and deep expiration diaphragm muscle thickness (r=−0.21, P<0.05). The lumbar curvature angle had a significant negative correlation with respiratory muscle strength (r=−0.29, P<0.05) and diaphragm muscle thickness at deep inspiration (r=−0.22, P<0.05). However, respiratory rate was correlated neither with thoracic nor with lumbar curvatures. The findings of this study suggest that increase in both thoracic and lumbar curvatures is correlated with decrease in respiratory muscle strength, respiratory muscle thickness and some parameters of lung function. Clinically, both thoracic and lumbar

  8. Underwater DVI: Simple fingerprint technique for positive identification.

    PubMed

    Khoo, Lay See; Hasmi, Ahmad Hafizam; Mahmood, Mohd Shah; Vanezis, Peter

    2016-09-01

    An underwater disaster can be declared when a maritime accident occurred or when an aircraft is plunged into water area, be it ocean, sea or river. Nevertheless, handling of human remains in an underwater recovery operation is often a difficult and demanding task as working conditions may be challenging with poor to no visibility, location of remains at considerable depths and associated hazards from surrounding water. A case of the recent helicopter crash, into a famous river in Sarawak, domiciled by huge crocodiles, is discussed in this paper. Search and recovery team as well as the combat divers from the Special Elite Troop Commando, known as VAT 69, were deployed to the scene to perform the underwater recovery to search for all the victims on board involving five Malaysians with a pilot of Philippines nationality. This paper highlights the limitations and challenges faced during the underwater search and recovery. All the bodies recovered were in moderate decomposition stage with crushed injuries and mutilated face and body. A simple and conventional fingerprint technique were used to record the fingerprint. The prints impressions were later photographed using a smartphone and transferred back to the RMP headquarters in Kuala Lumpur for fingerprint match by using WhatsApp Messenger, a phone application. All the first five victims were identified within an average of 10min. The last victim recovered was the pilot. For foreign nationals, the Immigration Department of Malaysia will record the prints of both index fingers only. The lifting of the fingerprint of the last victim was the most challenging in which only one index finger left that can be used for comparison. A few techniques were attempted using the black printer's ink, glass and tape techniques for the last victim. Subsequently, images of the prints impression were taken using the same smartphone with additional macro lens attached to it to enhance the resolution. The images were transferred to the RMP

  9. Urban flood modelling combining top-view LiDAR data with ground-view SfM observations

    NASA Astrophysics Data System (ADS)

    Meesuk, Vorawit; Vojinovic, Zoran; Mynett, Arthur E.; Abdullah, Ahmad F.

    2015-01-01

    Remote Sensing technologies are capable of providing high-resolution spatial data needed to set up advanced flood simulation models. Amongst them, aerial Light Detection and Ranging (LiDAR) surveys or Airborne Laser Scanner (ALS) systems have long been used to provide digital topographic maps. Nowadays, Remote Sensing data are commonly used to create Digital Terrain Models (DTMs) for detailed urban-flood modelling. However, the difficulty of relying on top-view LiDAR data only is that it cannot detect whether passages for floodwaters are hidden underneath vegetated areas or beneath overarching structures such as roads, railroads, and bridges. Such (hidden) small urban features can play an important role in urban flood propagation. In this paper, a complex urban area of Kuala Lumpur, Malaysia was chosen as a study area to simulate the extreme flooding event that occurred in 2003. Three different DTMs were generated and used as input for a two-dimensional (2D) urban flood model. A top-view LiDAR approach was used to create two DTMs: (i) a standard LiDAR-DTM and (ii) a Filtered LiDAR-DTM taking into account specific ground-view features. In addition, a Structure from Motion (SfM) approach was used to detect hidden urban features from a sequence of ground-view images; these ground-view SfM data were then combined with top-view Filtered LiDAR data to create (iii) a novel Multidimensional Fusion of Views-Digital Terrain Model (MFV-DTM). These DTMs were then used as a basis for the 2D urban flood model. The resulting dynamic flood maps are compared with observations at six measurement locations. It was found that when applying only top-view DTMs as input data, the flood simulation results appear to have mismatches in both floodwater depths and flood propagation patterns. In contrast, when employing the top-ground-view fusion approach (MFV-DTM), the results not only show a good agreement in floodwater depth, but also simulate more correctly the floodwater dynamics around

  10. Technial Programme Committee

    NASA Astrophysics Data System (ADS)

    2014-06-01

    Chairpersons Dr Dinesh Sathyamoorthy, Science & Technology Research Institute for Defence (STRIDE), Ministry of Defence, Malaysia Associate Professor Sr Dr Abdul Rashid Mohamed Shariff, Universiti Putra Malaysia (UPM), Malaysia Dr Ahmad Fikri Abdullah, Universiti Putra Malaysia (UPM), Malaysia Dr Farrah Melissa Muharram, Universiti Putra Malaysia (UPM), Malaysia Members Professor Dr Li Jing, Beijing Normal University, China Professor Dr Iyyanki Muralikrishna, Administrative Staff College of India (ASCI), India Professor Dr Alias Abdul Rahman, Universiti Teknologi Malaysia (UTM), Malaysia Professor Dr Ismat Mohamed El Hassan, King Saud University, Saudi Arabia Professor Dr George Miliaresis, Open University of Cyprus, Cyprus Professor Dr Christine Pohl, Universiti Teknologi Malaysia (UTM), Malaysia Professor Dr Mahender Kotha, Goa University, India Associate Professor Dr Paolo Gamba, University of Pavia, Italy Associate Professor Dr Behara Seshadri Daya Sagar, Indian Statistical Institute (ISI), India Associate Professor Sr Ranjit Singh, Infrastructure University Kuala Lumpur (IUKL), Malaysia Associate Professor Dr Abdul Nasir Matori, Universiti Teknologi Petronas (UTP), Malaysia Associate Dr Lucian Dragut, West University of Timişoara, Romania Associate Professor Dr Saied Pirasteh, Islamic Azad University, Iran Associate Professor Dr Peter Yuen, Cranfield University, United Kingdom Associate Professor Dr Lim Hwee San, Universiti Sains Malaysia (USM), Malaysia Associate Professor Dr Wayan Suparta, Universiti Kebangsaan Malaysia (UKM), Malaysia Associate Professor Dr Tuong Thuy Vu, The University of Nottingham Malaysia Campus, Malaysia Associate Professor Dr Maged Mahmoud Marghany, Universiti Teknologi Malaysia (UTM), Malaysia Associate Professor Dr Rami Al-Ruzouq, University of Sharjah, UAE Associate Professor Dr Biswajeet Pradhan, Universiti Putra Malaysia (UPM), Malaysia Associate Professor Dr Helmi Zulhaidi Mohd Shafri, Universiti Putra Malaysia (UPM), Malaysia

  11. Streptomyces antioxidans sp. nov., a Novel Mangrove Soil Actinobacterium with Antioxidative and Neuroprotective Potentials

    PubMed Central

    Ser, Hooi-Leng; Tan, Loh Teng-Hern; Palanisamy, Uma D.; Abd Malek, Sri N.; Yin, Wai-Fong; Chan, Kok-Gan; Goh, Bey-Hing; Lee, Learn-Han

    2016-01-01

    A novel strain, Streptomyces antioxidans MUSC 164T was recovered from mangrove forest soil located at Tanjung Lumpur, Malaysia. The Gram-positive bacterium forms yellowish-white aerial and brilliant greenish yellow substrate mycelium on ISP 2 agar. A polyphasic approach was used to determine the taxonomy status of strain MUSC 164T. The strain showed a spectrum of phylogenetic and chemotaxonomic properties consistent with those of the members of the genus Streptomyces. The cell wall peptidoglycan was determined to contain LL-diaminopimelic acid. The predominant menaquinones were identified as MK-9(H6) and MK-9(H8), while the identified polar lipids consisted of aminolipid, diphosphatidylglycerol, glycolipid, hydroxyphosphatidylethanolamine, phospholipid, phosphatidylinositol, phosphatidylethanolamine, phosphatidylglycerol and lipid. The cell wall sugars consist of galactose, glucose and ribose. The predominant cellular fatty acids (>10.0%) were identified as iso-C15:0 (34.8%) and anteiso-C15:0(14.0%). Phylogenetic analysis identified that closely related strains for MUSC 164T as Streptomyces javensis NBRC 100777T (99.6% sequence similarity), Streptomyces yogyakartensis NBRC 100779T (99.6%) and Streptomyces violaceusniger NBRC 13459T (99.6%). The DNA–DNA relatedness values between MUSC 164T and closely related type strains ranged from 23.8 ± 0.3% to 53.1 ± 4.3%. BOX-PCR fingerprints comparison showed that MUSC 164T exhibits a unique DNA profile, with DNA G + C content determined to be 71.6 mol%. Based on the polyphasic study of MUSC 164T, it is concluded that this strain represents a novel species, for which the name Streptomyces antioxidans sp. nov. is proposed. The type strain is MUSC 164T (=DSM 101523T = MCCC 1K01590T). The extract of MUSC 164T showed potent antioxidative and neuroprotective activities against hydrogen peroxide. The chemical analysis of the extract revealed that the strain produces pyrazines and phenolic-related compounds that could explain

  12. Cross-Border Sexual Transmission of the Newly Emerging HIV-1 Clade CRF51_01B

    PubMed Central

    Cheong, Hui Ting; Ng, Kim Tien; Ong, Lai Yee; Chook, Jack Bee; Chan, Kok Gan; Takebe, Yutaka; Kamarulzaman, Adeeba; Tee, Kok Keng

    2014-01-01

    A novel HIV-1 recombinant clade (CRF51_01B) was recently identified among men who have sex with men (MSM) in Singapore. As cases of sexually transmitted HIV-1 infection increase concurrently in two socioeconomically intimate countries such as Malaysia and Singapore, cross transmission of HIV-1 between said countries is highly probable. In order to investigate the timeline for the emergence of HIV-1 CRF51_01B in Singapore and its possible introduction into Malaysia, 595 HIV-positive subjects recruited in Kuala Lumpur from 2008 to 2012 were screened. Phylogenetic relationship of 485 amplified polymerase gene sequences was determined through neighbour-joining method. Next, near-full length sequences were amplified for genomic sequences inferred to be CRF51_01B and subjected to further analysis implemented through Bayesian Markov chain Monte Carlo (MCMC) sampling and maximum likelihood methods. Based on the near full length genomes, two isolates formed a phylogenetic cluster with CRF51_01B sequences of Singapore origin, sharing identical recombination structure. Spatial and temporal information from Bayesian MCMC coalescent and maximum likelihood analysis of the protease, gp120 and gp41 genes suggest that Singapore is probably the country of origin of CRF51_01B (as early as in the mid-1990s) and featured a Malaysian who acquired the infection through heterosexual contact as host for its ancestral lineages. CRF51_01B then spread rapidly among the MSM in Singapore and Malaysia. Although the importation of CRF51_01B from Singapore to Malaysia is supported by coalescence analysis, the narrow timeframe of the transmission event indicates a closely linked epidemic. Discrepancies in the estimated divergence times suggest that CRF51_01B may have arisen through multiple recombination events from more than one parental lineage. We report the cross transmission of a novel CRF51_01B lineage between countries that involved different sexual risk groups. Understanding the cross

  13. Validation of Malaysian Versions of Perceived Diabetes Self-Management Scale (PDSMS), Medication Understanding and Use Self-Efficacy Scale (MUSE) and 8-Morisky Medication Adherence Scale (MMAS-8) Using Partial Credit Rasch Model

    PubMed Central

    Al Abboud, Safaa Ahmed; Ahmad, Sohail; Bidin, Mohamed Badrulnizam Long

    2016-01-01

    Introduction The Diabetes Mellitus (DM) is a common silent epidemic disease with frequent morbidity and mortality. The psychological and psychosocial health factors are negatively influencing the glycaemic control in diabetic patients. Therefore, various questionnaires were developed to address the psychological and psychosocial well-being of the diabetic patients. Most of these questionnaires were first developed in English and then translated into different languages to make them useful for the local communities. Aim The main aim of this study was to translate and validate the Malaysian versions of Perceived Diabetes Self-Management Scale (PDSMS), Medication Understanding and Use Self-Efficacy Scale (MUSE), and to revalidate 8-Morisky Medication Adherence Scale (MMAS-8) by Partial Credit Rasch Model (Modern Test Theory). Materials and Methods Permission was obtained from respective authors to translate the English versions of PDSMS, MUSE and MMAS-8 into Malay language according to established standard international translation guidelines. In this cross-sectional study, 62 adult DM patients were recruited from Hospital Kuala Lumpur by purposive sampling method. The data were extracted from the self-administered questionnaires and entered manually in the Ministeps (Winsteps) software for Partial Credit Rasch Model. The item and person reliability, infit/outfit Z-Standard (ZSTD), infit/outfit Mean Square (MNSQ) and point measure correlation (PTMEA Corr) values were analysed for the reliability analyses and construct validation. Results The Malay version of PDSMS, MUSE and MMAS-8 found to be valid and reliable instrument for the Malaysian diabetic adults. The instrument showed good overall reliability value of 0.76 and 0.93 for item and person reliability, respectively. The values of infit/outfit ZSTD, infit/outfit MNSQ, and PTMEA Corr were also within the stipulated range of the Rasch Model proving the valid item constructs of the questionnaire. Conclusion The

  14. Factors Associated with Quality of Life among Hemodialysis Patients in Malaysia

    PubMed Central

    Md. Yusop, Nor Baizura; Yoke Mun, Chan; Shariff, Zalilah Mohd; Beng Huat, Choo

    2013-01-01

    Although hemodialysis treatment has greatly increased the life expectancy of end stage renal disease patients, low quality of life among hemodialysis patients is frequently reported. This cross-sectional study aimed to determine the relationship between medical history, hemodialysis treatment and nutritional status with the mental and physical components of quality of life in hemodialysis patients. Respondents (n=90) were recruited from Hospital Kuala Lumpur and dialysis centres of the National Kidney Foundation of Malaysia. Data obtained included socio-demography, medical history, hemodialysis treatment and nutritional status. Mental and physical quality of life were measured using the Mental Composite Summary (MCS) and Physical Composite Summary (PCS) of the Short-Form Health Survey 36-items, a generic core of the Kidney Disease Quality of Life Short Form. Two summary measures and total SF-36 was scored as 0–100, with a higher score indicating better quality of life. Approximately 26 (30%) of respondents achieved the body mass index (24 kg/m2) and more than 80% (n=77) achieved serum albumin level (>35.0 mg/dL) recommended for hemodialysis patients. The majority of respondents did not meet the energy (n=72, 80%) and protein (n=68,75%) recommendations. The total score of SF-36 was 54.1±19.2, while the score for the mental and physical components were 45.0±8.6 and 39.6±8.6, respectively. Factors associated with a higher MCS score were absence of diabetes mellitus (p=0.000) and lower serum calcium (p=0.004), while higher blood flow (p=0.000), higher serum creatinine (p=0.000) and lower protein intake (p=0.006) were associated with a higher PCS score. To improve the overall quality of life of hemodialysis patients, a multidisciplinary intervention that includes medical, dietetic and psychosocial strategies that address factors associated with mental and physical quality of life are warranted to reduce further health complications and to improve quality of life

  15. Factors associated with abrupt discontinuation of dabigatran therapy in patients with atrial fibrillation in Malaysia.

    PubMed

    Beshir, Semira Abdi; Chee, Kok-Han; Lo, Yoke-Lin

    2016-10-01

    Background Oral anticoagulant therapy is indicated for the prevention of stroke or other thromboembolic events. Premature discontinuation of oral anticoagulants may increase the risk of thromboembolism resulting in adverse sequelae. There are sparse data on the prevalence and the predictors of dabigatran discontinuation in Malaysian patients with atrial fibrillation. Objectives Determine the reasons and identify associated factors for abrupt discontinuation of dabigatran, assess the switching pattern and the occurrence of thromboembolic events after dabigatran discontinuation. Setting A university-affiliated tertiary hospital in Kuala Lumpur, Malaysia. Methods The clinical and demographic data of a cohort who were initiated with dabigatran between 2010 and 2012 at the University of Malaya Medical Centre were reviewed until the date of death or on 31st December 2013. Those patients who discontinued dabigatran were further followed up until 31st December 2015 to determine the occurrence of any thromboembolic event. Main outcome measure Permanent discontinuation of dabigatran for more than 8 weeks. Results 26 (14 %) of a cohort of 192 patients discontinued dabigatran therapy during a median follow-up period of 20 (range 3-45) months. About one-half of the discontinuation occurred within the first 6 months of dabigatran use. The three most cited reasons for discontinuation are bleeding events (19 %), high out-of-pocket drug payment (19 %) and cardioversion (19 %). Heart failure [adjusted odds ratio 3.699 (95 % confidence interval 1.393-9.574)] or chronic kidney disease [adjusted odds ratio 5.211 (95 % confidence interval 1.068-23.475)] were found to be independent risk factors for abrupt dabigatran discontinuation. Patients who discontinued dabigatran received warfarin (38 %), antiplatelet agents (16 %) or no alternative antithrombotic therapy (46 %). Five of the 26 patients who discontinued dabigatran developed an ischaemic stroke within 3-34 months after

  16. Cohort study on clustering of lifestyle risk factors and understanding its association with stress on health and wellbeing among school teachers in Malaysia (CLUSTer) – a study protocol

    PubMed Central

    2014-01-01

    Background The study on Clustering of Lifestyle risk factors and Understanding its association with Stress on health and wellbeing among school Teachers in Malaysia (CLUSTer) is a prospective cohort study which aims to extensively study teachers in Malaysia with respect to clustering of lifestyle risk factors and stress, and subsequently, to follow-up the population for important health outcomes. Method/design This study is being conducted in six states within Peninsular Malaysia. From each state, schools from each district are randomly selected and invited to participate in the study. Once the schools agree to participate, all teachers who fulfilled the inclusion criteria are invited to participate. Data collection includes a questionnaire survey and health assessment. Information collected in the questionnaire includes socio-demographic characteristics, participants’ medical history and family history of chronic diseases, teaching characteristics and burden, questions on smoking, alcohol consumption and physical activities (IPAQ); a food frequency questionnaire, the job content questionnaire (JCQ); depression, anxiety and stress scale (DASS21); health related quality of life (SF12-V2); Voice Handicap Index 10 on voice disorder, questions on chronic pain, sleep duration and obstetric history for female participants. Following blood drawn for predefined clinical tests, additional blood and urine specimens are collected and stored for future analysis. Active follow up of exposure and health outcomes will be carried out every two years via telephone or face to face contact. Data collection started in March 2013 and as of the end of March 2014 has been completed for four states: Kuala Lumpur, Selangor, Melaka and Penang. Approximately 6580 participants have been recruited. The first round of data collection and blood sampling is expected to be completed by the end of 2014 with an expected 10,000 participants recruited. Discussion Our study will provide a good basis

  17. The Influence of Socioeconomic and Demographic Variables on Willingness to Donate Cadaveric Human Organs in Malaysia

    PubMed Central

    Rasiah, Rajah; Manikam, Rishya; Chandarsekaran, Sankara K.; Thangiah, Govindamal; Puspharajan, Saravanan; Swaminathan, Dasan

    2014-01-01

    Abstract The growing shortage in human organs has raised serious concerns. To address this problem, we examine in this article the association between demographic and socioeconomic factors, and respondents’ willingness to donate cadaveric organs using a large survey of Malaysian adults aged 18 years and above. A convenience sampling method was used to extract information from a total of 10,350 participants from Metropolitan Kuala Lumpur over the period of April 2, 2013 to February 29, 2014. In addition to analyzing the data using incidence of willingness to donate by demographic and socioeconomic factors, we carried out logistic regression analysis to estimate the odds ratio of respondents’ willingness to become cadaveric organ donors controlling for age. About less than a third of the participants pledged to donate their organs upon death with women (35.6%) showing a higher incidence compared with men (33.2%). The Chinese (35.7%) and Malays (35.0%) pledged to contribute more than the Indians (31.6%) and the logistic regressions show that Malays (adjusted odds ration [OR] = 1.18) and Chinese (adjusted OR = 1.21) are more likely to donate than Indians (reference group). The results by religion were significant among Muslims and Hindus but not Buddhists. The likelihood of Muslims donating was the lowest (adjusted OR = 0.26). Income was also highly significant but the relationship with willingness to donate was negative. Against tertiary education, all other occupations were significant. However, the respondents with primary education enjoyed the highest adjusted OR (5.46) whereas that of secondary (0.48) and higher secondary (0.83) education was low. Among occupations (against supervisory, clerical, and direct workers), it was significant only among the unemployed and managers with adjusted OR of 1.50 and 1.58, respectively. Sex, education, ethnicity, religion, and income are important demographic and socioeconomic influences on the likelihood of

  18. The relationship between migration and development in the ESCAP region.

    PubMed

    Skeldon, R

    1991-01-01

    The relationship between migration and development in the ESCAP region including southeast and south Asian countries and the Pacific island of Fiji, Papua New Guinea, Vanuatu, Kiribati, Samoa, and the Solomon Islands is discussed in terms of mobility transition and origin and destination factors. The changing patterns of mobility in Asia are further delineated in the discussion of internal movements and international movement. Emigration in the smaller countries of the Pacific are treated separately. Future predictions are that the Asia Pacific region will experience continued fertility decline and stabilization of low rates over the next 20 years. The declines will result in slow labor force growth, and increased demand for labor in traditional core and neocore countries as defined and presented in table form by Friedman will be heightened. International movements are likely to increase in large urban areas within destination countries. Tokyo and Singapore are the principal cities in Asia. Tokyo by restrictive government policy has limited immigration, but future labor shortages of unskilled labor from southeast Asia and China are expected. Singapore is already dependent on foreign labor by 10%. Current labor shortages have led to the creation of a growth triangle between Singapore, Indonesia, and Malaysia. Other cities expected to emerge as primary cities in international regional complexes with spillover into the hinterlands include the Hong Kong, Guangzhou, and Macau triangle in the Pearl River delta, Taipei and Seoul, and possibly Kuala Lumpur. Internal migration is expected to increase in the capital cities of Bangkok, Manila,j and centers such as Shanghai, Beijing, and other large cities of southeast Asia. These cities will be linked through the flows of skilled international migrants, which began in the 1960s and is expected to become a future major flow. Recreational and resource niches will be left in much of the Pacific, the Himalayan Kingdoms, and

  19. Carbon balance indicates a time limit for cultivation of organic soils in central Switzerland

    NASA Astrophysics Data System (ADS)

    Paul, Sonja; Ammann, Christof; Alewell, Christine; Leifeld, Jens

    2016-04-01

    . Minayeva, M. Silvius & L. Stringer (Eds.). 2008: Assessment on Peatlands, Biodiversity and Climate Change: Main Report. Global Environment Centre, Kuala Lumpur and Wetlands International, Wageningen

  20. The Use of Mobile, Electrochemical Sensor Nodes for the Measurement of Personal Exposure to Gas-Phase Air Pollutants

    NASA Astrophysics Data System (ADS)

    Stewart, G.; Popoola, O. A.; Mead, M. I.; McKeating, S. J.; Calleja, M.; Hayes, M.; Baron, R. P.; Saffell, J.; Jones, R.

    2012-12-01

    In this paper we describe how low-cost, lightweight devices, which incorporate GPS and GPRS facilities and contain electrochemical sensors for carbon monoxide (CO), nitrogen monoxide (NO) and nitrogen dioxide (NO2), have been used to collect data representative of personal exposure to these important urban air pollutants. E.U. legislation has set target levels for gases thought to have adverse impacts on human health, and consequently led to a need for a more informed air pollution control policy. With many sites in the U.K. and in the rest of the E.U. still failing to meet annual targets for NO2, a need to better understand pollutant sources and behaviour has arisen. Moreover, while traditional chemiluminescence techniques provide precise measurements, the instruments are sparsely populated around urban centres and are thus limited in their ability to account for true personal exposure. Through a series of laboratory and field studies, it has been shown that electrochemical sensor nodes, when configured suitably and after post-processing of data, can provide selective, reproducible measurements, and that the devices have appropriate detection limits (at the low parts-per-billion level), as well as fast enough response times, for urban air quality studies. Both mobile nodes and their static analogues have been deployed with different aims. Static nodes have been used in dense networks in both the urban environment and in the grounds of a major international airport, as described in the partner papers of Mead et al and Bright et al. Mobile units are easily deployed in scalable networks for short-term studies on personal exposure; these studies have been carried out in a wide range of locations including Lagos, Kuala-Lumpur, London and Valencia. Data collected by both mobile and static sensor nodes illustrate the insufficiency of the existing infrastructure in accounting for both the spatial and temporal variability in air pollutants due to road traffic emissions

  1. Hydrological classification of mangrove forests: a tool for successful mangrove rehabilitation

    NASA Astrophysics Data System (ADS)

    van Huijgevoort, Marjolein; van Loon, Anne; te Brake, Bram; Dijksma, Roel

    2015-04-01

    occurrence of mangrove species common in Southeast Asia. This classification was then tested for several sites, natural and disturbed, in Indonesia. Validation of the classification in the natural sites showed that classes derived from the classification were very similar to the expected classes based on the observed vegetation for the different sites. Application of the classification to disturbed sites learned that within abandoned shrimp ponds large differences exist in hydrological suitability for mangrove species. Therefore, the classification can give important information about which species to plant at which location if reforestation is desired, but also about how the restore the hydrology to natural conditions to improve natural regeneration. Since the hydrological classification needs relatively little data, i.e. good results can already be obtained using water levels for a period of only one tidal cycle, it can be a very useful tool in improving the effectiveness of mangrove rehabilitation projects. Watson, J.G., 1928. Mangrove forests of the Malay Peninsula. Malayan Forest Records No. 6, Forest Department, Federated Malay States, Kuala Lumpur.

  2. The Geothermal Systems along the Watukosek fault system (East Java, Indonesia):The Arjuno-Welirang Volcanic Complex and the Lusi Mud-Eruption

    NASA Astrophysics Data System (ADS)

    Inguaggiato, Salvatore; Mazzini, Adriano; Vita, Fabio; Sciarra, Alessandra

    2016-04-01

    The Java Island is characterized by an intense volcanic activity with more then 100 active volcanoes. Moreover, this island is also known by the presence of many mud volcanoes and hydrothermal springs. In particular, in the 2006 several sudden hot mud eruptions, with fluids around 100° C, occurred in the NE side of the island resulting in a prominent eruption named Lusi (contraction of Lumpur Sidoarjo) located along the major Watukosek strike-slip fault zone. The Watukosek fault system, strikes from the Arjuno-Welirang volcanic complex, intersects Lusi and extends towards the NE of the Java island. Conversely of the normal mud eruptions (cold fluids emitted in a short time period of few days), the Lusi eruption was characterized by a persistent effusive hot fluids emissions for a long-time period of, so far, nearly a decade. Moreover, the isotopic composition of emitted gases like Helium showed a clear magmatic origin. For this reasons we decided to investigate the near Arjuno-Welirang complex located on the same strike-slip fault. Arjuno-Welirang is a twin strato-volcano system located in the East of Java along the Watukosek fault, at about 25 km SW respect to the Lusi volcano system. It features two main peaks: Arjuno (3339 masl) and Welirang (3156 masl). The last recorded eruptive activity took place in August 1950 from the flanks of Kawah Plupuh and in October 1950 from the NW part of the Gunung Welirang. This strato-volcano is characterized by a S-rich area, with high T-vent fumarole at least up to 220° C (and likely higher), located mainly in the Welirang crater. In addition, several hot springs vent from the flanks of the volcano, indicate the presence of a large hydrothermal system. During July 2015, in the framework of the Lusi Lab project (ERC grant n° 308126), we carried out a geochemical field campaign on the Arjuno-Welirang volcano hydrothermal system area, sampling water and dissolved gases from the thermal and cold springs located on the flanks of

  3. Joint conference of iMEC 2015 (2nd International Manufacturing Engineering Conference & APCOMS 2015 (3rd Asia-Pacific Conference on Manufacturing Systems)

    NASA Astrophysics Data System (ADS)

    2016-02-01

    The iMEC 2015 is the second International Manufacturing Engineering Conference organized by the Faculty of Manufacturing, Universiti Malaysia Pahang (UMP), held from 12-14th November 2015 in Kuala Lumpur, Malaysia, with a theme "Materials, Manufacturing and Systems for Tomorrow". For the first time, iMEC is organized together with 3rd Asia- Pacific Conference on Manufacturing System (APCOMS 2015) which owned by Fakulti Teknologi Industri, Institut Teknologi Bandung (ITB), Indonesia. This is an extended collaboration between UMP and ITB to intensify knowledge sharing and experiences between higher learning institutions. This conference (iMEC & APCOMS 2015) is a platform for knowledge exchange and the growth of ideas, particularly in manufacturing engineering. The conference aims to bring researchers, academics, scientists, students, engineers and practitioners from around the world together to present their latest findings, ideas, developments and applications related to manufacturing engineering and other related research areas. With rapid advancements in manufacturing engineering, iMEC is an appropriate medium for the associated community to keep pace with the changes. In 2015, the conference theme is “Materials, Manufacturing and Systems for Tomorrow” which reflects the acceleration of knowledge and technology in global manufacturing. The papers in these proceedings are examples of the work presented at the conference. They represent the tip of the iceberg, as the conference attracted over 200 abstracts from Malaysia, Indonesia, Japan, United Kingdom, Australia, India, Bangladesh, South Africa, Turkey and Morocco and 151 full papers were accepted in these proceedings. The conference was run in four parallel sessions with 160 presenters sharing their latest finding in the areas of manufacturing process, systems, advanced materials and automation. The first keynote presentation was given by Prof. B. S. Murthy (IIT, Madras) on "Nanomaterials with Exceptional

  4. An overview of the population dynamics in Malaysia.

    PubMed

    Arshat, H; Tey Nai Peng

    1988-06-01

    Between 1900 and 1985 the population of Malaysia has increased from 2 million to 16 million. Before World War II most of the growth was due to immigration from China and India; after World War II it was due to natural increase. The crude birth rate appears to be leveling off at about 31.3 and the crude death rate at 5.3. At the current rate of growth the total population will be about 32 million by 2015. The proportion of urban population increased from 27% in 1979 to 34% in 1980. In 1980 83% of the population lived in Peninsular Malaysia (39% of the land area), and 17% lived in Sabah and Sarawak (61% of the land area). Population density ranges from 12 persons per square kilometer in Sarawak to 4521 in the Federal Republic of Kuala Lumpur. The median age of the population is 17.4 years; 40% are under 14, and 3.6% are over 65. In most age groups there are more women than men. The annual growth rate for Malays is higher than for Chinese and Indians, and Malays constituted 55% of the population in 1980. 34% are Chinese and 10% are Indian. Total fertility rate declined from 68/1000 in 1957 to 39/1000 in 1985. Malay fertility (4.8 children) is higher than either Indian (2.9) or Chinese (2.7) Malay fertility has been increasing while that of Indians and Chinese is decreasing due to contraception. Also, among all 3 groups age at marriage has increased. Data from the 1984/85 Malaysian Population and Family Survey show that the differential fertility of the 3 groups is due largely to rural/urban distribution, education, and work patterns. Ideal family size, according to the survey, is 4.8. The National Population and Family Development Program would like to achieve a growth rate of 2%/year, and family planning knowledge has become virtually universal. KAP surveys show that by 1984 contraceptive prevalence was 51%; however 42% of all eligible women were using unreliable methods. In terms of efficient methods, contraceptive prevalence rate was 16% for Malays, 47% for Chinese

  5. Applicability of Landsat TM data for inventorying and monitoring of rubber (Hevea brasiliensis) plantations in Selangor, Malaysia: Linkages to policies

    NASA Astrophysics Data System (ADS)

    Suratman, Mohd Nazip

    2003-06-01

    Rubber tree (Hevea brasiliensis (Wild ex Adr. De Juss) Muell Arg.) plantations in Malaysia are important sources of natural rubber and wood products. Effective management and appropriate policy for these resources require reliable information on resource dynamics and forecasts of resource availability. The need for inventories and monitoring systems prompted this research into utilising ground information and satellite imagery for developing methods for forest plantation inventory. Monitoring procedures were developed using three dates of Landsat Thematic Mapper (TM) imagery. The specific objectives of the research were: (1) to develop an effective method for inventorying rubber tree plantations using an appropriate combination of satellite imagery and ground sampling in the State of Selangor, Malaysia; (2) to demonstrate the application of a Landsat TM-based rubber volume model in an extended area of rubber plantations south of Kuala Lumpur (KL), Malaysia; (3) to develop an operational methodology for monitoring land use/cover change, with a primary focus on rubber plantations; and (4) to identify relationships between the primary drivers of resource change and policies, and examine the evidence of policies---rubber area change linkages in the study area. Reasonably accurate predictions of the volume, age, and area of rubber plantations were obtained from Landsat TM data. The use of supervised image classification and an image segmentation approach for rubber volume model application showed better performance for volume prediction than a combined land use/cover and rubber volume classification technique, thus providing a useful tool for displaying rubber stand volume within segments or spatial units across the landscape. The combined use of a time series of Landsat TM imagery, modified postclassification change detection, and geographic information system (GIS) techniques made it possible to produce land use/cover change matrices and rubber area change information

  6. Discouraging rural to urban migration of the youths in Malaysia.

    PubMed

    Nor Bin Abdul-ghani, M

    1979-12-01

    Due to the limitations of statistics pertaining to rural-urban migration among the youth of Malaysia, the trends and implications of this phenomenon are explored more in theoretical them empirical terms. Empirical evidence will have to be based on various micro studies of villages and their socioeconomic conditions as they prevail today. Heavy emphasis will be placed on the needs of the agricultural sector where millions of dollars are being spent on agricultural modernization. Also explored are the various theories of rural-urban migration. The data available at the national level is only the increase of the population data for major urban centers in 1957 and 1970. From this basic data, the total increase in population over a period of 13 years has been calculated from which the average annual increase due to migration is computed. The increase in urban population within the 1957-70 period varied from a deficit (more outmigration than inmigration) in the case of Georgetown, Butterworth, and Kuching to a high of 32.7% in the case of Petaling Jaya, 4.5% in the case of Ipoh, and little above 3% in the case of Johore Bahru, Kuantan, Kuala Trengganu, and Kota Kinabalu. A 3% or 4% annual immigration to the major cities, be it from within or outside the state concerned, means that there is an equivalent annual depletion of the able bodied labor force from the rural areas of Malaysia. Insofar as Kuala Lumpur is concerned, 4 issues directly related to an accelerated pace of migration to the cities are: the existence of some 300,000 squatters; the shortage of low cost housing for low income workers; the emergence of urban slum areas in the cities and the suburbs implying lack of public utilities, services, and so forth; and a high unemployment rate. Looking at migration from its source of origin, there are several other consequences. Many studies indicate that the youth population of villages remain at about 10-15%. Thus, the villages are geing deprived of able bodied

  7. 7th IGRSM International Remote Sensing & GIS Conference and Exhibition

    NASA Astrophysics Data System (ADS)

    Shariff, Abdul Rashid Mohamed

    2014-06-01

    IGRSM This proceedings consists of the peer-reviewed papers from the 7th IGRSM International Conference and Exhibition on Remote Sensing & GIS (IGRSM 2014), which was held on 21-22 April 2014 at Berjaya Times Square Hotel, Kuala Lumpur, Malaysia. The conference, with the theme Geospatial Innovation for Nation Building was aimed at disseminating knowledge, and sharing expertise and experiences in geospatial sciences in all aspects of applications. It also aimed to build linkages between local and international professionals in this field with industries. Highlights of the conference included: Officiation by Y B Datuk Dr Abu Bakar bin Mohamad Diah, Deputy Minister of Minister of Science, Technology & Innovation Keynote presentations by: Associate Professor Dr Francis Harvey, Chair of the Geographic Information Science Commission at the International Geographical Union (IGU) and Director of U-Spatial, University of Minnesota, US: The Next Age of Discovery and a Future in a Post-GIS World. Professor Dr Naoshi Kondo, Bio-Sensing Engineering, University of Kyoto, Japan: Mobile Fruit Grading Machine for Precision Agriculture. Datuk Ir Hj Ahmad Jamalluddin bin Shaaban, Director-General, National Hydraulic Research Institute of Malaysia (NAHRIM), Malaysia: Remote Sensing & GIS in Climate Change Analyses. Oral and poster presentations from 69 speakers, from both Malaysia (35) and abroad (34), covering areas of water resources management, urban sprawl & social mobility, agriculture, land use/cover mapping, infrastructure planning, disaster management, technology trends, environmental monitoring, atmospheric/temperature monitoring, and space applications for the environment. Post-conference workshops on: Space Applications for Environment (SAFE), which was be organised by the Japan Aerospace Exploration Agency (JAXA) Global Positioning System (GPS) Receiver Evaluation Using GPS Simulation, which was be organised by the Science & Technology Research Institute for Defence

  8. Factors prognosticating the outcome of decompressive craniectomy in severe traumatic brain injury: A Malaysian experience

    PubMed Central

    Sharda, Priya; Haspani, Saffari; Idris, Zamzuri

    2014-01-01

    Objective: The objective of this prospective cohort study was to analyse the characteristics of severe Traumatic Brain Injury (TBI) in a regional trauma centre Hospital Kuala Lumpur (HKL) along with its impact of various prognostic factors post Decompressive Craniectomy (DC). Materials and Methods: Duration of the study was of 13 months in HKL. 110 consecutive patients undergoing DC and remained in our centre were recruited. They were then analysed categorically with standard analytical software. Results: Age group have highest range between 12-30 category with male preponderance. Common mechanism of injury was motor vehicle accident involving motorcyclist. Univariate analysis showed statistically significant in referral area (P = 0.006). In clinical evaluation statistically significant was the motor score (P = 0.040), pupillary state (P = 0.010), blood pressure stability (P = 0.013) and evidence of Diabetes Insipidus (P < 0.001). In biochemical status the significant statistics included evidence of coagulopathy (P < 0.001), evidence of acidosis (P = 0.003) and evidence of hypoxia (P = 0.030). In Radiological sector, significant univariate analysis proved in location of the subdural clot (P < 0.010), location of the contusion (P = 0.045), site of existence of both type of clots (P = 0.031) and the evidence of edema (P = 0.041). The timing of injury was noted to be significant as well (P = 0.061). In the post operative care was, there were significance in the overall stability in intensive care (P < 0.001), the stability of blood pressure, cerebral perfusion pressure, pulse rates and oxygen saturation (all P < 0.001)seen individually, post operative ICP monitoring in the immediate (P = 0.002), within 24 hours (P < 0.001) and within 24-48 hours (P < 0.001) period, along with post operative pupillary size (P < 0.001) and motor score (P < 0.001). Post operatively, radiologically significant statistics included evidence of midline shift post operatively in the CT scan

  9. Extensive Genetic Diversity of HIV-1 in Incident and Prevalent Infections among Malaysian Blood Donors: Multiple Introductions of HIV-1 Genotypes from Highly Prevalent Countries

    PubMed Central

    Chow, Wei Zhen; Bon, Abdul Hamid; Keating, Sheila; Anderios, Fread; Halim, Hazwan Abdul; Takebe, Yutaka; Kamarulzaman, Adeeba; Busch, Michael P.; Tee, Kok Keng

    2016-01-01

    Transfusion-transmissible infections including HIV-1 continue to pose major risks for unsafe blood transfusions due to both window phase infections and divergent viruses that may not be detected by donor screening assays. Given the recent emergence of several HIV-1 circulating recombinant forms (CRFs) in high-risk populations in the Southeast Asia region, we investigated the genetic diversity of HIV-1 among the blood donors in Kuala Lumpur, Malaysia. A total of 211 HIV-positive plasma samples detected among 730,188 donations to the National Blood Centre between 2013 and 2014 were provided (90.5% male, median age: 27.0 years old). Recent or long-term infection status at the time of donation was determined using a limiting antigen avidity enzyme immunoassay (LAg-Avidity EIA). HIV-1 gag-pol genes were amplified and sequenced from residual plasma for 149 cases followed by genotype determination using phylogenetic and recombination analyses. Transmitted antiretroviral resistance mutations were not observed among the blood donors, among which 22.7% were classified as recent or incident infections. Major circulating HIV-1 genotypes determined by neighbour-joining phylogenetic inference included CRF01_AE at 40.9% (61/149), CRF33_01B at 21.5% (32/149), and subtype B at 10.1% (15/149). Newly-described CRFs including CRF54_01B circulated at 4.0%, CRF74_01B at 2.0%, and CRF53_01B and CRF48_01B at 0.7% each. Interestingly, unique HIV-1 genotypes including African subtype G (8.7%), CRF45_cpx (1.3%), CRF02_AG (0.7%) and CRF07_BC (0.7%) from China were detected for the first time in the country. A cluster of subtype G sequences formed a distinct founder sub-lineage within the African strains. In addition, 8.7% (13/149) of HIV-infected donors had unique recombinant forms (URFs) including CRF01_AE/B' (4.7%), B'/C (2.7%) and B'/G (1.3%) recombinants. Detailed analysis identified similar recombinant structures with shared parental strains among the B'/C and B'/G URFs, some of which

  10. An improved real-time seismic network in the Central Mediterranean

    NASA Astrophysics Data System (ADS)

    Agius, Matthew; Galea, Pauline; D'Amico, Sebastiano

    2014-05-01

    elsewhere. Within the SIMIT project, the alert system will include Civil Protection departments in Malta and Sicily. Small magnitude earthquakes, especially those located to the south and south-east of the Maltese Islands, may still go undetected by the network. In this case, use is made of a single-station polarization analysis method (LESSLA) developed at SMRU. The integration of data from the above methods allows us to produce a more comprehensive seismicity map for the Sicily Channel, which will be interpreted in terms of the dynamics of the Sicily Channel Rift System. References: Agius, M. R., & Galea, P. (2011). A single-station automated earthquake location system at Wied Dalam Station, Malta. Seismological Research Letters, 82(4), 545-559.