There are a lot of factors and conditions to be considered by tour and travel companies when designing quality product due to the fact that the product being sold is intangible and their ultimate goal is to sustain customers' loyalty. Fuzzy Logic Controller (FLC) has been observed to be compatible to this 'intangible' factor thus giving better result when compared to other methods. By using FLC, all communications are clear and have precise meaning.
The unsteady mixed convection boundary layer flow near the forward stagnation point of a two-dimensional symmetric body prescribed by a uniform heat flux rate is studied in this paper. The main aim of the investigation is to identify situations in which dual solutions for the steady-state flow can be determined when the flow is opposing. It is also shown that there is a smooth transition from the unsteady initial flow (short time) to the final steady state flow (large time).
This paper focuses on Langat River basin which is experiencing fast pace land use changes and accelerated soil erosion associated with land clearing and earthwork activities. Land use changes detected from Landsat imageries from 1989-1999 show that urban expansion is the most active, i.e. recording an expansion of 180% over that time period. The major land use reduction is the tropical dipterocarp rainforest located along the upper catchment of the Langat River and the mangrove forest found along Kuala Langat in the west. The 11% decline in the trend of the forest over that decade is anticipated to contribute in the near future. Results from logistic regression on the casual factors of rapid land use changes are attributed to three significant variables namely transport accessibility, population dynamics and agriculture. The eroded material due to land use changes enters into the Langat River systems as suspended sediments and contributed as non point source of pollution. Some finer sediment is being discharged offshore forming sediment plumes at the river estuary. Sediment plumes detected by Landsat TM imageries were analysed. It is found that the dispersion was not extensive and generally the suspended solids existed at low concentration (varying from 10-50 mg/l). This result is unexpected considering the rapid land use and land cover change that is occurring within the basins. These are mainly due to the loss of sediments during flooding into flood plain and active dredging of the river channels.
Citation: Hussin S, Lai CC, Md Firdaous H, Abu Talib P. Smoking among teenagers in Malaysia - a socio-psychological study. Shah Alam, Selangor: Karisma Publication; 2004
Barraclough S. The Malaysian tobacco industry, globalisation and public health: New opportunities for tobacco control. Public policy, culture and the impact of globalisation in Malaysia. Selangor, Malaysia: Malaysian Social Science Association; 2004. p. 112-27
MeSH terms: Health Policy; Malaysia; Public Health; Smoking Cessation; Tobacco Industry
Citation: Tak Nak! Every puff you take damages your body. An anti-smoking campaign by the Ministry of Health Malaysia. Kuala Lumpur: Ministry of Health, Malaysia; 2004
Within mosquitoes, arboviruses encounter barriers to infection and dissemination that are critical determinants of vector competence. The molecular mechanisms responsible for these barriers have yet to be elucidated. The prototype Sindbis (SIN) strain, AR339, and viruses derived from this strain, such as TR339 virus, have limited infection and transmission potential in the medically important arthropod vector, Aedes aegypti (L.). However, the Malaysian SIN virus strain, MRE16, disseminates in nearly 100% of Ae. aegypti 14 d after oral infection. Here, we compare the spatial and temporal infection patterns of MRE16 and TR339 viruses in Ae. aegypti. The results indicate that a midgut escape barrier is primarily responsible for the significantly lower dissemination and transmission potentials observed after oral infection with TR339 virus. MRE16 and TR339 viruses now represent a well-characterized model system for the further study of virus determinants of vector infection, particularly determinants affecting the midgut escape barrier in Ae. aegypti.
Anopheles sundaicus s.l. is a principal malaria vector taxon on islands and along the coastal areas of Southeast Asia. It has a wide geographical distribution and exhibits a high level of ecological and behavioral variability. Study of this taxon is crucial for understanding its biology and implementing effectise vector control measures. We compared populations of An. sundaicus from Vietnam, Thailand, and Malaysian Borneo by using two mitochondrial DNA markers: cytochrome oxidase I and cytochrome b. Genetic divergence, geographic separation, and cladistic analysis of relationships revealed the presence of two cryptic species: Anopheles sundaicus s.s. on Malaysian Borneo and An. sundaicus species A in coastal areas of Thailand and Vietnam. A polymerase chain reaction (PCR) assay was developed to easily identify these two species throughout their geographic distributions. The assay was based on sequence characterized amplified region derived from random amplified polymorphic DNA. This PCR identification method needs to be validated and adapted for the recognition of other possible species in the Sundaicus Complex.
We present a case of a middle-aged woman with a mass in the posterior third of the tongue which was diagnosed as a tongue haemangioma. The tumour was successfully excised via a midline mandibular osteotomy and tongue splitting approach. The histopathology examination, however, revealed the 5x4 cms mass to be a lingual thyroid. The salient features of this unusual presentation of a thyroid enlargement will be discussed.
Comment in: Ng CS, Mohd MS. Lingual thyroid--a lesson to learn. Med J Malaysia. 2005
Mar;60(1):115
Backgrounds and aims: The Asian Young Diabetes (ASDIAB) project is a five-year prospective study on the clinical and immunological characterisation of diabetes in newly diagnosed young Asians. This paper aims at evaluating the aetiological classification of diabetes in these patients based on presence/absence of islet autoantibodies and beta cell function at disease presentation and one year.
Materials and methods: A total of 919 patients (from Beijing, Shanghai, Hong Kong, India, Malaysia and Singapore) with age at diagnosis 12-40 years and diabetes duration <12 months were recruited between 1997 and 1999. Complete information on autoantibodies to glutamic acid decarboxylase (GAD) and IA-2 and fasting C-peptide at baseline and 1 year were available in 633 patients. Antibody positivity (Ab+) was defined by presence of GADab and/or IA-2 abo Poor beta-cell function was defined with fasting C-peptide <0.3nM at one year. TlDM was identified in patients Ab+ at diagnosis (irregardless of p cell function status) and in those Ab- at diagnosis and I-year, but demonstrated poor beta-cell function at I-year. Patients who were Ab- at diagnosis and I-year but had good beta cell function (fasting C-peptide >=0.3nM) at I-year were classified as having type 2 diabetes (T2DM).
Results: 139 patients (22%) were classified as having T1DM. Of these, 90 were Ab+ and 49 were Ab- and had poor beta cell function. The remainder 494 patients (78%) were classified as having T2DM. The ethnic distribution of T1DM patients (73% Chinese, 16% Indians and 11 % Malays) was similar to the T2DM. Compared to T2DM, T1DM patients were significantly younger at diagnosis (mean age 28.0 vs 32.9 yrs), leaner (mean BMI 21.5 kg/m' vs 25.9 kg/m' at diagnosis, 22.0 kg/m2 vs 26.1 kg/m2 at 1 year), and had significantly higher HbA1 , (11.8% vs 9.7% at diagnosis; 8.9% vs 8.0% at 1 year) . Median fasting C-peptides were significantly lower in T1DM than T2DM patients (0.2 vs 0.7 nM at diagnosis; 0.2 vs 0.8 nM at 1 year). T2DM were more insulin resistant than T1DM patients as assessed by HOMA index (median 5.8 vs 4.4 at diagnosis, 4.9 vs 3.4 at 1 year).
Conclusions: In Asians with young onset diabetes, assessment at diagnosis and one year for islet autoantibodies (GADab and lor IA-2Aab), together with estimation of p-cell function with fasting serum C-peptide levels, were useful for classifying patients as having T1DM and T2DM .
Grant from Novo Nordisk Asia Pacific, Singapore
40th EASD Annual Meeting of the European Association for the Study of Diabetes : Munich, Germany, 5-9 September 2004
MeSH terms: Beijing; Adult; Autoantibodies; C-Peptide; China; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Fasting; Germany; Glutamate Decarboxylase; Hong Kong; Humans; India; Insulin; Malaysia; Prospective Studies; Singapore; Thinness; Body Mass Index; Asian Continental Ancestry Group
There are disturbing trends of emerging and re-emerging infectious diseases, globally and locally thus giving it a real cause of concern. These include diseases by agents hitherto unknown in human such as Severe Acute Respiratory Syndrome (SARS) and Ebola; those that were purely zoonoses but had now affected man such as bovine spongioform encephalitis (BSE) in United Kingdom and avian influenza in Vietnam and Thailand; those that were thought to be eliminated but reappeared such as plague in India and those that begun to show reverse trends such as tuberculosis (TB) and malaria. Malaysia is no exception. Viral fever EV71, Chinkugunya, Conjunctivitis C24 variant or Nipah encephalitis were local examples of unknown or exotic infectious diseases occurring in recent years. In this age of globalization with expanding air travel and industrial trade, Malaysia is vulnerable to a wide array of new and resurgent infectious diseases. Apart from the direct health consequences on morbidity, mortality and its staggering cost, these infections also have far reaching implications upon sustainable development, psychosocial, economic, political and global security.
MeSH terms: Animals; Cattle; Communicable Diseases; Conjunctivitis; Conservation of Natural Resources; Encephalitis; Fever; Influenza in Birds; Great Britain; Humans; India; Malaria; Malaysia; Plague; Thailand; Tuberculosis; Vietnam; Zoonoses; Hemorrhagic Fever, Ebola; Communicable Diseases, Emerging; Internationality; Severe Acute Respiratory Syndrome; Air Travel
Workers in the health care industry and related occupations are at risk of occupational exposure to blood borne pathogens, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and other potentially infectious agents. The primary route of occupational exposure to blood borne pathogens is accidental percutaneous (through the skin) injury. Health care workers handle sharp devices and equipment such as hypodermic and suture needles, intravenous blood collection devices, phlebotomy devices, and scalpels. Health care workers with the most involvement in direct patient care e.g., nursing staff, sustain the highest proportion of reported NSIs (needle stick injuries).
MeSH terms: Breast Feeding; Patient Care; Health Personnel; Hepatitis B virus; Humans; Malaysia; Needles; Nursing Staff; Occupations; Sutures; HIV Infections; Hepacivirus; Occupational Exposure; Needlestick Injuries; Blood-Borne Pathogens; Phlebotomy; Health Care Sector
A road safety audit is a formal examination of an existing or future road or traffic project, or any project that interacts with road users, in which independent, qualified examiners look at the projects crash potential and safety performance. The objectives of road safety audit are to identify potential safety risks for road users and to ensure that measures to eliminate or reduce the risks are fully considered. Road safety audit works in two ways to ensure that safety is improved, namely by removing preventable crash producing elements at the design stage and by mitigating the effects of any remaining risks by the inclusion of suitable crash-reducing elements. The present paper focuses on providing a preliminary or basic understanding of the Road safety Audit. Later the discussion is preceded further to the important elements and the various stages in the Road Safety Audit. Finally, the conclusion focuses briefly on the implementation of the Road Safety Audit, which can only be successful if the members of the Audit Team possess sufficient specialized professional knowledge and other virtues.
Stress is on one of the important hazards faced by nursing staff. Although various intervention methods to reduce stress have been developed, its effectiveness among Malaysian nurses has yet to be established. This study involved 185 health nursing staff working at health districts Kemaman and Dungun in Terengganu. Health nursing staff from Kemaman (n=94) was selected as intervention group whereas those from Dungun (n=91) were chosen as controls. Members of the intervention group were given stress awareness education. They were taught how to reduce stress by relaxation methods. Teaching was conducted through lectures, practical training and providing a stress guidebook. A stress reliever card and letter reminding respondents to practice stress reduction methods were sent every two weeks. The total intervention period was 6 weeks. The control did not receive any education on stress reduction or encouragement to practice any stress reduction techniques throughout this period. The effectiveness of the intervention programme was measured by comparing changes in stress symptoms scores. Stress symptoms were measured using a modified Personal Stress Inventory questionnaire. The study found significant reduction of stress symptoms (42.66 ± 20.36 to 35.51 ± 22.60) in the intervention group after intervention compared to before intervention. However there was no significant difference in change of mean score of stress symptoms between both groups. Further studies need to be conducted to establish an intervention programme, which is suitable and effective in reducing stress among health nursing staff.
Psychology has been well-accepted for application in virtually all aspects of human activities, including making a living. Thus, the objective of this paper is to introduce the application of psychology at workplaces. Specifically this paper addresses the importance of the profession of Industrial and Organizational Psychologist in the increasingly advanced and industrious society of Malaysia. It highlights the areas that the professional cares for, as well as its roles and positions in the view of the nation’s needs. Besides that, this paper also stresses the essential issues that Industrial and Organizational Psychologist practicing in Malaysia should consider. In short, this paper advocates the need of having professionals to look into the well-being of individuals contributing towards making Malaysia a developed nation.
MeSH terms: Humans; Human Activities; Industry; Malaysia; Psychology, Industrial; Societies; Workplace; Developed Countries; Life
A cross sectional study to determine the exposure of heat and its biological effects on the workers in a plastic factory located in the Shah Alam Industrial Estate, Selangor, Malaysia. Forty five respondents from the polymer section in the factory were selected as the respondents. Variables measured were the environmental temperature (WBGTin), air velocity, relative humidity, body temperature, average heart and recovery heart rate. QUESTEMP°34 Area Heat Stress Monitor was used to measure the environmental temperature in °C (WBGTin) and relative humidity (%). Velocicheck Model TSI 8830 was used to measure the air velocity in meter per second (m/s) while the OMRON Blood Pressure Monitor Model T3, was used to measure average heart rate and recovery heart rate. Body temperature (°C) was measured by the Instant Ear Thermometer-OMRON Gentle Temperature Model MC509. Interviews using questionnaires were used to determine respondents’ socioeconomic background, previous risk factors on heat exposure and other information related to heat stress. Results showed that the mean environmental temperature for the exposed group was 28.75°C, the mean air velocity was 0.15 m/s and the mean relative humidity was 58.1%. These production workers were exposed occasionally to heat when loading plastic powder into the molds as well as demolding the finished plastic products from the molds. The average time of monitoring was 2 hours for intermittent exposure and 8 hours duration for overall exposure. Maximum demand for work load was measured 1 minute after work activities were stopped at the demolding section. There was a significant difference between body temperature and average heart rate before work, after 2 hours of work and after 8 hours of work ( p < 0.001). The mean recovery heart rate after 1 min was 88.0 ± 12.0 beat per min. (bpm), indicating that there is no excessive physiological demand. Body temperature (36.8 ± 0.40°C) and average heart rate after 8 hours (78 ± 12 bpm) indicated a good body control of heat exposure. Five out of six workplaces monitored had temperatures of greater than 28°C (ACGIH TLV). The workers were exposed to moderate heat stress during the study period, however, body temperature and average heart rate measurement did not reach unacceptable level of physiologic strain.
A cross-sectional study was conducted on 83 female electronics factory workers. The respondents comprised 50 exposed workers who use lead alloy solder and 33 unexposed workers. The objective of this study was to assess the lead exposure of these workers. Breathing zone were sampled using air sampling pumps. Dust samples were collected by wipe method. Venous blood collected and blood pressure were measured. All lead analyses were carried out with Graphite Furnace Atomic Absorption Spectrophotometer. The mean air lead for exposed workers (57 0. ± 0.93 μg/m³) was significantly higher than the unexposed workers (0.0067 ± 0.0045μg/m³) (p
This paper presents the use of factorial experiments and response surface methodology to determine the best workstation design configuration of an existing electronic industry. The aim is to find the value of physical dimensions that gives the best performance for the workstation. Four performance measures are selected; the cycle time, the metabolic energy expenditure, worker’s posture during the task and lifting limitations. The methodology used in this study consists of two parts. The first part is based on factorial experiments and handles discrete search over combinations of factor-levels for improving the initial solution. In the second part, the solution that was obtained earlier is further refined by changing the continuous factors by using response surface methodology. The result of this optimization study shows that the optimum value of physical dimensions gives a significant improvement for the performance measures of the workstation.
MeSH terms: Energy Metabolism; Industry; Posture; Solutions; Lifting; Pharmaceutical Solutions
Exposure to organic solvent during work activities has been known to be associated with significant clinical conditions such as peripheral neuropathy and neurobehavioral changes. Three reported cases of peripheral neuropathy most likely due to exposure to chronic organic solvent were reported recently in Bentong Malaysia. These cases showed a compatible clinical history, occupational history, examination and neurological study that link with peripheral neuropathy due to organic solvent poisoning. Proper education and training with review of engineering control measures are among preventive and corrective measures recommended. More comprehensive study in order to establish significant causal-effect relationship as documented evidence is recommended.
MeSH terms: Malaysia; Organic Chemicals; Peripheral Nervous System Diseases; Solvents; Work
This retrospective study was conducted at the audiology clinic of UKM in the year 2000. It was intended to detect the effect of walkman on the hearing system of its users and to investigate whether distortion product otoacoustic emission test can provide an early and reliable sign of cochlear damage or not. Distortion product otoacoustic emission test helps to determine the function of outer hair cell. Outer hair cells get damaged with exposure to loud sound, drugs and aging. Thirty subjects (20 in the study group and 10 in the control group), between the ages of 19-25 years, who fulfilled all the criteria of selection, were investigated. There were two sets of criteria (general and specific). Anyone, in the control or study group, failing in any of these criteria was excluded from the study. According to the general criteria, it was essential for all the subjects to have clean ear canals, normal hearing at all the frequencies (250Hz- 8000Hz), normal middle ear function (Type A tympanogram), no middle ear problem, not used/using any ototoxic medicine, no family history of hearing loss, no history of ear surgery, not exposed to any form of loud noise like disco, concert, F1 racing or gun shooting. According to the special criteria it was essential for the subjects in the control group to have never used a walkman and those in the study group must have been using a walkman for at least 6 months. Comparison of distortion product emission levels between control and study groups revealed that emissions were significantly lower in the study group, across all the frequencies, suggesting outer hair cell damage in the walkman users. These differences reached level of statistical significance (p<0.05) at 2, 4, 6 and 8kHz. Using walkman at an intensity unsafe for hearing and a duration longer than recommended is suspected for the outer hair cell damage in our study group. Those using walkman for longer duration and higher intensity manifested much lower emission levels. Our study supports the literature that distortion product emission test is a much sensitive test than pure-tone audiometry, as it can detect cochlear damage long before it appears in an audiogram. It is recommended that people who are exposed to loud noise regularly should be monitored with distortion product emission test. It is suggested that the use of walkman.
Study site: Audiology clinic, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia