Introduction: This study reported the concentration of bacterial and fungal bioaerosol at an animal house and hospi- tal laboratories with the aim to compare the concentration levels at library and administrative offices. The bioaerosol levels between mid-shift (afternoon) were also compared to the concentration measured during pre-shift (morning). Methods: The NIOSH 0800 method utilising microbiological air sampler collecting airborne bacterial and fungal samples via impaction technique on Nutrient agar (NA) and Sabouraud Dextrouse agar (SDA) as culture medium, respectively. Sampling was done twice daily; before (pre-shift) and during working (mid-shift) hour. Results: The highest bacteria and fungi concentration was recorded at the animal house with median concentration of 2477 CFU/ m3 (IQR=121-2477) and 791 CFU/m3 (IQR = 379-2081), respectively. Higher-risked workplaces such as animal house and hospital laboratories have significantly higher bioaerosol concentrations compared to control workplaces such as library and administrative offices (p
Introduction: Cervical cancer is the third most common cancer among women in Malaysia with an estimation of 1,682 new cases and 944 deaths as reported in the year 2018, and these statistics are expected to increase by the year 2025. Early detection of cervical cancer through Pap smear screening may prevent an increase in incidence. Hence, this study was aimed to determine the knowledge, attitude and practice (KAP) towards Pap smear screening in the urban community. Methods: Cross-sectional study was conducted to determine the prevalence of Pap smear screening and association with KAP among 246 randomly selected women. Primary data was collected by using a self-administered online questionnaire and analysed using SPSS version 23. Results: Prevalence of Pap smear screen- ing was recorded at 46.6%. Mean score for knowledge was 0.858±0.247, the attitude was 0.847±0.156 and practice was 0.423±0.426. There is a significant difference in KAP towards Pap smear screening (p
MeSH terms: Biometry; Uterine Cervical Neoplasms; Cross-Sectional Studies; Female; Humans; Malaysia; Surveys and Questionnaires; Vaginal Smears; Incidence; Prevalence; Early Detection of Cancer; Papanicolaou Test
Introduction: Cardiovascular disease (CVD) is a group of disease which are related to the heart and its circulations. The main modifiable risk factors of the CVD disease are hypertension, hyperglycemia and obesity. This study aims to evaluate the knowledge, awareness and practice on cardiovascular disease risk factors among Gombak community in Kuala Lumpur. Methods: This was a cross-sectional study using self-administered questionnaire and anthropomet- ric measurement among 388 subjects in Gombak District, Kuala Lumpur. Descriptive data analysis and multivariate binary logistic regression were carried to identify demographic and factors associated. Results: The prevalence of the risk factors was high among study subjects, including obesity (24.2%), hypertension (42.3%) and hyperglycemia (26.8%). More than half (64.4%) of the study subjects having at least one of the risk factor. The multivariate binary logistic model factor illustrated that compare to Malays, Chinese were 37% less likely to have obesity (CPR=0.67; 95% Cl: 0.26-1.69). Gombak district community are more likely to have the knowledge on the CVD risk factor but lack of awareness and poor in practicing the prevention action. The Indian ethnic group was less likely to be aware (APR: 0.33, Cl: 0.05-2.31) and others bumiputera ethnic group were less likely to prevent (APR: 0.58, CI: 0.20-1.65) the risk of CVD. The Chinese ethnic less likely to have the knowledge (APR: 0.88, Cl: 0.35-2.22). Conclusion: Gom- bak community was more likely to have the knowledge but less likely to be aware and lack of practice of prevention of the risk factors of CVD.
MeSH terms: Cardiovascular Diseases; Cardiovascular System; Cross-Sectional Studies; Ethnic Groups; Humans; Hyperglycemia; Hypertension; Malaysia; Obesity; Surveys and Questionnaires; Risk Factors; Prevalence; Logistic Models; Cardiopulmonary Resuscitation; Asian Continental Ancestry Group
Introduction: Due to rapid urbanization, Malaysia is currently undergoing extensive amount of construction activities and significant rise in the construction waste. Improper construction wastes management practices have led to rise in the waste open dumping sites which may significantly affect the environment and public health. This study was undertaken to assess air pollution in such a site and the impact to the respiratory health of children studying in a nearby school. Methods: A comparative cross-sectional study was conducted in Sungai Buloh (exposed) and Kuala Selangor (comparative). Concentration of PM10 was monitored at the open dumping site (n=15), a nearby primary school (n=45) and a comparative primary school (n=12). Parents who gave consent (n=229) answered a questionnaire related to child’s respiratory health whereas their children participated in lung function assessment. Results: Concentration of PM10 at the dumping site, exposed school and comparative school was 0.245±0.048mg/ m3 , 0.270±0.020mg/m3 and 0.051±0.016mg/m3 respectively, with the first two significantly exceeded the 24-hour Malaysian Air Quality Standard (MAQS) for PM10 (0.150mg/m3 ). Besides, PM10 concentration in the exposed school was similar to the dumping site (p>0.05) and many folds higher than the comparative school (p
MeSH terms: Air Pollution; Child; Cross-Sectional Studies; Humans; Informed Consent; Lung; Malaysia; Parents; Public Health; Surveys and Questionnaires; Reference Standards; Schools; Urbanization; Waste Disposal Facilities
Introduction: Association studies between single nucleotide polymorphisms (SNPs) and type 2 diabetes mellitus (T2DM) have been abundant. However, there are limited reports on copy number variations (CNVs) of beta-defen- sins (DEFB) gene in relation to T2DM. In this study, DEFB copy numbers were quantified in T2DM with nephropathy, T2DM without nephropathy and non-diabetic control groups to investigate its influence in chronic inflammation in Malaysian individuals. Methods: DEFB copy number in Malaysian individuals were quantified by using paralogue ratio tests (PRT) which allow direct quantification of gene copy number by using PRT107A and HSPD21 PRT primers. The copy number generated was then validated from insertion/deletion ratio measurement 5DEL (rs5889219) and two microsatellite analyses (EPEV-1 and EPEV-3). Results: DEFB copy number was found extending from 2 to 8 cop- ies in the non-diabetic group (n=146), while in T2DM group (n=392), copy numbers were more extensive, ranging between 1 and 12 copies; with 1, 10 and 12 copies detected in T2DM with nephropathy group (n=202). Statistically, there is no significant difference in DEFB copy number between T2DM and the non-diabetic group (p=0.209) as well as between diabetic nephropathy and without nephropathy of the T2DM group (p=0.522). However, significant white blood cell (WBC) count was found between T2DM groups with and without diabetic nephropathy (p=0.000). Conclusion: Extreme DEFB copy numbers in T2DM with nephropathy group suggest future studies with bigger sam- ple size are necessary to elucidate the true impact of CNVs of DEFB gene in promoting early onset of nephropathy in T2DM.
MeSH terms: Biometry; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Humans; Inflammation; Leukocytes; Gene Dosage; Microsatellite Repeats; Polymorphism, Single Nucleotide; Control Groups; INDEL Mutation; DNA Copy Number Variations
Introduction: A cross-sectional study was conducted to provide preliminary insight of Awareness, Knowledge and Attitude (AKA) assessment on urinary tract infection (UTI) among adolescents which includes the general level of AKA and correlation between the domains as well as the relationship between Total AKA and the sociodemographic factors. Methods: A modified and adapted questionnaire was developed, consisting of socio-demographic questions and AKA domains employing descriptive statistics, linear regression and multiple regression analysis via SPSS Ver- sion 23.0. Results: In general, AKA level was reported as moderate (0.5 ± 0.11). Among the three domains, Knowl- edge (0.70 ± 0.12) risen with the most astounding mean, took after Awareness (0.36 ± 0.22) and Attitude (0.65 ± 0.11). A positive but weak correlation was found between the domains; Awareness and Knowledge is significant at p = 0.034, r = 0.157; R2 = 0.02 and similarly, a weak correlation was also found between Knowledge and Attitude which is significant at p = 0.000, r = 0.411; R2 = 0.17. After covariates adjustment, female gender was found to have the strongest relationship with Total AKA. Conclusion: The general level of Total AKA on UTI is moderate. The AKA domains in this study was found to be positively correlated and female was found to be the best predictor for a better Total AKA on UTI. Thus, these findings provide important information to formulate an effective education interven- tion to improve the AKA on UTI among adolescents.
MeSH terms: Adolescent; Cross-Sectional Studies; Demography; Educational Status; Employment; Female; Humans; Surveys and Questionnaires; Urinary Tract Infections; Linear Models; Knowledge
Introduction: Application of nano-engineered fingerprint dusting powders has been a recent trend to achieve latent fingermark development with superior ridge clarity. As such, efforts have been made to utilise natural resources to increase the sustainability of these emerging nano-engineered powders. Lithium-doped zinc oxide, primarily used as white pigments, have been previously applied to latent fingermarks with success. In the current study, nanostruc- tured zinc oxide, synthesised using neem extract as the reducing agent, was evaluated for fingermark development on non-porous surfaces. Methods: The reduction of zinc nitrate hexahydrate was facilitated by neem extract, pre- pared by boiling neem leaves in distilled water. The thick yellow paste recovered was calcined in the furnace to produce a light yellow powder. Physicochemical composition of the powder was determined using microscopic and spectroscopic instruments. The effectiveness of the powder was tested on natural fingermark deposited on several non-porous surfaces. Results: Nanostructured zinc oxide with particle size ranging in between 1 to 3 µm consisting of highly aggregated spherical particle with less than 100 nm dimensions were synthesised. Developed fingermarks revealed excellent ridge details and contrast on dark coloured surfaces. Studying the fingermark closely under scan- ning electron microscope displayed selective distribution of particle on the ridges of the fingermark residue and very minimal deposition on the fingermark valleys. Conclusion: Nanostructured zinc oxide fabricated using green chem- istry approach can be applied for the development of fingermark. Nevertheless, future works can be undertaken to enhance particle dispersity and to confer strong photoluminescence to the zinc oxide nanoparticles.
Introduction: Safety helmets are one of the personal protective equipment (PPE) that to decrease the impact of any falling object to the skull and to avoid head and brain injury by many industries, including palm oil plantation. Nev- ertheless, the level on the usage of the current safety helmet is very low due to a few factors that lead to the discom- fort. Among the common issues for the non-compliance of safety helmets are their discomfort, ventilation, weight and safety. This study aims to determine subjective preference of the new prototypes’ safety helmets device among palm oil plantation harvesters. Methods: A cross-sectional study conducted among 124 harvesters in three palm oil plantations located in Sabah, Malaysia. A set of questionnaires used to collect data on their socio-demographic background, perceptions toward existing safety helmets and their subjective preference of new safety helmets pro- totypes. Apart from that, six harvesters were randomly choosing to attend an interview session for qualitative study. Results: The descriptive analysis indicate that among the emphasized issues regarding non-compliance of existing safety helmet were due to discomfort (66.1%), poor ventilation (97.6%), load of safety helmet (83.3%) and safety issues (68.5%). In terms of new safety helmets prototypes, 72.6% of the harvesters preferred Design C to be worn for work in the plantation. Conclusion: It can be suggested that the existing safety helmet is uncomfortable and was not design ergonomically namely loose size and discomfort. Design C was the most preferred to be worn for work in the palm oil plantation.
MeSH terms: Accidental Falls; Personal Protective Equipment; Brain Injuries; Cross-Sectional Studies; Demography; Head; Head Protective Devices; Malaysia; Perception; Surveys and Questionnaires; Skull
Introduction: Tuberculosis (TB) is one of the utmost serious infectious diseases worldwide. The emergence of multi- drug resistance demands the development of better or new putative drug targets for tuberculosis. Recent studies sug- gest Mycobacterium tuberculosis cytochrome P450 enzymes as promising drug targets and azole drugs as potential inhibitors. Methods: Various computational tools, like Expasy Protparam, Swiss model, RaptorX and Phyre2 were used to analyze 12 Mycobacterium tuberculosis P450 enzymes and determine their three-dimensional structure. The structural validation was done through a Ramachandran plot using RAMPAGE server. The docking of P450 enzymes with azole drugs was done with autodock ver 4.2.6. Results: Based on sub-cellular localization prediction using CEL- LO tool, P450 enzymes CYP123A1, CYP132A1, CYP135A1, CYP136A1, CYP140A1, and CYP143A1 were predicted to be in the cytoplasm. Through structure assessment by Ramachandran plot, the best homology modelled proteins were docked with azole drugs like clotrimazole, croconazole, econazole, fluconazole, itraconazole, itraconazole, ketaconazole and micronazole by using autodock. By docking method it is identified that ketaconazole drug has a high affinity towards most of the mycobacterium P450 enzymes followed by the itrconazole drug. CYP123A1 enzyme is preferable as a drug target due to high binding affinity towards ketoconazole followed by CYP135A1, CYP140A1 enzymes. Conclusion: This study would help in identifying putative novel drug targets in Mycobacterium tuberculosis, which can lead to promising candidates for the optimization and development of novel anti-mycobac- terial agents.
Introduction: Drug abuse is a prevalent issue in Malaysia, and a constant struggle to eradicate even among substance abusers who have received prior rehabilitation. Drug abuse has also been known to affect the quality of life of an individual, due to the stigma it carries. This research emphasized on studying the life quality of relapsed and first-time substance abusers in rehabilitation centres including their tendency towards aggression. Methods: A cross-sectional study was conducted to evaluate the current inpatients in Cure & Care Rehabilitation Centres (CCRC) in Peninsular Malaysia. Primary data was acquired using a self-administered questionnaire consisting of socio-demographic (Part A), quality of life (Part B) and aggression related questions (Part C). 417 individuals were selected through purposive sampling from five different centres. A statistical analysis was conducted using independent t-test, single linear re- gression and Kruskal-Wallis using SPSS version 25.0. Results: An analysis of the data presented no significant asso- ciation between quality of life and tendency of aggression among relapsed and first time substance abusers (p>0.05). Based on the analysis and the outcome, age influences the level of aggression (p=0.018) while quality of life is af- fected by education level (p=0.017). Marital status is a factor that affects both the level of aggression (p=0.015) and quality of life (p=0.043). Conclusion: The findings may contribute to law enforcements in reducing violent crimes committed by drug abusers and rehabilitation efforts by rehabilitation centres, by establishing demographic profiles in relation to quality of life and aggression.
MeSH terms: Aggression; Crime; Cross-Sectional Studies; Humans; Inpatients; Malaysia; Quality of Life; Surveys and Questionnaires; Rehabilitation Centers; Marital Status; Substance-Related Disorders; Law Enforcement; Drug Users; Social Stigma
Introduction: Identification of remains recovered at advanced stages of decomposition can be problematic due to the lack of physical evidence. Nonetheless, human dentition is least susceptible to decomposition and as such carry a significant value in personal identification of decomposed remains. Demirjian’s method of age estimation was developed specifically for children with developing dentition. In this article, a method on adapting the Demirjian’s method for Malay ethnic-specific age estimation using the third molar development is presented. Methods: Orthop- antomograms of Malay subjects aged 18 to 25 were obtained from UiTM Sungai Buloh. Total of 318 samples were taken, comprising of 123 and 195 images from male and female subjects. Development of right and left mandibular third molar was classified according to the eight stages of development as illustrated in Demirjian’s method. Data obtained were subjected to statistical analysis such as descriptive statistics and analysis of variance. The intra- and inter-gender variation between left and right mandibular third molar was evaluated using independent student t-test and analysis of variance, respectively. Results: Intra-gender comparison analysis revealed a significant difference in the female and male with a p-value of 0.000 and 0.003, respectively. Regression equation to estimate age based on third molar development were formulated according to dental age and maturity score. Conclusion: The Demirjian’s method was successfully adapted for age estimation of individuals of Malay ethnicity. These findings can help with victim identification in cases of poor skeletal framework recovery and highly decomposed remains.
MeSH terms: Adolescent; Adult; Age Determination by Teeth; Aged; Analysis of Variance; Biometry; Child; Dentition; Ethnic Groups; Female; Humans; Malaysia; Male; Molar, Third; Students; Young Adult
Introduction: Domestic violence is a serious issue that has often been overlooked by the society. It includes any physical, emotional or sexual violence that occurs between family members. Year after year, many cases of domestic violence have been reported in news and the numbers keep increasing from time to time. Experiencing this violence may give negative impacts on the victim. This study aimed to determine the prevalence of domestic violence among university students in Selangor, Malaysia and to discover its effects on their academic achievement. Methods: A cross-sectional study was implemented in a form of questionnaire that was distributed to 368 university students at Selangor, Malaysia in the period from June 2018 to December 2018. Results: Results showed that 69 respondents (18.7%) had experienced DV throughout their life; all of them suffered physical violence, 95.7% had suffered emo- tional violence while 14.5% had suffered sexual violence. Age, gender, residence, family income, institution’s type and speciality of study has no significant association with DV while, race, religion and parents’ status were signifi- cantly associated with DV. Also it was noticed that out of these 69 respondents that had experience of domestic violence, 36 of them were studying in private universities and 33 of them were studying in public universities. Most of those experienced domestic violence showed low CGPA. Conclusion: It is concluded that there is low prevalence of DV among university students in Selangor. Experiencing DV during childhood has an impact on the academic achievement of the victim in the future university life.
Introduction: Rice husk has portrayed great potential in becoming a sustainable biomass source in producing silica, cellulose and carbon materials, which garnered widespread interest among researchers. The objective of the current study is to determine the morphological and compositional changes in rice husk due to the synergistic effects of ther- mochemical treatment. Methods: Washed and dried rice husk was blended into a fine powder and then subjected to step-wise heat treatment and acid digestion to produce white ash. The intermittent products, as well as the original rice husk and the final ash product, were characterised using analytical instruments to document the morphologi- cal and chemical composition changes. Results: This report highlights the production of pure rice husk ash using a step-wise treatment using a combination of thermochemical treatment and carbonisation. The results showed that a partial breakdown of the lignocellulose components was achieved using directed thermal treatment at low tem- perature. The ionic impurities were leached out in subsequent heated acid treatment. Thereafter, the carbonaceous organic matter was completely converted to carbon during the carbonisation of the sample and the remaining carbon residue was removed during calcination. High purity ash contained agglomerated and nanostructured silica in the dimensions of 20 to 50 nm in the amorphous form. Conclusion: The step-wise treatment allowed systematic removal of each compound while maintaining the amorphous mineral phase of silica and avoiding carbon fixation. Under- standing the effect of each treatment offers insight to produce purer silica from rice husk.
Trigeminal neuralgia is a debilitating disease that can lead to depression and even suicide. Trigeminal neuralgia is usually treated using carbamazepine; however, many patients are refractory to such medical treatment. Thus, other treatment modalities are required, such as physical treatment and dry needling. The objective of this case report is to describe the management of trigeminal neuralgia in a 35 years old Malay housewife, who had left side atypical trigeminal neuralgia involving V2 region in the last four years, which was refractory to medical treatment. The appli- cation of Malay massage, combined with dry needling executed along the distribution of trigeminal nerve showed an improvement of pain on the Visual Analog Scale (VAS) from 7–8/10 to 0-1/10 after 11 sessions. Therefore, Malay massage combined with dry needling can be used as a non-pharmaceutical approach to managing trigeminal neu- ralgia.
Emanuel syndrome, also referred to as supernumerary der(22) or t(11;22) syndrome, is a rare genomic syndrome. Patients are normally presented with multiple congenital anomalies and severe developmental disabilities. Affected newborns usually carry a derivative chromosome 22 inherited from either parent, which stems from a balanced translocation between chromosomes 11 and 22. Unfortunately, identification of Emanuel syndrome carriers is diffi- cult as balanced translocations do not typically present symptoms. We identified two patients diagnosed as Emanuel syndrome with identical chromosomal aberration: 47,XX,+der(22)t(11;22)(q24;q12.1)mat karyotype but presenting variable phenotypic features. Emanuel syndrome patients present variable phenotypes and karyotypes have also been inconsistent albeit the existence of a derivative chromosome 22. Our data suggests that there may exist ac- companying genetic aberrations which influence the outcome of Emanuel syndrome phenotypes but it should be cautioned that more patient observations, diagnostic data and research is required before conclusions can be drawn on definitive karyotypic-phenotypic correlations.
A Superscan is described as a ‘beautiful bone scan’. In a superscan, the uptake of 99mTc-Methelene Diphosphonate (MDP) is prominent in the skeleton relative to soft tissue with absent or faint visualisation of the kidneys. This finding could be misinterpreted as a normal bone scan. A ‘Sub-superscan’ is a term used for scan findings in which the up- take is atypical of a superscan, but the patient has extensive bone metastases, as presented in our case report.
Lasers have been identified as one of the preventive tools that can be utilised to prevent white spot lesion in ortho- dontic practice. The aim of this scoping review was to evaluate the current scientific literature on the use of lasers specifically to prevent white spot lesion in orthodontic cases. Search was performed in PubMed, Web of Science, Scopus and EBSCO databases from the past ten years. The records obtained were peruse considering specific in- clusion and exclusion criteria. From the total of 1123 studies that were evaluated, 68 papers were included for this review. A variety of laser types has been reported including Er;YAG, Er,Cr:YSGG, Argon and CO2 lasers. CO2 laser has a good number of evidence of it’s positive result and can be suggested to be use in clinical practise. However, since most data for the other type of lasers were derived from in vitro studies, they must be interpreted with care. Randomised clinical trials would be beneficial to give more meaningful evidence for clinicians to adopt lasers in their practice.
MeSH terms: Argon; Dental Caries; Publications; Bibliometrics; PubMed; Lasers, Gas
Protein kinases (PKs) are regulators of protein phosphorylation in many infectious diseases, including malaria. How- ever, the cellular functions of majority of PKs in Plasmodium falciparum remain unknown. The mechanisms involved in P. falciparum cell cycle progress are not fully understood. The activation of cyclin-dependent kinases (CDKs), which constitute a PK family that includes crucial regulators of cell cycle progression in eukaryotes, is strictly being coordinated by the interaction with specific cyclins at well-defined points within the cell cycle. These cyclin/CDK complexes are very well characterised in humans, but little is known in P. falciparum. This review expand our un- derstanding of the characteristic of CDKs and cyclins in P. falciparum, and paves the way for further investigations on the precise molecular role of these crucial regulatory proteins in mosquito and human. This represents a valuable step towards the elucidation of cell cycle control mechanisms in malaria parasites.
The past several decades have seen increasing concern regarding the wide distribution of polycyclic aromatic hydrocarbons (PAHs) in environmental matrices. Primary toxicological data show PAHs' persistent characteristics and possible toxicity effects. Because of this pressing global issue, electroanalytical methods have been introduced. These methods are effective for PAH determination in environmental waters, even outclassing sophisticated analytical techniques such as chromatography, conventional spectrophotometry, fluorescence, and capillary electrophoresis. Herein, the literature published on PAHs is reviewed and discussed with special regard to PAH occurrence. Moreover, the recent developments in electrochemical sensors for PAH determination and the challenges and future outlooks in this field, are also presented.
Introduction: Cancer is one of the main causes of mortality globally and the incidence has been rising over the years. Studies have shown that miRNAs have the potential as cancer biomarkers. The miR-130a has been reported to be upregulated in several types of cancer, which indicate the important roles of miR-130a in cancer development and metastasis. The aim of this study is to identify potential target genes and to predict the regulatory function of miR- 130a-3p and 5p in cancer. Methods: Three bioinformatics platforms namely miRWalk, the Database for annotations, visualization and integrated discovery (DAVID) Gene Functional Classification Tool and miRanda-miRSVR analysis tools were used to identify possible interaction between miR-130a and its target. Protein-protein interaction (PPI) network for the predicted target genes was then constructed. Results: The analyses have identified nine predicted target genes for miR-130a-3p (RAPGEF4, SOS2, NRP1, RPS6KB1, MET, IL15, ACVR1, RYR2 and ITPR1), and ten for miR-130a-5p (BCL11A, SPOPL, NLK, PPARGC1A, POU4F2, CPEB4, ST18, RSBN1L, ELF5 and ARID4B), that might
play an important role in the development of cancer. Findings from this report suggest that miR-130a may involves in controlling cancer related genes; MET, ACVR1 and BCL11A. miR-130a-3p may regulates MET which involves in apoptosis and metastasis, and ACVR1 which involves in metastasis and angiogenesis. miR-130a-5p may regulates BCL11A which involves in apoptosis, proliferation and tumorigenesis. Conclusion: This study has highlighted the molecular interaction of miR-130a with associated genes and pathways, suggesting therapeutic potential of miR- 130a as personalised targeted therapy for cancer.