Pediatric brain tumor survivors (PBTS) suffer from cognitive late effects, such as deteriorating executive functioning (EF). We explored the suitability of the Behavior Rating Inventory of Executive Function (BRIEF) to screen for these late effects. We assessed the relationship between the BRIEF and EF tasks, and between the BRIEF-Parent and BRIEF-Teacher, and we explored the clinical utility. Eighty-two PBTS (8-18 years) were assessed with EF tasks measuring attention, cognitive flexibility, inhibition, visual-, and working memory (WM), and with the BRIEF-Parent and BRIEF-Teacher. Pearson's correlations between the BRIEF and EF tasks, and between the BRIEF-Parent and BRIEF-Teacher were calculated. The BRIEF-Parent related poorly to EF tasks (rs < .26, ps > .01), but of the BRIEF-Teacher the WM-scale, Monitor-scale, Behavioral-Regulation-Index, and Meta-cognition-Index, and Total-score (rs > .31, ps < .01) related significantly to some EF tasks. When controlling for age, only the WM scale and Total score related significantly to the attention task (ps < .01). The inhibit scales of the BRIEF-Parent and BRIEF-Teacher correlated significantly (r = .33, p < .01). Children with clinically elevated scores on BRIEF scales that correlated with EF tasks performed worse on all EF tasks (ds 0.56-1.23, ps < .05). The BRIEF-Teacher Total and Index scores might better screen general EF in PBTS than the BRIEF-Parent. However, the BRIEF-Teacher is also not specific enough to capture separate EFs. Solely relying on the BRIEF as a screening measure of EFs in BPTS is insufficient. Questionnaires and tasks give distinctive, valuable information.
Matched MeSH terms: Attention Deficit Disorder with Hyperactivity/psychology
Kenaf fibre is one of the natural fibers that has received much attention of many researchers because of its good properties and flexible use. Kenaf fibre composites have been proposed as interior building materials. In this study, the recycling effect on the kenaf PVC wall panel is focused. The main objective of this study is to determine the mechanical properties of different types of kenaf PVC wall panels. The samples were formulated based on the first and third recycling process. The specimens were subjected to several types of tests, namely, tensile, izod impact, flexural and hardness based on ASTM D3039, ASTM D256, ASTM D7264 and ASTM D785, respectively. The results indicate that the mechanical properties of the third recycled kenaf PVC wall panel product is better than the virgin and first recycled specimen. This shows that the recycling process enhances the mechanical properties of the product. On the other hand, the hardness of the specimen decreases after first recycling due to the reheating effect.
This report presents a review of the Malaysian Journal of Medical Sciences' (MJMS) performance status throughout 2017, which covers the submission pattern of original manuscripts by month, the geographical distribution of submitting authors, the types of manuscripts and overall acceptance/rejection rates. As the years progress, MJMS continues to receive an escalating number of manuscript submissions. This contributes to an ever-increasing workload, which makes administrative tasks continually more challenging. Although the manuscript submission platform seeks to minimise the pre-publication workload of the journal administrator, it is still a time-consuming task, particularly when authors seek exclusive attention for their submitted manuscripts.
The mangrove forest ecosystem acts as a shield against the destructive tidal waves, preventing the coastal areas and other properties nearby from severe damages; this protective function certainly deserves attention from researchers to undertake further investigation and exploration. Mangrove forest provides different goods and services. The unique environmental factors affecting the growth of mangrove forest are as follows: distance from the sea or the estuary bank, frequency and duration of tidal inundation, salinity, and composition of the soil. These crucial factors may under certain circumstances turn into obstacles in accessing and managing the mangrove forest. One effective method to circumvent this shortcoming is by using remotely sensed imagery data, which offers a more accurate way of measuring the ecosystem and a more efficient tool of managing the mangrove forest. This paper attempts to review and discuss the usage of remotely sensed imagery data in mangrove forest management, and how they will improve the accuracy and precision in measuring the mangrove forest ecosystem. All types of measurements related to the mangrove forest ecosystem, such as detection of land cover changes, species distribution mapping and disaster observation should take advantage of the advanced technology; for example, adopting the digital image processing algorithm coupled with high-resolution image available nowadays. Thus, remote sensing is a highly efficient, low-cost and time-saving technique for mangrove forest measurement. The application of this technique will further add value to the mangrove forest and enhance its in-situ conservation and protection programmes in combating the effects of the rising sea level due to climate change.
Following the announcement of Traditional and Complementary Medicine Act 2013, Muslim faith healers are slowly gaining grounds to make their practice mainstream. One of the major characteristics of Muslim faith healers is the strong inclination to attribute mental illnesses to Jinn possession (demonic possession). Unlike other traditional healers, Muslim faith healers’ primary mode of treatment is Ruqyah, an incantation or generally considered as ‘Du’a or prayers. This article is a sharing by a psychiatrist who has been actively engaging with faith healers in order to understand the world of faith healing including the attitude and knowledge of both the healers and clients while attempting to educate them on modern psychiatry based on bio-psycho-socio-spiritual paradigm. The methodology: 1) Involvement in symposium, seminar and focused group discussion, either as participant or as speaker. 2) Collaborating with local spiritual leader to conduct workshop on mental illness in mosques. 3) Writing articles in scientific and popular publications with and without faith healers as the collaborators. 4) Appearing in radio advocating and discussing about the dilemma of mental illness issue from the religious perspectives, and 5) Participate in workshop conducted by Muslim faith healers. As a result, several issues come to the author’s attention. The divisions of Muslim faith healers are rather complicated, for example Malay traditional healers or bomoh should not be categorized in the same group as Muslim faith healers. The oft-quoted ‘Islamic Medicine’ is problematic in view that it is laced with elements of local cultural value and practice which are not necessarily authentically Islamic. Since Malays make up the biggest community in Malaysia, one has to differentiate between Islam and Muslim. Majority of Muslims misunderstood the term Ruqyah as a form of healing exclusively done by the Muslim faith healers. In conclusion, psychiatrists should engage more proactively with faith and spiritual healers in order to curb stigmatization and delay in seeking psychiatric care and treatment.
Cancer pain is a complex experience and is one of the most common and distressing symptom of breast cancer which affects patients’ functioning in daily activities, their quality of life (QOL), and mood. Yet, there is a great lack of data on breast cancer and pain in Malaysia.
Methods: A cross-sectional study using the Breast Cancer Patient Version of Quality of Life (QOL) Instrument (translated into Malay) and Depression Anxiety and Stress Scale (DASS) were conducted on 87 female breast cancer patients to investigate the impact of pain interference level on their quality of life and depressive level.
Results: The patients were divided into 4 groups based on their rating of how pain and aches have been a problem to them (i.e not a problem [n=18 (20.7%)], mild[n=29 (33.3%)], moderate [n=18 (20.7%)] and severe [n=22(25.3%). Pain and aches ware reported to be the most severe interference problems in QOL physical domain by patients (mean=5.8, SD=2.8), followed by fatigue (mean=6.0, SD=3.1) and sleep changes (mean=6.2, SD=3.5). Patients who reported that pain and aches had severely affected them showed significantly lower score on many aspects of quality of life (Fs > 5, p < 0.005; p < 0.0001) and patients reported pain was not a problem at all demonstrated highest score on all aspects of QOL. Patients with most severe pain interference level showed highest depressive score [F (3, 84) =3, p < 0.05].
Conclusion: The study underscores the impact of pain interference on patients’ quality of life and depressive level. The pain assessment deserves significant attention and therefore a comprehensive biopsychosocial assessment of pain to rule out any related underlying issues is warranted in the management of breast cancer to ensure appropriate intervention given to the patients.
CORRECTION: After the publication [1] it came to the attention of the authors that one of the co-authors was incorrectly included as Hamza Somrain. The correct spelling is as follows: Hamzeh Sumrein.
As the technology for 3D photography has developed rapidly in recent years, an enormous amount of 3D images has been produced, one of the directions of research for which is face recognition. Improving the accuracy of a number of data is crucial in 3D face recognition problems. Traditional machine learning methods can be used to recognize 3D faces, but the face recognition rate has declined rapidly with the increasing number of 3D images. As a result, classifying large amounts of 3D image data is time-consuming, expensive, and inefficient. The deep learning methods have become the focus of attention in the 3D face recognition research. In our experiment, the end-to-end face recognition system based on 3D face texture is proposed, combining the geometric invariants, histogram of oriented gradients and the fine-tuned residual neural networks. The research shows that when the performance is evaluated by the FRGC-v2 dataset, as the fine-tuned ResNet deep neural network layers are increased, the best Top-1 accuracy is up to 98.26% and the Top-2 accuracy is 99.40%. The framework proposed costs less iterations than traditional methods. The analysis suggests that a large number of 3D face data by the proposed recognition framework could significantly improve recognition decisions in realistic 3D face scenarios.
The new millennium witnessed increasing attention to the field of robotics, especially the development of humanoid bipedal robot. Attention is noticed from the increasing number of publications as a result of a multitude of humanoid projects for commercial and academic goals. This paper briefly visits the recent activities in this field, highlighting the importance and motivation behind adopting bipedal humanoid projects, particularly underlining biologically inspired design concept, bipedal locomotion and communication. Ultimately, emphasising on power-efficient design. The problem of endurance and effective duty cycle were presented. Finally, potential future application for the humanoid robot was briefly listed.
Microplastics receive global attention due to its strong presence in marine and freshwater organisms. Yet, there are few studies on estuarine organisms. This baseline study evaluates the abundance and distribution of microplastics in the gastropods of a tropical estuary in Selangor, Malaysia. The abundance of microplastics ranged from 0.50 to 1.75 particles/g or from 0.25 to 0.88 particles/individual. The variation in microplastic distribution between the upper and lower estuary indicates that the microplastics originated from the urbanised area of the Klang River estuary. Microplastic sizes varied from 30 to 1850 μm, with the majority being between 300 and 1000 μm (57%). Characteristics of microplastics were dominant for fibres (91%) with black colour (50%). Polyethylene-propylene-diene (PE-PDM) and polyester were the main polymer materials. Assessing the contamination of gastropods by microplastics provides insight into the possibility of utilising gastropods as bioindicators that could be used for monitoring and baseline studies.
Due to its objective nature, auditory brainstem response (ABR) evoked by complex stimuli has been gaining attention lately. The present study aimed to compare the speech-evoked auditory brainstem response (speech-ABR) results between two ethnic groups: Malay and Chinese. In addition, it was also of interest to compare the speech-ABR outcomes obtained from the present study with the published Caucasian data. Thirty healthy male adults (15 Malay and 15 Chinese) were enrolled in this comparative study. Speech syllable/da/presented at 80 dBnHL was used to record speech-ABR waveforms from the right ear of each subject. Amplitudes and latencies of speech-ABR peaks (V, A, C, D, E, F and O), as well as composite onset measures (V/A duration, V/A amplitude and V/A slope) were computed and analyzed. When the two ethnic groups were compared, all speech-ABR results were not statistically different from each other (p > 0.05). When the data from the present study were compared with the published Caucasian data, most of the statistical analyses were significant (p
The issue of water quality is a never ended issue and becoming more critical when considering the presence of natural radionuclides. Physical parameters and the levels of radionuclides may have some correlation and need further attention. In this study, the former tin mine lake in Kampong Gajah was chosen as a study area for its past historical background which might contribute to attenuation of the levels of natural radionuclides in water. The water samples were collected from different lakes using water sampler and some in-situ measurement were conducted to measure physical parameters as well as surface dose level. The water samples were analyzed for its gross alpha and gross beta activity concentrations using liquid scintillation counting and in-house cocktail method. Gross alpha and beta analyzed using in-house cocktail are in the range of 3.17 to 8.20 Bq/L and 9.89 to 22.20 Bq/L; 1.64 to 8.78 Bq/L and 0.22 to 28.22 Bq/L, respectively for preserved and un-preserved sample. The surface dose rate measured using survey meter is in the range of 0.07 to 0.21 μSv/h and 0.07 to 0.2 μSv/h for surface and 1 meter above the surface of the water, respectively.
Introduction: Interest in mindfulness and its enhancements have quietly exploded in recent years, bringing with it the need for validated instruments to assess mindfulness in the Malaysian population. The study aims to assess the reliability, factor structure and validity of the Malay version of The Mindful Attention Awareness Scale (MMAAS) in a group of nursing students. Methods: The MMAAS was ‘forward-backward’ translated from English to Malay. Two hundred and sixty six nursing students answered the MMAAS. At the same time, they responded to the General Health Questionnaire (GHQ) and Rosenberg Self-Esteem Scale (RSES). We performed Exploratory Factor Analysis (EFA) with varimaxrotation to examine the factor structure of the MMAAS. Associations of retained factors were estimated by Spearman correlation coefficients. Results: Internal consistency reliability of MMAAS was good (Cronbach’s α = 0.851) and showed temporal stability in a 3-week period. Exploratory Factor Analysis (EFA) suggested three factors labelled as “Attention related to generaldomain”, “Attention related to the physicaldomain” and “Attention related to psychological domain”. These factors explained 52.09% of the variance. The Malay MAAS and the English version was highly correlated (r=0.82, p
Plants have been a good source of therapeutic agents for thousands of years;
an impressive number of modern drugs used for treating human diseases are derived from
natural sources. The Theobroma cacao tree, or cocoa, has recently garnered increasing
attention and become the subject of research due to its antioxidant properties, which are
related to potential anti-cancer effects. In the past few years, identifying and developing
active compounds or extracts from the cocoa bean that might exert anti-cancer effects
have become an important area of health- and biomedicine-related research. This review
provides an updated overview of T. cacao in terms of its potential anti-cancer compounds
and their extraction, in vitro bioassay, purification, and identification. This article also
discusses the advantages and disadvantages of the techniques described and reviews the
processes for future perspectives of analytical methods from the viewpoint of anti-cancer
compound discovery.
Introduction : Major flooding that occurred in Segamat District at the end of 2006 and early 2007 was a natural disaster that has left impact on physical and mental well-being of the victims. The aim of this study is to see the impact of the major flooding to the mental health of the health staff in Segamat District.
Methodology : Cross sectional study was conducted among Segamat health staffs who were involved in the major floods. Structured questionnaire was used to assess the mental health status of the victims. Result : There were 119 health staffs from the district health office, Hospital Segamat, dental clinic and Community Nursing School were interviewed in this study. A total of 6.7% respondents claimed to have stress related symptoms with women were more effected than men. Nurses and married respondents were found to be more stressful in this study.
Conclusion : Based on findings, therefore, top management has to pay more attention to the welfare of the health staff, directly or indirectly, in particular on the psychological aspect. By giving emphasis on continuous in-service training and counseling as well as other relevant support, stress-related symptoms could be minimized which in turn lead to higher individual productivity.
The security warning is a representation of communication that is used to warn and to inform a person whether security menaces have been discovered in order to prevent any consequences of damage from taking place. The purpose of a security warning is to provide a legitimate alert (to notify and to warn) to the users so that a secure manner of action is safely conducted. It is worth noting that the majority of computer users prefer to dismiss security warnings due to lack of attention, the use of technical words, and the deficiency of information provided. This paper determines to achieve two outcomes: firstly, a thorough review of problems, challenges, and approaches to improving security warnings. Our work complements the previous classifications in the identification of problems and challenges in security warnings by value-adding a new classification, namely immersion in the primary task. Then, we add other related works within the known classifications accordingly. In addition, our work also presents the classifications of approaches to improving security warnings. Secondly, we propose two timelines by addressing the problems, challenges, and approaches to improving security warnings. It is expected that the outcomes of this research will be useful to researchers within the niche area for analysing trends and providing the groundwork in security warning studies, respectively.
Introduction: According to PDRM statistic, in average, 100 babies are dumped every year, in Malaysia. The stig-ma of having babies out of wedlock, feeling of desperation and lack of support are some reasons why babies were dumped at the unimaginable places. Even if they were found and saved, these babies will be placed and raised at institutions. This will lead to the negative effects of institutionalisation as they do not receive appropriate adult care and attention which is crucial in developing their potential. OrphanCare Foundation advocates and provides services that ensure babies and children who are in institutions and those whose lives are at risk grow up in the care of a loving family. Methods: OrpahnCare Foundation provides a safe haven for babies that are being abandoned through baby hatch centres, finding a family for these babies through a legal adoption programme, and deinstitutionalisation (DI) i.e. removing all children currently in institutions, to family based care. Results: Since 2010, OrphanCare Foun-dation has saved a total of 369 babies and successfully arranged for the adoption of 221 babies. Forty even children were taken out from institutions and brought home to their families. Conclusion: The best place for a child to grow up is in the love and care of a family. They will receive personalised guidance, support and love that they need to develop to their full potential.
In this study, functional magnetic resonance imaging (fMRI) is used to investigate func-tional specialisation in human auditory cortices during listening. A silent fMRI paradigm was used to reduce the scanner sound artefacts on functional images. The subject was instructed to pay attention to the white noise stimulus binaurally given at an inten-sity level of 70 dB higher than the hearing level for normal people. Functional speciali-sation was studied using the Matlab-based Statistical Parametric Mapping (SPM5) software by means of fixed effects (FFX), random effects (RFX) and conjunction analyses. Individual analyses on all subjects indicated asymmetrical bilateral activation of the left and right hemispheres in Brodmann areas (BA) 22, 41 and 42, involving the primary and secondary auditory cortices. The percentage of signal change is larger in the BA22, 41 and 42 on the right as compared to the ones on the left (p>0.05). The average number of activated voxels in all the respective Brodmann areas are higher in the right hemisphere than in the left (p>0.05). FFX results showed that the point of maximum intensity was in the right BA41 whereby 599±1 activated voxels were ob-served in the right temporal lobe as compared to 485±1 in the left temporal lobe. The RFX results were consistent with that of FFX. The analysis of conjunction which fol-lowed, showed that the right BA41 and left BA22 as the common activated areas in all subjects. The results confirmed the specialisation of the right auditory cortices in pro-cessing non verbal stimuli.
As the amount of document increases, automation of classification that aids the analysis and management of documents receive focal attention. Classification, based on association rules that are generated from a collection of documents, is a recent data mining approach that integrates association rule mining and classification. The existing approaches produces either high accuracy with large number of rules or a small number of association rules that generate low accuracy. This work presents an association rule mining that employs a new item production algorithm that generates a small number of rules and produces an acceptable accuracy rate. The proposed method is evaluated on UCI datasets and measured based on prediction accuracy and the number of generated association rules. Comparison is later made against an existing classifier, Multi-class Classification based on Association Rule (MCAR). From the undertaken experiments, it is learned that the proposed method produces similar accuracy rate as MCAR but yet uses lesser number of rules.
Introduction: Epilepsy remains a stigmatised disease across geographical and temporal boundaries. Very little is known about epileptic stigma (ES) in cross-cultural settings. The aim of this study was to assess the prevalence of perceived stigma and factors associated with it, among patients with epilepsy (PWE) at a tertiary care referral hospital in East Coast of Malaysia. Methods: A cross sectional survey among 132 consenting PWE using pre-tested, semi-structured questionnaire in Malay/English language to assess their knowledge, attitude and practices (KAPs). Results: Among 132 respondents, 51.5% were male and 48.5 % were female. Their age ranged from 14 to 70 years (mean=31.6±13.41). Majority (53.8%) of them were aged 30 years or younger. The median number of years they had epilepsy was 8.0 (IQR 4.0-18.8) years and average duration of seizure prior to seeking medical attention was 1.0 (IQR 0.3 - 4.5) year. Most of them (90.9%) did not know the cause of epilepsy; however nearly all (91.7%) believed that it was a disease of the
brain. Higher education level respondents possessed significantly higher KAP scores compared to lower education level respondents (p