During the early months of 1985 and 1986, 408 non-immune British soldiers undertook training in the jungles north of Kota Tinggi, in southern Malaysia. In this geographical location, where malaria transmission is now light, a combination of strict personal antimosquito measures plus proguanil 200 mg daily produced effective, safe protection, with only a single case of vivax malaria occurring. Given the limited malaria risk, however, the results of this study should be extrapolated only with caution to other areas of Malaysia.
The root canal walls of twenty -five deciduous molar teeth with exposed and necrotic pulps were examined using thescanning electronmicroscope. Immediately after extraction, all teeth were fixed in Kamosky's solution. The coronal portion of the tooth was sectioned at about 2mm above the enamel cemental junction.The mesial and distal roots were separat~d and either split in the mesio-distal or bucco-lingual direction. All specimens were prepared for SEM. Obsevations showed that all roots were infected with organisms consisting of cocciand short rods. Some of the coccihad penetrated the dentine layer. However, the distribution of organisms is. not uniform throughout thecanals. Bacterialinvasion ismostinthecoronal region and reduces towards the apical region: Accompanying bacterial invasion is root canal walls deterioration. The odontoblastic processes are the first to deteriorate followed by the predentine layer.
An integral art of the Bayesian approach which is not present in the classical approach is the prior distribution. Different researchers may have different level of prior knowledge regarding the parameter of interest before seeing the data. Sometimes different prior distributions can result in different decisions, as such investigations have to be careful in making the choice of the prior distribution. In this paper, we compare results from the Bayesian analyses based on three possible choices of the prior distributions, which are uniform prior, lognormal prior and an improper prior, in the evaluation of the effectiveness of mini-roundabouts. Data from five before and after studies into the effect of mini-roundabouts when replacing priority junctions are used. The effects of the different prior distributions are distinguishable from the analysis of an anamolous 'desk-drawer' study. The uniform and improper prior pull the estimated treatment effect away from one more than the lognormal prior. The results based on lognormal prior depict a less worst scenario of the ineffectiveness of mini-roundabouts and this may correspond to the deficiency in engineering design at only a few sites. Consequently, it is more appropriate to use the lognormal prior in the analysis of mini-roundabouts as a road safety measure.
Satu ciri yang penting dalam kaedah Bayesian yang tidak ada dalam kaedah klasik ialah taburan prior. Sebelum melihat data, mungkin setiap penyelidik mempunyai tahap pengetahuan prior yang berbeza berkenaan sesuatu parameter yang ingin dikaji. Kadang-kala taburan prior yang berlainan boleh menghasilkan keputusan yang berlainan. Oleh itu, pengkaji perlu berhati-hati dalam memilih taburan prior. Dalam kertas-kerja ini, kami bandingkan keputusan dari analisis Bayesian berdasarkan tiga pilihan taburan prior yang menasabah iaitu prior seragam, prior lognormal dan prior tak wajar untuk menilai keberkesanan bulatan mini. Data dari kajian-kajian sebelum dan selepas terhadap kesan mengantikan persimpangan dengan bulatan mini digunakan. Kesan taburan prior yang berlainan dapat dibezakan berasaskan keputusan analisis terhadap satu kajian 'laci-meja' yang ganjil. Prior seragam dan prior fak wajar felah menyebabkan anggaran nilai kesan rawatan melebihi satu lebih dari prior lognormal. Keputusan berasaskan prior lognormal ini menunjukkan senario yang kurang teruk tentang kurang berkesannya bulatan mini dan mungkin ini boleh dikaitkan dengan rekabentuk kejuruteraan yang tidak baik di beberapa tempat sahaja. Dengan itu, prior lognormal adalah lebih sesuai digunakan untuk menilai bulatan mini sebagai langkah keselamatan jalanraya.
To assess dermal absorption of nicotine from tobacco leaves in relation to Green Tobacco Sickness (GTS), urinary cotinine concentrations were measured in 80 male tobacco-growing farmers and in 40 healthy males (controls) who did not handle wet tobacco leaves in Kelantan, Malaysia. Among non-smokers, urinary cotinine levels in farmers were significantly higher than those of controls; farmers with urinary cotinine of 50 ng/ml/m2 or above showed eye symptoms more frequently than those below this level (p<0.05). Farmers who did not wear protective equipment had subjective symptoms more frequently than those who used the equipment (p<0.05); some of these symptoms were seen more frequently in organophosphate (Tamaron) users than in non-users. As tobacco farmers evidence a risk of nicotine poisoning from tobacco leaves, assessment including GTS together with effects of pesticides will be necessary.
Spatial and temporal variations in concentrations of several metals and isotopes in sediment cores from around Penang Island, an area with economically important biological resources off the northwest coast of peninsular Malaysia, are reported. Because of a typical, monazite rich mineralogy in surrounding drainage basins, sedimentary metal enrichment factors relative to global average materials, enrichment factors (EFs) of ˃1.0 do not always indicate significant anthropogenic metal inputs. Because of extensive metal solubilization in the hot, organic carbon rich area, EFs of < 1.0 may be observed for several metals despite significant anthropogenic contributions. Comparison of metal-Al relationships in Penang area surface sediments with those in nearby and presumed uncontaminated Strait of Malacca sediments more accurately correct for atypical regional solubilization and mineralogical effects than comparison to global average materials. Such comparisons show concentrations of Cd, Cu, Pb, Ni, Cr, As, Sb, Zn and V have changed by less than a factor of two by anthropogenic discharges. Sedimentary concentration profiles of Pb, Zn and Cu, ratioed to Sc to normalize for variations in grain size and mineralogy, have subsurface maxima suggestive of modest and recently reduced anthropogenic inputs. Mn, U, As and Sb have Sc-normalized concentration profiles clearly affected by diagenetic processes. Sc-normalized profiles of Cr, Th, Ce and Sm show only small changes with depth, confirming insignificant anthropogenic inputs and undetectable postdepositional diagenetic mobility.
Excess ²¹⁰Pb activities and fluxes in Penang area sediments are limited by supply of this radionuclide, in contrast to sediments of both the northwestern U.S.A. and Amazon continental shelves, where they are limited by particle scavenging reactions.²¹⁰Pb activities in sediments of
the shallow, dynamic Penang area often show erratic or unconvincing changes with depth that
cannot be reliably modeled by assuming steady state, constant deposition rate of particles of
uniform chemistry, mineralogy and initial unsupported ²¹⁰Pb, and that mixing is limited to a
recognizable surface layer and resemble a diffusive process.
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).
The medical education should be tailored to deal with the diseases the physician is most likely to see.' With expectations that all the graduates from Malaysian Medical Schools should be able to serve anywhere in the country, the need for a national curriculum is self-evident. It may be argued that the public must have confidence in the competence of the practitioners they depend upon irrespective of the school from which they had graduated. In smaller countries in which health needs are uniform the graduates of any school should have been trained to meet those needs. In larger countries and those with geographic diversities and distances (e.g. Malaysia), the curriculum should cover the commonly encountered diverse ailments. If not dealt with care, we may end up with huge load of ever expanding, unmanageable curriculum.
Utilizing the multiple degrees of freedom offered by the data glove for each finger and the hand, a novel on-line signature verification system using the Singular Value Decomposition (SVD) numerical tool for signature classification and verification is presented. The proposed technique is based on the Singular Value Decomposition in finding r singular vectors sensing the maximal energy of glove data matrix A, called principal subspace, so the effective dimensionality of A can be reduced. Having modeled the data glove signature through its r-principal subspace, signature authentication is performed by finding the angles between the different subspaces. A demonstration of the data glove is presented as an effective high-bandwidth data entry device for signature verification. This SVD-based signature verification technique is tested and its performance is shown to be able to recognize forgery signatures with a false acceptance rate of less than 1.2%.
The effect of chemical reaction and variable viscosity on mixed convection heat and mass transfer for Hiemenz flow over a porous wedge plate was studied in the presence of heat radiation. The wall of the wedge was embedded in a uniform Darcian porous medium to allow for possible fluid wall suction or injection and had a power-law variation of both the wall temperature and concentration. The fluid was assumed to be viscous and incompressible. Numerical calculations were carried out for different values of dimensionless parameters and an analysis of the results obtained showed that the flow field was influenced appreciably by the buoyancy ratio between species, thermal diffusion and suction/injection at wall surface. The effects of these major parameters on the transport behaviours were investigated methodically and typical results illustrated to reveal the tendency of the solutions. Representative results are presented for the velocity, temperature, and concentration distributions. Comparisons with previously published works were performed and excellent agreement between the results were obtained. It is predicted that this research might prove to be useful for study of the movement of oil or gas and water through the reservoir of an oil or gas field, in the migration of underground water, in filtration, and water purification processes.
We set out to investigate whether neckties worn by doctors are more likely to be contaminated with Methicillin resistant Staphylococcus aureus (MRSA) compared to neckties worn by preclinical medical undergraduates who have never been exposed to a hospital environment. We discovered that more than half (52%) of neckties worn by doctors were contaminated with Staphylococcus and out of these, 62% of them were identified as MRSA. In contrast, none of the student's ties were contaminated with MRSA. Due to the high prevalence of staphylococcus detected on doctors' neckties, we recommend that health care workers do not wear neckties.
Koh and others have reported (in this issue of the MJM) the high prevalence of Methicillin resistant Staphylococcus aureus (MRSA) on doctors’ neckties. As they have pointed out, this is nothing new, and like other studies with similar findings. They also point out that patient’s confidence and satisfaction are not affected by doctor’s not wearing neckties. They also referred to the British Department of Health decision to ban the use of neckties, long sleeve shirts and jewellery, and the Scottish government’s intention to ban the wearing of white coats, including neckties, to stop the spread of infections. They support the call by The Malaysian Medical Association to avoid the use of neckties.
3-Nitro-2-phenoxypyridine and 3-nitro-2-(4-methyl)phenoxypyridine were obtained when 2-chloro-3-nitropyridine was treated with phenol and p-cresol, respectively. Fluorescence studies were carried out in various solvents, in capped and uncapped conditions and for differing concentrations. Both 3-nitro-2-phenoxypyridine and 3-nitro-2-(4-methyl)phenoxypyridine were fluorescent compounds but 3-Nitro-2-(4-methyl)phenoxypyridine was more fluorescent than 3-nitro-2-phenoxypyridine in all the solvents used. The fluorescence intensity decreased with concentration and time.
Cutaneous larva migrans is a common parasitic skin disease that can be easily prevented by wearing 'protective' footwear. However, this has been under-emphasized in terms of what constitutes the protective footwear. Even though the disease resolves spontaneously, the significant duration of the disease along with severity of pruritus make treatment unavoidable. Here, we present a very long-standing creeping eruption, which puzzled many attending clinicians handling the case, and the possibility of long socks as a causal effect on the development of cutaneous larva migrans infection.
Introduction: HIV/AIDS is one of the leading health problems worldwide. There is an increasing rate among the ages between 13 to 49 years old. School based intervention is an important component of community-based interventions for HIV/AIDS and is the best stage to promote abstinence which is best maintained among those not sexually experienced. Objectives: This study was carried out to determine attitude towards sex among secondary school children in Selangor state. Methods: A cross-sectional study design was used. Four out of nine districts in Selangor state were selected at random. Students were divided according to gender, academic performance (good or poor) with no behavioural problems
and students with evidence of behaviour problems (at risk). Results: Out of 149 students, the majority (56.4%) were females. The majority of students did not think sex should be discussed in depth and do not speak to parents, teachers, religious teachers, counselors, relatives, doctors or nurses but speak to friends regarding sex. More than half watch pornography. A significantly higher percentage of male students in the weak and at-risk group admit to thinking of intimacy (hugging and kissing) with the opposite gender. A higher number of these students would try sex out of curiosity, for fun, because it was difficult to say ‘no’ to and that they would like it. A significantly higher percentage will try sex because they did not want to hurt their girlfriends’ feeling by saying ‘no’. While the majority of students think intimacy will end in sex, a significantly higher percentage of male at-risk students think just talking with the opposite gender will end in sex. The majority of male students responded feeling attracted to the picture of a girl in sexy clothing but a significantly higher percentage of at-risk students also felt attracted to the picture of a girl properly attired. A significantly higher percentage of male at-risk students say parents do not say sex before marriage is wrong and a significantly higher percentage of
male students of weak and at-risk groups say girlfriends say sex before marriage is okay. A significantly higher percentage of weak and at-risk students speak to doctors regarding sex and think sex should be discussed in depth. Conclusion: Weak and at-risk male students appeared to have a more vulnerable attitude towards sex. This may predispose them to risky sexual behaviours leading to HIV/AIDS. Poor academic performance and behaviour problems may not be different as potential sexual risk predictors. The information obtained will be useful in designing intervention programmes in the prevention of HIV/AIDS.
This study was conducted to improve the formulation of chili shrimp paste (CSP) based on sensory evaluation in terms of acidity, source of acid and coarseness of chili paste and to improve the production process of CSP. The effectiveness of dimethyl dicarbonate (DMDC) as a microbial reduction agent was also evaluated. To produce CSP with different coarseness, a milling machine was used. Two types of preference test were conducted, i.e. ranking and hedonic. The preferred pH level was 4.0, the best acid source was kalamansi juice, and the most preferred coarseness for chili paste was when milling plates with a gap of 120 µm was used. DMDC has no effect on microbial reduction due to the presence of fat globules in CSP which hindered the inactivation action. Milling can substitute pounding as it is much faster and can produce a uniform CSP with higher volume.
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.
Gait stability is primary in assessing individuals with high risk of falling, particularly the elderly. Custom made self-adjustable wireless gyroscope suit is used as a sensing device to quantify gait stability. A nonlinear time series analysis i.e. maximum Lyapunov exponent (λ*) was employed to estimate the short term and long term stability and it is closely related to the ability of human neuro-muscular control system in maintaining gait stability. Experimental analysis and tests validated the efficacy of this novel approach. The results achieved are comparable with the findings of multiple kinematic and dynamic parameters derived from optical motion capture system and force platform which are widely used as gold standard.
A Mondor’s disease is a rare, benign and self-limiting condition. It is due to thrombophlebitis of the superficial veins of the breast and chest wall. It usually occurs in middle-aged women who present with a palpable cordlike structure, often painful in the acute phase. The aetiology is unknown, and may be related to trauma, surgery, infection or tight clothing. The finding of a superficial vessel seen as a linear opacity on mammography and a tubular structure on ultrasound is typical. An intra-luminal thrombus may be seen on ultrasound, and there may be absent flow on Doppler imaging. Conservative treatment is usually instituted, although surgery may be indicated in certain circumstances.
Reclaimed rubber from rejected natural rubber (NR) latex gloves (r-NRG) was evaluated as partial
replacement for Standard Malaysian Rubber (SMR) 20 in producing microcellular rubber. In the study, the amount of reclaimed rubber varied from 20 pphr to 95 pphr for the purpose of cost reduction, environmental interest and as processing aids in reducing internal porosity, swells and to minimize shrinkage and air-trapped problems in producing microcellular rubber. A typical formulation in making microcellular rubber slab was developed and two-roll mill was used for compounding. The cure characteristics and mechanical properties, such as density, hardness, tensile strength, and elongation at break, were evaluated. Scorch time and cure rate index performed marginal decreased with increasing of r-NRG content. 95 pphr r-NRG blends showed a consequential drop in hardness. Both tensile properties and elongation at break decreased as the r-NRG content was increased.