Displaying publications 1 - 20 of 56 in total

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  1. Occupational health problems among nurses
    Tan CC
    Scand J Work Environ Health, 1991 Aug;17(4):221-30.
    PMID: 1925433
    Nurses are an integral component of the health care delivery system. In discharging their duties, nurses encounter a variety of occupational health problems which may be categorized into biological hazards, chemical hazards, physical hazards, and psychosocial hazards. A review of some examples of each of these four types of hazards is presented in this article. Particular attention has been devoted to hepatitis B, acquired immunodeficiency syndrome, tuberculosis, cytotoxic drugs, anesthetic agents, needlestick injury, back pain, and stress.
    Matched MeSH terms: Hazardous Substances/adverse effects
  2. Fulltext Saliva In Research And Clinical Diagnosis
    Rahim, Z.H.A.
    Ann Dent, 1998;5(1):-.
    MyJurnal
    Saliva collection is non-invasive and less stressful when compared with blood collection. Extensive studies on saliva has been carried out and the use of saliva as a biological sample in clinical diagnosis and for monitoring hormones, drugs and pollutants and viruses has been recommended. The complexities associated with saliva such as proper collection device and strict standardisation of a number of factors which include time of collection, types of saliva and storage made it less favourable to blood.
    Matched MeSH terms: Hazardous Substances
  3. Fulltext Reproductive problems of the work force
    Premalatha GD, Ravindran J
    Med J Malaysia, 2000 Mar;55(1):146-51; quiz 152.
    PMID: 11072503
    The number of women in the workforce in increasing. A substantial proportion are in the reproductive age which brings to attention the problem of work exposures that adversely affect reproductive outcome. These exposures include chemicals, radiation, strenuous physical activity and infections. They affect reproduction by effect on the germ cells, through hormonal distribution which in turn affects transport of germ cells or zygote, implantation and development. Some of these exposures are teratogenic. At present, some regulations and policies seem to be directed at women workers while there is evidence to show that women are not the only victims. Paternal exposures have also been reported to be associated with infertility, spontaneous abortions and other adverse outcomes. There is insufficient information about reproductive effects of work exposures and hence further research is required in this area.
    Matched MeSH terms: Hazardous Substances/adverse effects
  4. Guidelines on safe laboratory practice (version 1/2004)
    College of Pathologists, Academy of Medicine of, Malaysia
    Malays J Pathol, 2005 Jun;27(1):71-2.
    PMID: 16676698
    Matched MeSH terms: Hazardous Substances/standards*
  5. Developing regulations for occupational exposures to health hazards in Malaysia
    Rampal KG, Mohd Nizam J
    Regul Toxicol Pharmacol, 2006 Nov;46(2):131-5.
    PMID: 16899331
    In Malaysia exposures in the workplace are regulated under the Factories and Machinery Act (FMA), 1967 and also under the more comprehensive Occupational Safety and Health Act (OSHA) enacted in 1994. With OSHA 1994 the philosophy of legislating safety and health in the workplace changed from one that was very prescriptive and containing detailed technical provisions under FMA, 1967 to one that is more flexible and encourages self-regulation under OSHA 1994. OSHA 1994 is supported by regulations, codes of practices and guidelines to further clarify the provisions in the Act. Under the FMA 1967 emphasis was on safety while with OSHA 1994 there has been equal emphasis on addressing health hazards in the workplace. Regulations for occupational exposures are developed by the Department of Occupational Safety and Health with tripartite and stakeholder consultation. When developing these regulations International Labor Organization Conventions, laws of other countries and occupational exposure standards adopted internationally are reviewed. The government also conducts surveys to collect information on both exposures and health effects in workplaces to have better understanding on specific occupational health problems. Effective law enforcement is crucial in ensuring compliance to safety and health law. The challenge at the moment is to ensure all employers and employees, particularly those in the small and medium enterprises, understand and comply with the provisions stipulated in the legislation.
    Matched MeSH terms: Hazardous Substances/analysis*
  6. Fulltext Laboratory-acquired injuries in medical laboratory: a survey of three referral medical laboratories from year 2001 to 2005
    Anuar, I., Zahedi, F., Kadir, A., Mokhtar, A.B.
    Malaysian Journal of Community Health, 2008;14(1):32-38.
    MyJurnal
    Background: The occupationally acquired accident and injuries in Malaysian medical laboratories are still largely unexplored prior to this survey. Some of these questions are attempted in this survey and act as source of reference for the number and accident injuries in medical laboratories in the area of Klang Valley and also in Malaysia.
    Methods : This survey was carried out based on recordable cases throughout the calendar year of 2001 to 2005 from 3 main medical laboratories of Hospital Kuala Lumpur (HKL), Hospital Universiti Kebangsaan Malaysia (HUKM) and Pusat Perubatan Universiti Malaya (PPUM).
    Results : The average annual incident rate for this three medical laboratories is 2.05/100 full time equivalent (FTE) employees. The annual incident rate in individual medical laboratory is 2.04/100 FTE (HKL), 2.07/100 FTE (HUKM) and 2.04/100 FTE (PPUM) employees, respectively. The most common injury that is 25.3% of the total cases reported was due to cuts by sharp objects and the second most common injury was exposure to biohazard and chemical substances which constitutes 19.9% of the total cases. . Needle prick injury (16.8%), fire (8.4%), fall/slip (6.3%) and gases leak and locked in cold room were reported as one case each.
    Conclusion : The average incident rate from this study is remarkably similar compared with the incident injury rate reported by BLS (2006) which is 2.1/100 FTE in the average size of medical laboratory and diagnostic. Besides this incident rate of injury and illness as a comparison, it also can be used as a benchmark to evaluate the safety performance among medical laboratories in Malaysia.
    Matched MeSH terms: Hazardous Substances
  7. Model for the implementation of the globally harmonized system of classification and labelling of chemicals (GHS): lessons learned from Japan
    Ta GC, Jonai H, Mokhtar MB, Peterson PJ
    J Occup Health, 2009;51(6):526-30.
    PMID: 19834280
    Matched MeSH terms: Hazardous Substances/classification*
  8. Analysis of the comprehensibility of chemical hazard communication tools at the industrial workplace
    Ta GC, Mokhtar MB, Mohd Mokhtar HA, Ismail AB, Abu Yazid MF
    Ind Health, 2010;48(6):835-44.
    PMID: 20616463
    Chemical classification and labelling systems may be roughly similar from one country to another but there are significant differences too. In order to harmonize various chemical classification systems and ultimately provide consistent chemical hazard communication tools worldwide, the Globally Harmonized System of Classification and Labelling of Chemicals (GHS) was endorsed by the United Nations Economic and Social Council (ECOSOC). Several countries, including Japan, Taiwan, Korea and Malaysia, are now in the process of implementing GHS. It is essential to ascertain the comprehensibility of chemical hazard communication tools that are described in the GHS documents, namely the chemical labels and Safety Data Sheets (SDS). Comprehensibility Testing (CT) was carried out with a mixed group of industrial workers in Malaysia (n=150) and factors that influence the comprehensibility were analysed using one-way ANOVA. The ability of the respondents to retrieve information from the SDS was also tested in this study. The findings show that almost all the GHS pictograms meet the ISO comprehension criteria and it is concluded that the underlying core elements that enhance comprehension of GHS pictograms and which are also essential in developing competent persons in the use of SDS are training and education.
    Matched MeSH terms: Hazardous Substances/adverse effects; Hazardous Substances/toxicity*
  9. A comparison of mandatory and voluntary approaches to the implementation of Globally Harmonized System of Classification and Labelling of Chemicals (GHS) in the management of hazardous chemicals
    Ta GC, Mokhtar MB, Peterson PJ, Yahaya NB
    Ind Health, 2011;49(6):765-73.
    PMID: 22020020
    The European Union (EU) and the World Health Organization (WHO) have applied different approaches to facilitate the implementation of the UN Globally Harmonized System of Classification and Labelling of Chemicals (GHS). The EU applied the mandatory approach by gazetting the EU Regulation 1272/2008 incorporating GHS elements on classification, labelling and packaging of substances and mixtures in 2008; whereas the WHO utilized a voluntary approach by incorporating GHS elements in the WHO guidelines entitled 'WHO Recommended Classification of Pesticides by Hazard' in 2009. We report on an analysis of both the mandatory and voluntary approaches practised by the EU and the WHO respectively, with close reference to the GHS 'purple book'. Our findings indicate that the mandatory approach practiced by the EU covers all the GHS elements referred to in the second revised edition of the GHS 'purple book'. Hence we can conclude that the EU has implemented the GHS particularly for industrial chemicals. On the other hand, the WHO guidelines published in 2009 should be revised to address concerns raised in this paper. In addition, both mandatory and voluntary approaches should be carefully examined because the classification results may be different.
    Matched MeSH terms: Hazardous Substances/classification*
  10. Fulltext Heavy metals (mercury, arsenic, cadmium, plumbum) in selected marine fish and shellfish along the Straits of Malacca
    Alina, M., Azrina, A., Mohd Yunus, A.S., Mohd Zakiuddin, S., Mohd Izuan Effendi, H., Muhammad Rizal, R.
    International Food Research Journal, 2012;19(1):135-140.
    MyJurnal
    Level of heavy metals in marine ecosystem has been intensively studied during recent years as these hazardous substances could be accumulated in the biota. Generally, the presence of contaminants in fish is a result of human activities such as industrial and agricultural wastes. In this study, the marine fish and shellfish from the Straits of Malacca were analyzed using Inductively Coupled Plasma Optical Emission Spectrophotometer (ICP-OES) and Flow Injection Mercury System (FIMS) for Cd, As and Pb and Hg, respectively. The Straits of Malacca is one of the busiest shipping routes in the world that make the level of heavy metals potentially high besides the various industrial activities along the west region of Peninsular Malaysia. The range of heavy metals in samples were 1.0-3-6.5-3 µg/ g wet sample for Hg, 0.5-2-47-2 µg/ g wet sample for Cd, 0.01-0.39 µg/ g wet sample for Pb and 0.14-6.57 µg/ g wet sample for As. Most part of the values was below the permitted limit set by FAO/WHO 2004 as well as Food Act 1983 and Food Regulations 1985. Therefore it can be generalized that fish and shellfish from the Straits of Malacca are safe to consume in terms of these heavy metals concentrationand do not constitute a risk for human health.
    Matched MeSH terms: Hazardous Substances
  11. Are deep eutectic solvents benign or toxic?
    Hayyan M, Hashim MA, Hayyan A, Al-Saadi MA, AlNashef IM, Mirghani ME, et al.
    Chemosphere, 2013 Feb;90(7):2193-5.
    PMID: 23200570 DOI: 10.1016/j.chemosphere.2012.11.004
    In continuation of investigation for environmentally benign protocol for new solvents termed deep eutectic solvents (DESs), it is herein reported results concerning the toxicity and cytotoxicity of choline chloride (ChCl) based DESs with four hydrogen bond donors including glycerine, ethylene glycol, triethylene glycol and urea. The toxicity was investigated using two Gram positive bacteria Bacillus subtilis and Staphylococcus aureus, and two Gram negative bacteria Escherichia coli and Pseudomonas aeruginosa. The cytotoxicity effect was tested using the Artemia salina leach. It was found that there was no toxic effect for the tested DESs on all of the studied bacteria confirming their benign effects on these bacteria. Nevertheless, it was found that the cytotoxicity of DESs was much higher than their individual components (e.g. glycerine, ChCl) indicating that their toxicological behavior is different. For our best knowledge this is the first time that toxicity and cytotoxicity of DESs were studied. The toxicity and cytotoxicity of DESs varied depending on the structure of components. Careful usage of the terms non-toxicity and biodegradability must be considered. More investigation on this matter is required.
    Matched MeSH terms: Hazardous Substances/toxicity*
  12. Effective hospital waste classification to overcome occupational health issues and reduce waste disposal cost
    Bai VR, Vanitha G, Zainal Ariff AR
    Infect Control Hosp Epidemiol, 2013 Nov;34(11):1234-5.
    PMID: 24113615 DOI: 10.1086/673461
    Matched MeSH terms: Hazardous Substances
  13. Polycyclic aromatic hydrocarbon removal from petroleum sludge cake using thermal treatment with additives
    Pakpahan EN, Isa MH, Kutty SR, Chantara S, Wiriya W
    Environ Technol, 2013 Jan-Feb;34(1-4):407-16.
    PMID: 23530354
    Petroleum sludge is a hazardous waste that contains various organic compounds including polycyclic aromatic hydrocarbons (PAHs) which have carcinogenic-mutagenic and toxic characteristics. This study focuses on the thermal treatment (indirect heating) of petroleum sludge cake for PAH degradation at 250, 450, and 650 degrees C using Ca(OH)2 + NaHCO3 as an additive. The treatment was conducted in a rotary drum electric heater. All experiments were carried out in triplicate. Concentrations of the 16 priority PAHs in gas (absorbed on Amberlite XAD-4 adsorbent), particulate (on quartz filter) and residue phases were determined using gas chromatography-mass spectrometry (GC-MS). The samples were extracted with acetonitrile by ultra-sonication prior to GC-MS analysis. The use of additive was beneficial and a temperature of 450 degrees C was suitable for PAH degradation. Low levels of PAH emissions, particularly carcinogenic PAH and toxic equivalent concentration (sigma TEC), were observed in gas, particulate and residue phases after treatment.
    Matched MeSH terms: Hazardous Substances*
  14. Improving safety-related knowledge, attitude and practices of nurses handling cytotoxic anticancer drug: pharmacists' experience in a general hospital, Malaysia
    Keat CH, Sooaid NS, Yun CY, Sriraman M
    Asian Pac J Cancer Prev, 2013;14(1):69-73.
    PMID: 23534806
    BACKGROUND: An increasing trend of cytotoxic drug use, mainly in cancer treatment, has increased the occupational exposure among the nurses. This study aimed to assess the change of nurses' safety-related knowledge as well as attitude levels and subsequently to assess the change of cytotoxic drug handling practices in wards after a series of pharmacist-based interventions.

    MATERIALS AND METHODS: This prospective interventional study with a before and after design requested a single group of 96 nurses in 15 wards actively providing chemotherapy to answer a self-administered questionnaire. A performance checklist was then used to determine the compliance of all these wards with the recommended safety measures. The first and second assessments took 2 months respectively with a 9-month intervention period. Pharmacist-based interventions included a series of technical, educational and administrative support measures consisting of the initiation of closed-system cytotoxic drug reconstitution (CDR) services, courses, training workshops and guideline updates.

    RESULTS: The mean age of nurses was 32.2∓6.19 years. Most of them were female (93.8%) and married (72.9%). The mean knowledge score of nurses was significantly increased from 45.5∓10.52 to 73.4∓8.88 out of 100 (p<0.001) at the end of the second assessment. Overall, the mean practice score among the wards was improved from 7.6∓5.51 to 15.3∓2.55 out of 20 (p<0.001).

    CONCLUSIONS: The pharmacist-based interventions improved the knowledge, attitude and safe practices of nurses in cytotoxic drug handling. Further assessment may help to confirm the sustainability of the improved practices.

    Matched MeSH terms: Hazardous Substances/toxicity*
  15. Local exhaust ventilation: past, present, and future
    Nor Halim Hasan, Said, M.R., Leman, A.M.
    Journal of Occupational Safety and Health, 2013;10(1):9-26.
    MyJurnal
    Engineering control is a method of controlling the risk of exposure to contaminants. Health effects to industrial workers are more severe whilst high exposure and time exposed to contaminants at workplace. Installation of industrial ventilation or local exhaust ventilation (LEV) system is the proposed method to reduce the risk. This paper discusses the past, present and future relating to LEV system in Malaysia. Current issues related to monitoring reported by Hygiene Technician in compliance with Occupational Safety and Health (Use of Standard Chemical Hazardous to Health Regulation 2000) carried out in several states in Malaysia as a sample. The nanotechnology is a new area at present and future. The involvement of government, employers and employees need to be justified due to the attention to prevent and control of any exposure. It is suggested that using the Computational Fluid Dynamic (CFD) simulation, a new design of LEV system can be upgraded and predicted.
    Matched MeSH terms: Hazardous Substances
  16. Fulltext Niigata Minamata disease: a revisit
    Hasni MJ
    Malaysian Journal of Public Health Medicine, 2014;14(1):47-54.
    MyJurnal
    Minamata disease is a well-known mercury contamination that happened in Japan in 1953. Due to demand during world war, second mercury disaster occurred in Niigata Prefecture in 1965. This is a review on the Niigata Minamata disease based on available documents and local expert opinions on the disaster. The aims of this paper are to record exposure history like the source of mercury in Agano River and specific fish that was associated with the disease. It is for an appraisal of the basic mercury exposure control, particularly to protect Japanese and world population during that time. There was indication that initial exposure limit for mercury was calculated incorrectly, and higher safe dose was applied. This epidemiological study is very useful and significant in comprehend the correct estimation of the human exposure to any hazardous substances.
    Matched MeSH terms: Hazardous Substances
  17. Fulltext Storm runoff pollution from a residential catchment in Miri, Sarawak
    Ho, C. L. I., Choo, B. Q.
    Pertanika Journal of Science & Technology, 2014;22(2):603-611.
    MyJurnal
    In this paper, stormwater runoff from a residential catchment located in Miri, Sarawak, was characterized to determine the pollutant concentrations and loading. The observed average event mean concentrations were 116 mg/L for TSS, 115 mg/L for COD, 1.5 mg/L for NH3-N, and 0.23 mg/L for Pb. Based on Interim National Water Quality Standards (INWQS) for Malaysia, the average event mean concentration, EMC value for TSS exceeded class II (50 mg/L), exceeded class V (>100 mg/L) for COD, and exceeded class III (0.9 mg/L) for NH3-N. All four water quality parameters exhibited first flush characteristic but to varying magnitude which was influenced by the storm characteristics.
    Matched MeSH terms: Hazardous Substances
  18. Nanoscale patterning by AFM lithography and its application on the fabrication of silicon nanowire devices
    Hutagalung SD, Kam CL, Darsono T
    Sains Malaysiana, 2014;43:267-272.
    Many techniques have been applied to fabricate nanostructures via top-down approach such as electron beam lithography. However, most of the techniques are very complicated and involves many process steps, high cost operation as well as the use of hazardous chemicals. Meanwhile, atomic force microscopy (AFM) lithography is a simple technique which is considered maskless and involves only an average cost and less complexity. In AFM lithography, the movement of a probe tip can be controlled to create nanoscale patterns on sample surface. For silicon nanowire (SiNW) fabrication, a conductive tip was operated in non-contact AFM mode to grow nanoscale oxide patterns on silicon-on-insulator (SOI) wafer surface based on local anodic oxidation (LAO) mechanism. The patterned structure was etched through two steps of wet etching processes. First, the TMAH was used as the etchant solution for Si removing. In the second step, diluted HF was used to remove oxide mask in order to produce a completed SiNW based devices. A SiNW based device which is formed by a nanowire channel, source and drain pads with lateral gate structures can be fabricated by well controlling the lithography process (applied tip voltage and writing speed) as well as the etching processes.
    Matched MeSH terms: Hazardous Substances
  19. Fulltext Chemical compounds from anthropogenic environment and immune evasion mechanisms: potential interactions
    Kravchenko J, Corsini E, Williams MA, Decker W, Manjili MH, Otsuki T, et al.
    Carcinogenesis, 2015 Jun;36 Suppl 1:S111-27.
    PMID: 26002081 DOI: 10.1093/carcin/bgv033
    An increasing number of studies suggest an important role of host immunity as a barrier to tumor formation and progression. Complex mechanisms and multiple pathways are involved in evading innate and adaptive immune responses, with a broad spectrum of chemicals displaying the potential to adversely influence immunosurveillance. The evaluation of the cumulative effects of low-dose exposures from the occupational and natural environment, especially if multiple chemicals target the same gene(s) or pathway(s), is a challenge. We reviewed common environmental chemicals and discussed their potential effects on immunosurveillance. Our overarching objective was to review related signaling pathways influencing immune surveillance such as the pathways involving PI3K/Akt, chemokines, TGF-β, FAK, IGF-1, HIF-1α, IL-6, IL-1α, CTLA-4 and PD-1/PDL-1 could individually or collectively impact immunosurveillance. A number of chemicals that are common in the anthropogenic environment such as fungicides (maneb, fluoxastrobin and pyroclostrobin), herbicides (atrazine), insecticides (pyridaben and azamethiphos), the components of personal care products (triclosan and bisphenol A) and diethylhexylphthalate with pathways critical to tumor immunosurveillance. At this time, these chemicals are not recognized as human carcinogens; however, it is known that they these chemicalscan simultaneously persist in the environment and appear to have some potential interfere with the host immune response, therefore potentially contributing to promotion interacting with of immune evasion mechanisms, and promoting subsequent tumor growth and progression.
    Matched MeSH terms: Hazardous Substances/adverse effects*; Hazardous Substances/immunology*
  20. Fulltext Disruptive environmental chemicals and cellular mechanisms that confer resistance to cell death
    Narayanan KB, Ali M, Barclay BJ, Cheng QS, D'Abronzo L, Dornetshuber-Fleiss R, et al.
    Carcinogenesis, 2015 Jun;36 Suppl 1:S89-110.
    PMID: 26106145 DOI: 10.1093/carcin/bgv032
    Cell death is a process of dying within biological cells that are ceasing to function. This process is essential in regulating organism development, tissue homeostasis, and to eliminate cells in the body that are irreparably damaged. In general, dysfunction in normal cellular death is tightly linked to cancer progression. Specifically, the up-regulation of pro-survival factors, including oncogenic factors and antiapoptotic signaling pathways, and the down-regulation of pro-apoptotic factors, including tumor suppressive factors, confers resistance to cell death in tumor cells, which supports the emergence of a fully immortalized cellular phenotype. This review considers the potential relevance of ubiquitous environmental chemical exposures that have been shown to disrupt key pathways and mechanisms associated with this sort of dysfunction. Specifically, bisphenol A, chlorothalonil, dibutyl phthalate, dichlorvos, lindane, linuron, methoxychlor and oxyfluorfen are discussed as prototypical chemical disruptors; as their effects relate to resistance to cell death, as constituents within environmental mixtures and as potential contributors to environmental carcinogenesis.
    Matched MeSH terms: Hazardous Substances/adverse effects*
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