Barraclough S. The Malaysian tobacco industry, globalisation and public health: New opportunities for tobacco control. Public policy, culture and the impact of globalisation in Malaysia. Selangor, Malaysia: Malaysian Social Science Association; 2004. p. 112-27
Citation: Sherina Mohd Sidik. Chapter 36: Primary Care Research in Malaysia. In: Goodyear-Smith F, Mash B (editors). International Perspectives on Primary Care Research. Boca Raton, Florida, United States of America: CRC Press (Taylor & Francis Group), World Organization of Family Doctors (WONCA); 2016, p199-201
Citation: A case study on institutional development in the water and sanitation sectors and integration of PHC with rural water supply and sanitation in Malaysia. Manila: World Health Organization, Regional Office for the Western Pacific; 1985
Khoo EM, Sararaks S, Lee WK, Liew SM, Abdul Samad A, Cheong AT, et al.
ISBN: 978-967-5398-17-9
Citation: Khoo EM, Sararaks S, Lee WK, Liew SM, Abdul Samad A, Cheong AT, et al. Patient Safety in MOH Primary Care Clinics - A Community Trial. Kuala Lumpur: Institute for Health Systems Research; 2010
Citation: Savedoff WD, Smith AL. Achieving Universal Health Coverage: Learning from Chile, Japan, Malaysia and Sweden. Maine, United States: Result for Development Institute; 2011
Over the last hundred years, most countries have made substantial progress toward universal health coverage. The shared trends includes rising incomes, increasing total health expenditures and an expanding role for government in improving access to health care. Despite this, countries vary significantly in their particular routes to universal health coverage. These routes are shaped by prominent leaders and strong popular movements and framed by particular moral claims and world views. They are affected by unpredictable events related to economic cycles, wars, epidemics and initiatives in other public policy spheres. They are also influenced by a country’s own institutional development and experiences in other countries. As a result of these highly contingent paths, countries reach universal health coverage at different income levels and with disparate institutional arrangements for expanding health care access and mitigating financial risk. This paper examines the histories of attaining universal health coverage in four countries – Sweden, Japan, Chile and Malaysia. It shows that domestic pressures for universalizing access to health care are extremely varied, widespread, and persistent. Secondly, universal health coverage is everywhere accompanied by a large role for government, although that role takes many forms. Third, the path to universal health coverage is contingent, emerging from negotiation rather than design. Finally, universal health coverage is attained incrementally and over long periods of time. These commonalities are shared by all four cases despite substantial differences in income, political regimes, cultures, and health sector institutions. Attention to these commonalities will help countries seeking to expand health coverage today.
Adyas A, Akazili J, Awoonor-Williams J, Dalingjong P, Ellangovan KK, Ismail MS, et al.
Citation: Adyas A, et al. UHC Primary Health Care Self-Assessment Tool. Joint Learning Network for Universal Health Coverage: Primary Health Care
Technical Initiative; 2016
Sivasampu S, Lim Y, Abdul Rahman N, Hwong WY, Goh PP, Abdullah NH
Citation: Sivasampu S, Lim Y, Abdul Rahman N, Hwong WY, Goh PP, Abdullah NH. National Medical Care Statistics: Primary Care, 2012. Kuala Lumpur: National Clinical Research Centre, Ministry of Health, Malaysia; 2014
Citation: Awin N. A Review of Primary Health Care in Malaysia. A Report for the World Health Organization Western Pacific Region. Manila: World Health Organization Western Pacific Region; 2001
Jaafar S, Suhaili MR, Mohd Noh K, Zainal Ehsan F, Lee FS
Citation: Jaafar S, Suhaili MR, Mohd Noh K, Zainal Ehsan F, Lee FS. Primary Healh Care: Key To Intersectoral Action For Health And Equity. World Health Organization; 2007
This study attempts to trace changes in the wet spells over Peninsular Malaysia based on the daily rainfall data from 32 selected rainfall stations which include four sub-regions; northwest, west, south and east, for the period of 1975 to 2004. Six wet spells indices comprising of the main characteristics (maximum, mean, standard deviation), the persistency of two consecutive wet days and the frequency of the short and long duration of wet spells will be used to identify whether or not these indices increase or decrease over Peninsular Malaysia during the monsoon seasons. The study indicates that the eastern areas of the peninsula could be considered as the wettest areas since almost all the indices of wet spells over these areas are higher than over the other regions during the northeast monsoon (NE). The Mann-Kendall (MK) trend test revealed that almost all of the stations located in the eastern areas of the peninsula exhibited a positive trend in the mean, variability and persistency of wet spells indices during the NE monsoon, while a negative trend was observed during the southwest monsoon (SW) in these areas. Moreover, these indices showed a positive trend, and at the same time a decreasing trend was observed in the frequency of the long wet spells in most stations located over the west coast of Peninsular Malaysia during the SW monsoon for the period of 1975 to 2004.
The microbial composition in coastal water of the Port Dickson beach in Negeri Sembilan, Malaysia was analyzed using several microbial indicators for the purpose of selecting the best indicator for marine water pollution. The indicators studied were total coliform (TC), fecal coliform (FC), fecal streptococci (FS) and coliphage. Five locations were selected along the Port Dickson beaches and samplings were carried out in 1998 and 2001. The results showed an increase in the number of total coliform (TC), fecal coliform (FC) and fecal streptococci (FS) between these two sampling by 98.12%, 86.12% and 99%, respectively. The numbers of TC, FC and FS exceeded the recommended limit for recreational seawater based on U.S. EPA 1986 standard. There was a positive correlation between TC, FC and FS and negative to coliphages.
This study highlights the advantage of functional data approach in assessing and comparing the PM10 pollutant behaviour as an alternative statistical approach during and between the two extreme haze years (1997 and 2005) that have been reported in Selangor, state of Malaysia. The aim of the study was to improvise the current conventional methods used in air quality assessment so that any unforeseen implicit information can be revealed and the previous research findings can be justified. An analysis based on the daily diurnal curves in place of discrete point values was performed. The
analysis results provided evidences of the influence of the change in the climate (due to the El-Nino event), the different levels of different emission sources and meteorological conditions on the severity of the PM10 problem. By means of the cummulative exceedence index and the functional depth method, most of the monitoring stations for the year 2005 experienced the worst day of critical exceedences on the 10th of August, while for the year 1997 it occurred between 13th and 26th September inclusively at different dates among the stations.
This paper aims to estimate the Generalized Pareto Distribution (GPD) parameters and predicts the T-year return levels of extreme rainfall events using the Partial Duration Series (PDS) method based on the hourly rainfall data of five stations in Peninsular Malaysia. In particular, the GPD parameters are estimated using five methods namely the method of Moments (MOM), the probability weighted moments (PWM), the L-moments (LMOM), the Trimmed L-moments (TLMOM) and the Maximum Likelihood (ML) and the performance of the T-year return level of each estimation method is analyzed based on the RMSE measure obtained from Monte Carlo simulation. In addition, we suggest the weighted average model, a model which assigns the inverse variance of several methods as weights, to estimate the T-year return level. This paper contributes to the hydrological literatures in terms of three main elements. Firstly, we suggest the use
of hourly rainfall data as an alternative to provide a more detailed and valuable information for the analysis of extreme rainfall events. Secondly, this study applies five methods of parametric approach for estimating the GPD parameters and predicting the T-year return level. Finally, in this study we propose the weighted average model, a model that assigns the inverse variance of several methods as weights, for the estimation of the T-year return level.
Climate changes have become serious issues that have been widely discussed by researchers. One of the issues concerns with the study in changes of rainfall patterns. Changes in rainfall patterns affect the dryness and wetness conditions of a region. In this study, the three-dimensional loglinear model was used to fit the observed frequencies and to model the expected frequencies of wet class transition on eight rainfall stations in Peninsular Malaysia. The expected frequency values could be employed to determine the odds value of wet classes of each station. Further, the odds values were used to estimate the wet class of the following month if the wet class of the previous month and current month were identified. The wet classification based on SPI index (Standardized Precipitation Index). For station that was analyzed, there was no difference found were between estimated and observed wet classes. It was concluded that the loglinear models can be used to estimate the wetness classes through the estimates of odds values.
Seasonal changes in Ephemeroptera, Plecoptera and Trichoptera (EPT) community was studied at rivers in Gunung Jerai Forest Reserve, Kedah, Malaysia. The rivers were visited monthly from September 2007 to August 2008 to sample aquatic insects using D-pond nets. More EPT were found in the wet season (10664 individuals) compared with the dry season (6599 individuals). In all rivers, ephemeropteran populations was highest during the wet season (z=-2.465, p=0.014). Meanwhile, the plecopteran population was low and almost constant throughout seasons in all rivers (z=-2.280, p=0.023). Trichopterans exhibited the highest peak of abundance in the dry season (z=-6.096, p=0.00). Concomitantly, higher diversity was recorded in the dry season (29 taxa) compared with 25 taxa recorded in wet season from all rivers. Tupah River had the most diverse EPT assemblage during the dry season. In wet season, the abundance of ephemeropterans genera such as Baetis, Platybaetis, Campsoneuria and Thalerosphyrus increased tremendously especially in Teroi River.
Makanan berasaskan kacang soya terkenal di Asia sejak beribu tahun dahulu dan ia tidak hanya diiktiraf sebagai makanan tradisi tetapi mempunyai potensi untuk kesihatan. Kajian ini dijalankan untuk menentukan penerimaan, kesukaan dan kadar penggunaan produk soya dalam kalangan pengguna di Semenanjung Malaysia. Seramai 330 responden telah terlibat dalam kajian ini. Mereka terdiri daripada pelajar universiti dan masyarakat umum yang berumur 18 tahun ke atas. Setiap responden diminta untuk mengisi borang soal selidik dengan seliaan penyelidik. Kajian menunjukkan bahawa 56% responden lebih menyukai susu soya berbanding dengan produk soya yang lain seperti taufufa (16%), kicap (9%), tempeh (8%), tauhu telur (7%) dan tauhu soya (4%). Sebahagian besar responden (>50%) percaya produk soya boleh mengurangkan risiko kanser dan osteoporosis. Sebanyak 89.4% responden makan tauhu soya. Sementara itu, 63.9% responden makan tauhu telur dan 42.2% suka tauhu telur yang digoreng. Lebih daripada 80% responden meminati warna, aroma, rasa dan tekstur tauhu telur.
Posidonomya is common in the Kubang Pasu and Singa Formations in northwest Peninsular Malaysia. It was discovered from the red mudstone layers (redbeds) in many localities in Langkawi Islands, Perlis and Kedah. Previous studies suggested that the age of Posidonomya ranged from Middle Devonian to Carboniferous. Posidonomya beds in Kedah and Perlis are located above the Tournaisian radiolarian chert layers. The age of Posidonomya from Peninsular Malaysia is comparable to those of Europe, Morocco, Turkey and South China which range from Tournaisian to Serpukhovian, Early Carboniferous. The fossil specimens exhibit morphological features closely related to Posidonomya becheri Bronn. Two taxa were identified namely Posidonomya becheri Bronn and Posidonomya cf. kochi (von Koenen). The occurrence of Posidonomya indicates that the age of the lower part of the Kubang Pasu and Singa Formations is Early Carboniferous. Its geographic distribution formed a wide paleobiogeographic province in the Paleo-Tethys. The province was located in the warm tropical-subtropical climatic zone. Therefore, Posidonomya can be a good indicator for warm climate. Its wide distribution and short stratigraphic range make it a good index fossil for the Early Carboniferous.
This paper presents various imputation methods for air quality data specifically in Malaysia. The main objective was to
select the best method of imputation and to compare whether there was any difference in the methods used between stations
in Peninsular Malaysia. Missing data for various cases are randomly simulated with 5, 10, 15, 20, 25 and 30% missing.
Six methods used in this paper were mean and median substitution, expectation-maximization (EM) method, singular
value decomposition (SVD), K-nearest neighbour (KNN) method and sequential K-nearest neighbour (SKNN) method. The
performance of the imputations is compared using the performance indicator: The correlation coefficient (R), the index
of agreement (d) and the mean absolute error (MAE). Based on the result obtained, it can be concluded that EM, KNN
and SKNN are the three best methods. The same result are obtained for all the eight monitoring station used in this study.
Penyelidikan ini dijalankan untuk mengesan perubahan guna tanah dan litupan bumi (LULC) di daerah Gombak, Selangor melalui pendekatan penderiaan jauh. Perbandingan data siri masa antara tahun 1989-1999, 1999-2014 dan 1989-2014 telah dilakukan bagi melihat perubahan LULC. Data yang digunakan ialah imej satelit Landsat (TM dan OLI-TIRS) dan Peta Guna Tanah Selangor 1990 terbitan Jabatan Pertanian Malaysia. Guna tanah dibahagikan kepada lima kategori utama, iaitu badan air, hutan, getah, kelapa sawit dan tepu bina. Penilaian ketepatan antara LULC hasil daripada pengelasan imej penderiaan jauh dengan peta guna tanah 1990 dikira berdasarkan Koeffisien Kappa menerusi teknik ralat matrik dan nilai ketepatan adalah 74.5%. Analisis GIS ke atas imej pasca klasifikasi menunjukkan perubahan sebenar LULC bagi tahun perbandingan 1989-1999 ialah 13.69%, seterusnya meningkat kepada 18.65% bagi tahun 1999-2014 dan terus meningkat bagi tahun bandingan 1989-2014, iaitu 24.25%. Guna tanah getah mengalami perubahan sebenar paling tinggi berbanding guna tanah lain dengan -47.73% bagi tahun bandingan 1989-1999, manakala tahun bandingan 1999-2014 menunjukkan guna tanah tepu bina mengalami perubahan paling tinggi dengan +44.53% dan pada tahun 1989-2014 pula guna tanah getah mengalami perubahan sebenar paling tinggi sebanyak -34.6%. Kemerosotan guna tanah getah sangat ketara di daerah Gombak dan mempunyai kaitan dengan peningkatan kawasan guna tanah tepu bina. Secara umumnya, pola perubahan guna tanah dan litupan bumi di daerah Gombak selari dengan perkembangan dan pelaksanaan pembangunan semasa oleh pihak berkuasa.
Protein antigen-i parasit ikan C. irritans berpotensi tinggi digunakan sebagai calon dalam pembangunan vaksin komersial terhadap C. irritans. Walau bagaimanapun, kewujudan variasi pada antigen-i serotip C. irritans yang berbeza mempengaruhi tahap perlindungan yang bakal diberikan terhadap varians C. irritans yang berbeza apabila antigen-i digunakan sebagai vaksin. Kajian ini dijalankan untuk membandingkan jujukan pelbagai antigen-i pencilan C. irritans di Malaysia berbanding antigen-i pencilan C. irritans yang pernah dilaporkan. Perbandingan filogenetik dijalankan untuk meramalkan potensi protein tersebut dalam usaha membangunkan calon serodiagnostik dan pemvaksinan terhadap pencilan C. irritans yang berlainan. Penjajaran jujukan berbilang bagi jujukan asid amino antigen-i dilakukan dengan perisian CLUSTALX dan analisis filogenetik antigen-i dilakukan menggunakan kaedah parsimoni maksimum (MP) dan kaedah Bayes. Sembilan transkrip unik (TU) C. irritans yang mempunyai padanan signifikan dengan antigen-i di pangkalan data protein NCBI didapati mempunyai peratus kesamaan antara 41% hingga 71%. Kedua-dua pohon MP dan Bayesian yang dijana menunjukkan varians antigen-i cn56 and cn57 terkelompok bersama dalam satu kumpulan manakala varians antigen-i yang lain terbahagi kepada dua kumpulan berasingan dan pengkelompokan ini disokong oleh kehadiran asid amino yang terpulihara dalam kumpulan masing-masing. Kajian lanjutan boleh dilakukan untuk mengenal pasti varians antigen-i yang sesuai sebagai calon serodiagnosis dan juga dapat memberi perlindungan silang terhadap pelbagai pencilan C. irritans di serata dunia.