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  1. Carcinoid tumour: a report of 4 cases with unusual sites of origin
    Dutt AK, Kutty MK, Balasegaram M, Omar-Ahmad U
    Med J Malaya, 1969 Mar;23(3):216-9.
    PMID: 4240078
  2. Primary care barriers to cataract surgery in the eastern zone of Peninsular Malaysia: an interpretative phenomenological analysis
    Nurulain MZ, Ahmad S, Asma H, Abdul M
    Med J Malaysia, 2018 04;73(2):67-72.
    PMID: 29703868
    OBJECTIVE: Cataract is the leading cause of blindness in Malaysia. There is an alarming backlog of cataract extraction surgery as the majority believes they did not require surgery. This study aimed to explore the barriers at the primary care level to cataract surgery from the perspective of patients with severe cataract blindness.

    METHODS: Eleven participants were involved in this qualitative research which utilised the interpretative phenomenological analysis approach more renowned in health psychology research. All interviews conducted at their home. The interviews were recorded, typed verbatim, and the transcripts were analysed using NVivo software version 8.0.

    RESULTS: The main barriers identified at the primary care level were 1) nondisclosure of their visual problems originated from their belated needs for better sight, delayed awareness of their visual status and social stigma and 2) patient-provider-related issues namely miscommunication and delayed referral. The first main theme explains their belief for not requiring surgery. This has led to their delayed awareness and impeded disclosure of their visual problems to family members or primary care providers. The second main theme reflects the provider-patient-related issues which retarded cataract detection and referral process required for earlier cataract extraction surgery.

    CONCLUSION: Thus, the appropriate approach targeting these specific barriers at primary care level will be able to detect, motivate and assist patients for early uptake of cataract extraction surgery to improve their vision and prevent severe blindness.

  3. Fulltext Level 4 comprehensive epilepsy program in Malaysia, a resource-limited country
    Lim, Kheng-Seang, Sherrini Ahmad Bazir Ahmad, Vairavan Narayanan, Kartini Rahmat, Norlisah Mohd Ramli, Mun, Kein-Seong, et al.
    Neurology Asia, 2017;22(4):299-305.
    MyJurnal
    Background and Objective: There is a great challenge to establish a level 4 epilepsy care offering
    complete evaluation for epilepsy surgery including invasive monitoring in a resource-limited country.
    This study aimed to report the setup of a level 4 comprehensive epilepsy program in Malaysia and the
    outcome of epilepsy surgery over the past 4 years.

    Methods: This is a retrospective study analyzing
    cases with intractable epilepsy in a comprehensive epilepsy program in University Malaya Medical
    Center (UMMC), Kuala Lumpur, from January 2012 to August 2016.

    Results: A total of 92 cases
    had comprehensive epilepsy evaluation from January 2012 till August 2016. The mean age was 35.57
    years old (range 15-59) and 54 (58.7%) were male. There were 17 cases having epilepsy surgery
    after stage-1 evaluation. Eleven cases had mesial temporal sclerosis and 81% achieved Engel class
    I surgical outcome. Six cases had lesionectomy and 60% had Engel class I outcome. A total of 16
    surgeries were performed after stage-2 evaluation, including invasive EEG monitoring in 9 cases.
    Among those with surgery performed more than 12 months from the time of data collection, 5/10
    (50%) achieved Engel I outcome, whereas 2 (20%) had worthwhile improvement (Engel class III)
    with 75% and 90% seizure reduction.

    Conclusion: Level 4 epilepsy care has an important role and is possible with joint multidisciplinary
    effort in a middle-income country like Malaysia despite resource limitation.
  4. New Insight in Improving Therapeutic Efficacy of Antipsychotic Agents: An Overview of Improved In Vitro and In Vivo Performance, Efficacy Upgradation and Future Prospects
    Ei Thu H, Hussain Z, Shuid AN
    Curr Drug Targets, 2018;19(8):865-876.
    PMID: 27894237 DOI: 10.2174/1389450117666161125174625
    Psychotic disorders are recognized as severe mental disorders that rigorously affect patient's personality, critical thinking, and perceptional ability. High prevalence, global dissemination and limitations of conventional pharmacological approaches compel a significant burden to the patient, medical professionals and the healthcare system. To date, numerous orally administered therapies are available for the management of depressive disorders, schizophrenia, anxiety, bipolar disorders and autism spectrum problems. However, poor water solubility, erratic oral absorption, extensive first-pass metabolism, low oral bioavailability and short half-lives are the major factors which limit the pharmaceutical significance and therapeutic feasibility of these agents. In recent decades, nanotechnology-based delivery systems have gained remarkable attention of the researchers to mitigate the pharmaceutical issues related to the antipsychotic therapies and to optimize their oral drug delivery, therapeutic outcomes, and patient compliance. Therefore, the present review was aimed to summarize the available in vitro and in vivo evidences signifying the pharmaceutical importance of the advanced delivery systems in improving the aqueous solubility, transmembrane permeability, oral bioavailability and therapeutic outcome of the antipsychotic agents.
  5. Fulltext Between simplicity and accuracy: Effect of adding modeling details on quarter vehicle model accuracy
    Soong MF, Ramli R, Saifizul A
    PLoS One, 2017;12(6):e0179485.
    PMID: 28617819 DOI: 10.1371/journal.pone.0179485
    Quarter vehicle model is the simplest representation of a vehicle that belongs to lumped-mass vehicle models. It is widely used in vehicle and suspension analyses, particularly those related to ride dynamics. However, as much as its common adoption, it is also commonly accepted without quantification that this model is not as accurate as many higher-degree-of-freedom models due to its simplicity and limited degrees of freedom. This study investigates the trade-off between simplicity and accuracy within the context of quarter vehicle model by determining the effect of adding various modeling details on model accuracy. In the study, road input detail, tire detail, suspension stiffness detail and suspension damping detail were factored in, and several enhanced models were compared to the base model to assess the significance of these details. The results clearly indicated that these details do have effect on simulated vehicle response, but to various extents. In particular, road input detail and suspension damping detail have the most significance and are worth being added to quarter vehicle model, as the inclusion of these details changed the response quite fundamentally. Overall, when it comes to lumped-mass vehicle modeling, it is reasonable to say that model accuracy depends not just on the number of degrees of freedom employed, but also on the contributions from various modeling details.
  6. Optimization of Water/Oil/Surfactant System for Preparation of Medium-Chain-Length Poly-3-Hydroxyalkanoates (mcl-PHA)-Incorporated Nanoparticles via Nanoemulsion Templating Technique
    Ishak KA, Annuar MSM, Ahmad N
    Appl Biochem Biotechnol, 2017 Dec;183(4):1191-1208.
    PMID: 28502064 DOI: 10.1007/s12010-017-2492-6
    Polymeric nanoparticles gain a widespread interest in food and pharmaceutical industries as delivery systems that encapsulate, protect, and release lipophilic compounds such as omega-3 fatty acids, fat-soluble vitamins, carotenoids, carvedilol, cyclosporine, and ketoprofen. In this study, medium-chain-length poly-3-hydroxyalkanoate (mcl-PHA)-incorporated nanoparticle was developed via facile organic solvent-free nanoemulsion templating technique. The water content (W/surfactant-to-oil (S/O)), S/O, and Cremophor EL-to-Span 80 (Cremo/Sp80) ratios were first optimized using response surface methodology (RSM) to obtain nanoemulsion template prior to incorporation of mcl-PHA. Their effects on nanoemulsion formation were investigated. The mcl-PHA-incorporated nanoparticle system showed a good preservation capability of β-carotene and extended storage stability.
  7. Methylene blue removal by using pectin-based hydrogels extracted from dragon fruit peel waste using gamma and microwave radiation polymerization techniques
    Abdullah MF, Azfaralariff A, Lazim AM
    J Biomater Sci Polym Ed, 2018 10;29(14):1745-1763.
    PMID: 29989528 DOI: 10.1080/09205063.2018.1489023
    This research aims to compare the ability of smart hydrogel in removing the methylene blue prepared by using two different radiation methods. The extracted pectin from the dragon fruit peel (Hylocereus polyrhizus) was used with acrylic acid (AA) to produce a polymerized hydrogel through gamma and microwave radiation. The optimum hydrogel swelling capacity was obtained by varying the dose of radiation, pectin to AA ratio and pH used. From the array of samples, the ideal hydrogel was obtained at pH 8 with a ratio of 2:3 (pectin: AA) using 10 kGy and 400 W radiated gamma and microwave respectively. The performance of both hydrogels namely as Pc/AA(G) (gamma) and Pc/AA(Mw) (microwave) were investigated using methylene blue (MB) adsorption studies. In this study, three variables were manipulated, pH and MB concentration and hydrogel mass in order to find the optimum condition for the adsorption. Results showed that 20 mg of Pc/AA(G) performed the highest MB removal which was about 45% of 20 mg/L MB at pH 8. While 30 mg of Pc/AA(Mw) able to remove up to 35% of 20 mg/L MB at the same pH condition. To describe the adsorption mechanism, both kinetic models pseudo-first-order, pseudo-second-order were employed. The results from kinetic data showed that it fitted the pseudo-first-order as compared to pseudo-second-order model equation. This study provides alternative of green, facile and affective biomaterial for dye absorbents that readily available.
  8. Fulltext Intracranial metastatic neuroblastoma mimicking subdural empyema: an interesting case
    Hairuddin NF, Musa AT, Abdullah MS
    Malaysian Journal of Paediatrics and Child Health, 2016;22(1):66-70.
    MyJurnal
    Neuroblastoma is usually presented with abdominal distension. However, central nervous system manifestations of neuroblastoma are uncommon. In this case report, patient presented with uncommon presentation of neuroblastoma and the diagnostic dilemma.
  9. Fulltext Acute ophthalmic artery occlusion in decompression illness with underlying anterior cerebral artery A1 segment hypoplasia
    Omar AR, Ibrahim M, Hussein A
    Diving Hyperb Med, 2018 Jun 30;48(2):112-113.
    PMID: 29888385 DOI: 10.28920/dhm48.2.112-113
    A diver presented with total loss of vision in the left eye and right hemiparesis following a routine no-stop scuba dive to 20 metres' depth. A diagnosis of decompression illness (DCI) with acute ophthalmic artery air embolism and left carotid artery insult causing acute anterior circulatory ischaemia was made. He underwent seven hyperbaric treatments leading to a full recovery. Magnetic resonance angiography revealed an underlying left anterior cerebral artery A1 segment hypoplasia. Making a prompt diagnosis and early hyperbaric oxygen treatment are crucial to halt further tissue damage from ischaemia in central nervous system DCI. In this case, the finding of a left A1 anterior cerebral artery segment hypoplasia variant may have increased the severity of DCI due to deficient collateral circulation.
  10. Fulltext Improving forecasting accuracy for stock market data using EMD-HW bagging
    Awajan AM, Ismail MT, Al Wadi S
    PLoS One, 2018;13(7):e0199582.
    PMID: 30016323 DOI: 10.1371/journal.pone.0199582
    Many researchers documented that the stock market data are nonstationary and nonlinear time series data. In this study, we use EMD-HW bagging method for nonstationary and nonlinear time series forecasting. The EMD-HW bagging method is based on the empirical mode decomposition (EMD), the moving block bootstrap and the Holt-Winter. The stock market time series of six countries are used to compare EMD-HW bagging method. This comparison is based on five forecasting error measurements. The comparison shows that the forecasting results of EMD-HW bagging are more accurate than the forecasting results of the fourteen selected methods.
  11. The effects of Labisia pumila extracts on bone microarchitecture of ovariectomized-induced osteoporosis rats: A micro-CT analysis
    Effendy NM, Khamis MF, Shuid AN
    J Xray Sci Technol, 2016 Oct 21.
    PMID: 27768005
    Labisia pumila (LP) is a popular herb used by women over the past few decades. This herb has shown potentials as an alternative agent for treatment and prevention of postmenopausal osteoporosis. It was observed in previous studies that supplementation to ovariectomized rats were associated with increased bone antioxidative enzymes and reduced lipid peroxidation activity. It had also improved bone formation markers in ovariectomized rats. This study aimed to evaluate the effects of giving different forms of LP extracts on the trabecular bone microarchitecture of ovariectomised rats.
  12. Frequency-controlled wireless shape memory polymer microactuator for drug delivery application
    Zainal MA, Ahmad A, Mohamed Ali MS
    Biomed Microdevices, 2017 Mar;19(1):8.
    PMID: 28124762 DOI: 10.1007/s10544-017-0148-5
    This paper reports the wireless Shape-Memory-Polymer actuator operated by external radio frequency magnetic fields and its application in a drug delivery device. The actuator is driven by a frequency-sensitive wireless resonant heater which is bonded directly to the Shape-Memory-Polymer and is activated only when the field frequency is tuned to the resonant frequency of heater. The heater is fabricated using a double-sided Cu-clad Polyimide with much simpler fabrication steps compared to previously reported methods. The actuation range of 140 μm as the tip opening distance is achieved at device temperature 44 °C in 30 s using 0.05 W RF power. A repeatability test shows that the actuator's average maximum displacement is 110 μm and standard deviation of 12 μm. An experiment is conducted to demonstrate drug release with 5 μL of an acidic solution loaded in the reservoir and the device is immersed in DI water. The actuator is successfully operated in water through wireless activation. The acidic solution is released and diffused in water with an average release rate of 0.172 μL/min.
  13. Effects of Gold Nanoparticles on the Response of Phenol Biosensor Containing Photocurable Membrane with Tyrosinase
    Sharina AH, Lee YH, Musa A
    Sensors (Basel), 2008 Oct 16;8(10):6407-6416.
    PMID: 27873876
    The role of incorporation of gold nanoparticles (50-130 nm in diameter) into a series of photocurable methacrylic-acrylic based biosensor membranes containing tyrosinase on the response for phenol detection was investigated. Membranes with different hydrophilicities were prepared from 2-hydroxyethyl methacrylate and n-butyl acrylate via direct photocuring. A range of gold nanoparticles concentrations from 0.01 to 0.5 % (w/w) was incorporated into these membranes during the photocuring process. The addition of gold nanoparticles to the biosensor membrane led to improvement in the response time by a reduction of approximately 5 folds to give response times of 5-10 s. The linear response range of the phenol biosensor was also extended from 24 to 90 mM of phenol. The hydrophilicities of the membrane matrices demonstrated strong influence on the biosensor response and appeared to control the effect of the gold nanoparticles. For less hydrophilic methacrylic-acrylic membranes, the addition of gold nanoparticles led to a poorer sensitivity and detection limit of the biosensor towards phenol. Therefore, for the application of gold nanoparticles in the enhancement of a phenol biosensor response, the nanoparticles should be immobilized in a hydrophilic matrix rather than a hydrophobic material.
  14. Fulltext Development of herbicide delivery system based on magnesium aluminium – 4- chlorophenoxyacetic acid (Mac) nanocomposite
    Nur Suhana Mohd Ali, Norilyani Izzati Hasanuddin, Nurul Atiqah Azizan, Asiah Abdullah, Nur Nadia Dzulkifli, Ropisah Me, et al.
    Journal of Engineering and Science Research, 2017;1(2):152-157.
    MyJurnal
    Layered double hydroxide (LDH)-based nanocomposite, created by interacting LDH with another nanoparticles usually applied in the area of environmental, catalytic, industrial and biomedical field. In this study, a new herbicide delivery system was developed through the intercalation of Magnesium Aluminiumlayered double hydroxide (MAN host) with 4-chlorophenoxyacetic acid (4-CPA). This intercalation was done by using co-precipitation method at pH 10 with different concentration of 4-CPA which were 0.5 M and 0.7 M. The successful intercalation was obtained at 0.7 M Magnesium Aluminium-4-chlorophenoxyacetic acid (MAC) and had been confirmed through several analysis. Firstly, the XRD pattern shows expansion of basal spacing shifted from 8.9 Å to 9.3 Å. This result supported by the FTIR-ATR spectrum that shows the disappearance nitrate peak (NO3 - ) and appearance of carboxylate ion (COO- ) peak at 1596 cm-1 . Furthermore, this intercalation was validated with the result of surface morphology by FESEM. The controlled release study of 4-CPA from 0.7 M MAC shown sodium carbonate solution released the percentage of 4-CPA higher than tap water. This study has signifies MAC as a safer agent of agrochemicals by reducing the dosage of herbicide in the agriculture field and protect the herbicide through encapsulation system.
  15. Fulltext A review on gamma greenhouse as a chronic gamma irradiation facility for plant breeding and improvement program
    Faiz Ahmad, Zaiton Ahmad, Affrida Abu Hassan, Sakinah Ariffin, Norazlina Noordin, Shakinah Salleh, et al.
    Jurnal Sains Nuklear Malaysia, 2018;30(1):8-18.
    MyJurnal
    The research on radiation induced mutation has been conducted as one of the promising method of plant breeding in Malaysia since 1980s. Nuclear Malaysia is leading research institute inMalaysia conducting plant mutationbreeding research. Gamma Greenhousefacility located in Nuclear Malaysiais one of the irradiation facilitiesto serve as a chronic irradiation facility for inducing mutation in various organisms including plants, fungi and microbes.Chronic irradiation refers to the exposure of materials at a lower dose rate over a long period of time. Previous studies have shown that this type of irradiation can minimize radiation damages to living materials and produces a wider mutation spectrum, therefore is very useful for trait improvements in irradiated organisms. Experiments on induce mutation using Gamma Greenhouse facility for crop improvement program have been conducted since its first operation in 2009. Various plant species including ornamental and herbal plants, food crops and industrial crops have been irradiated to improve their traits such as higher yield and biomass, pest and disease tolerance, higher bioactive compounds, longer bloom time and many others. Most of these crop improvement programs were done through collaborations with other agencies in Malaysia such as universities, research institutes and government departments. A number of publications on crop improvement using Gamma Greenhouse have been published inlocal and international journals as well as seminar presentations at national and international levels. The outputs from induced mutation via chronic radiation using Gamma Greenhouse could be of great interest for plant breeders dealing with improvement and development of new cultivars. This paper discusses the activities and achievement in plant breeding and improvement using Gamma Greenhouse Facility in Malaysia.
  16. Fulltext The Effects of Leg Length Discrepancy on Stability and Kinematics-Kinetics Deviations: A Systematic Review
    Azizan NA, Basaruddin KS, Salleh AF
    Appl Bionics Biomech, 2018;2018:5156348.
    PMID: 30116295 DOI: 10.1155/2018/5156348
    Various studies have examined body posture stability, including postural sway and associated biomechanical parameters, to assess the severity effects of leg length discrepancy (LLD). However, various viewpoints have been articulated on the results of these studies because of certain drawbacks in the comprehensive analysis of the effect of variations in LLD magnitude. Therefore, this systematic review was performed to help focus on the current findings to help identify which biomechanical parameters are most relevant, commonly used, and able to distinguish and/or have specific clinical relevance to the effect of variations in LLD magnitude during static (standing) and dynamic (walking) conditions. Several electronic databases containing studies from the year 1983 to 2016 (Scopus, ScienceDirect, PubMed, PMC, and ProQuest) were obtained in our literature search. The search process yielded 22 published articles that fulfilled our criteria. We found most of the published data that we analyzed to be inconsistent, and very little data was obtained on the correlation between LLD severity and changes in body posture stability during standing and walking. However, the results of the present review study are in line with previous observational studies, which describe asymmetry in the lower limbs corresponding to biomechanical parameters such as gait kinematics, kinetics, and other parameters described during static (standing) postural balance. In future investigations, we believe that it might be useful to use and exploit other balance-related factors that may potentially influence body posture stability.
  17. Fulltext Level of Satisfaction on Service Quality Dimensions Based on SERVQUAL Model Among Patients Attending 1 Malaysia Clinic in Kota Bharu, Malaysia
    Zun AB, Ibrahim MI, Hamid AA
    Oman Med J, 2018 Sep;33(5):416-422.
    PMID: 30210721 DOI: 10.5001/omj.2018.76
    Objectives: Implemented in 2010, 1 Malaysia Clinic (1MC) is the latest innovation in public primary healthcare services in Malaysia to serve the urban population. This study aimed to assess the level of satisfaction and its associated factors using the SERVQUAL (SERV-service, QUAL-quality) instrument. We also sought to compare the difference of mean score between expectation and perception of SERVQUAL dimension among patients attending 1MC in Kota Bharu district, Malaysia.

    Methods: This cross-sectional study included all nine 1MCs in the Kota Bharu district, Malaysia, and used the validated SERVQUAL questionnaire from Ministry of Health, Malaysia. The primary data was collected in January 2017. The sample size was proportionate to the average daily patient attendance for each clinic, and a simple random sampling method was applied to reduced selection bias. Satisfaction level was determined by the mean gap score of expectation and perception of the SERVQUAL dimension.

    Results: A total of 386 patients were involved in this study (184 male and 202 female). Most were from the low socioeconomic group. Less than half of the patients were satisfied with the clinic services. The tangible dimension (service quality (SQ) gap: -0.25) was the most critical dimension among all five SQ dimensions assessed. The factors included low education level (adjusted odds ratio (adj. OR) 1.87; 95% confidence interval (CI): 1.06, 2.67; p = 0.024), monthly household income less than RM 3000 (adj. OR 2.97; 95% CI: 1.72, 5.51; p < 0.001), and frequency 3 3 visits (adj. OR 2.23; 95% CI: 1.44, 3.45; p < 0.001) had significant association with high level of satisfaction.

    Conclusion: 1MC has achieved its objective to increase the accessibility of health services among the low-income population in urban settings. However, most patients were not satisfied with certain parts of the services. Thus, proper evaluation of the service gap is required for improvement of the service.
  18. Fulltext The Effects of Chemical Castration with Degarelix on Bone Turnover: Densitometric and Biomechanics Bone Properties of Male Rats
    Jayusman PA, Mohamed IN, Shuid AN
    Int J Endocrinol Metab, 2018 Jul;16(3):e64038.
    PMID: 30197659 DOI: 10.5812/ijem.64038
    Background: Gonadotropin releasing hormone (GnRH) antagonists may cause chemical castration in males by suppressing the pituitary-gonadal axis, hence reducing testosterone level. There are limited data on the effects of degarelix, a newer series of potent and long acting GnRH antagonist on bone.

    Objectives: The current study aimed at determining the effects of degarelix on bone turnover, bone densitometry, and bone mechanical strength in male rats.

    Methods: Eighteen male Sprague-Dawley rats were randomly divided into sham (SHAM), orchidectomized (ORX), and degarelix-induced (DGX) groups. Chemical castration was performed by subcutaneous degarelix injection (2 mg/kg) at the scapular region. The rats were scanned for baseline bone mineral area (BMA), bone mineral content (BMC), and bone mineral density (BMD) using dual-energy x-ray absorptiometry (DXA). Following six weeks of experimental period, BMA, BMC, and BMD were measured again with DXA and blood was collected for testosterone and bone biomarkers (osteocalcin and C-terminal of type I collagen crosslink (CTX-1)) measurements. The rats were euthanized and femora were dissected for bone biomechanical strength analysis.

    Results: Bilateral orchidectomy and degarelix administration significantly lowered serum testosterone level, decreased whole body BMC, femoral BMA, femoral BMC, and femoral BMD (P < 0.05) compared with the SHAM group. However, no significant changes were observed in bone biochemical markers and bone mechanical strength in all experimental groups.

    Conclusions: In conclusion, degarelix administration had comparable effects on bone as bilateral orchidectomy. Administration of degarelix provides an alternative method of inducing testosterone deficient-osteopenia in male rats without need for removing the testes.

  19. Efficient Deployment of Multi-UAVs in Massively Crowded Events
    Sawalmeh A, Othman NS, Shakhatreh H
    Sensors (Basel), 2018 Oct 26;18(11).
    PMID: 30373204 DOI: 10.3390/s18113640
    In this paper, the efficient 3D placement of UAV as an aerial base station in providing wireless coverage for users in a small and large coverage area is investigated. In the case of providing wireless coverage for outdoor and indoor users in a small area, the Particle Swarm Optimization (PSO) and K-means with Ternary Search (KTS) algorithms are invoked to find an efficient 3D location of a single UAV with the objective of minimizing its required transmit power. It was observed that a single UAV at the 3D location found using the PSO algorithm requires less transmit power, by a factor of 1/5 compared to that when using the KTS algorithm. In the case of providing wireless coverage for users in three different shapes of a large coverage area, namely square, rectangle and circular regions, the problems of finding an efficient placement of multiple UAVs equipped with a directional antenna are formulated with the objective to maximize the coverage area and coverage density using the Circle Packing Theory (CPT). Then, the UAV efficient altitude placement is formulated with the objective of minimizing its required transmit power. It is observed that the large number of UAVs does not necessarily result in the maximum coverage density. Based on the simulation results, the deployment of 16, 19 and 26 UAVs is capable of providing the maximum coverage density of 78.5%, 82.5% and 80.3% for the case of a square region with the dimensions of 2 km × 2 km, a rectangle region with the dimensions of 6 km × 1.8 km and a circular region with the radius of 1.125 km, respectively. These observations are obtained when the UAVs are located at the optimum altitude, where the required transmit power for each UAV is reasonably small.
  20. Fulltext Tuberculosis contact tracing in low and middle income countries: a systematic review
    Norfazilah Ahmad, Siti Norbayah Yusof, Nurmawati Ahmad, Zaleha Md Nor, Juhaida Mohd Noor, Hasanain Faisal Ghazi, et al.
    Int J Public Health Res, 2018;8(1):924-932.
    MyJurnal
    Introduction Tuberculosis (TB) is a major global health challenge especially in low- and middle-income countries reflects improper, delayed or missed diagnosis. Contact screening should be utilized both as an efficient and effective targeted approach to intensify TB case finding.
    Methods Through a comprehensive systematic literature review of online database, this paper aims at providing an insight into the current practice of TB contact screening and to provide evidence based practice for formulation of appropriate policies in low- and middle-income countries. There are 24 articles included in this review from studies published from 2005 to 2014.
    Results Findings in literature varies substantially. Generally, contact screening is better intensified with clear operational guidelines, adequate training, include close contact outside household as appropriate and follow up at least for 1 year. Prioritizing high risk close contacts is helpful in resource limited setting. Tuberculin skin test is still of value as screening tool and intensified case finding must be accompanied with effective management protocol. Prophylaxis treatment is recommended especially for children especially less than 5 years old, unvaccinated, malnourished, living with person having HIV and close contact with MDR-TB.
    Conclusions Policy recommendations in improving TB management must incorporate complementary strategies to enhance case finding, effective management protocol for follow up or prophylaxis treatment, training for public health capacity and concerted dedication from various stakeholders
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