Azoospermia is present in 15% of infertile cases and it is a major concern due to inability to produce sperm. Most of IVF (in-vitro fertilization) clinics abroad has been using sperm donation via sperm bank facilities as a solution for infertile couple to have their own offspring. In Islam, it is forbidden to use sample from male other than their spouse. It is according to maqasid syari’ah to ensure the heredity of the human being. Based on the latest technology, one approach of stem cell differentiation process had been established to produce mature cells from primitive or immature cells (stem cells). This technology is in line with the concept of maqasid syari’ah since we are using the cells from one person. We try to adopt this technology to study the potential of testicular cells from non-obstructive azoospermic (NOA) patient to undergo in vitrospermatogenesis.Samples were cultured in modified human embryonic stem cells (HESC) media with specific growth factors; basic fibroblast growth factor (bFGF) and leukemia inhibitory factor (LIF). Protein expressions were analyzed by immunofluorescent staining on day 49 and 90 of culture. Results show spermatogonial stem cell-like cells (SSC-like cells) colonies formed after 14 to 21 days, the cells were expanding successfully and were stable for 49 days duration. Then SSCs differentiated into later stage of spermatogenesis on day 90. Four specifics SSCs protein markers were identified on day 49; ITGA1, ITGB1, CD9 and GFRA1 whereas SCP3 and TP1 proteins were expressed on day 90. This in vitrospermatogenesis suggests a possible approach for future for Muslim NOA patients in order to have their own children.
There is widespread use of herbal and dietary supplements worldwide among patients despite robust clinical evidence of its efficacy. This may lead to adverse effects, such as diabetes, hypertension, stroke, cardiovascular risk and kidney problems due to inappropriate self-prescription. This study was performed to determine the prevalence of herbal and dietary supplements usage among patients with chronic kidney disease and its association with the socio-demographic background and the conventional medication adherence. Materials and methods: A survey was conducted among 78 chronic kidney disease patients attending the Nephrology Clinic, Hospital Tengku Ampuan Afzan, Kuantan, Pahang. Data were collected using a questionnaire and analyzed using descriptive statistics, Chi Square Test and Fisher’s Exact Test. The p-valuewas set to be less 0.05 for its level of significance. Results: Most of the patients aged more than 50 years (89.7%), female (53.8%), unemployed (41%) and from lower socio-economic earners (75.6%). Only 5.2% of respondents reported using herbal and dietary supplements. There was no association between socio-demographic background with the herbal and dietary supplements usage. Similarly, there was no association between herbal and dietary supplements usage and the conventional medication adherence. Conclusion: This study provides a good baseline on the usage of herbal and dietary supplements use among chronic disease patients. It can be concluded that the level of awareness among the patients is good. Nevertheless, a larger study shall be performed in the future to explore the pattern of association.
Oxidative stress induced by excessive and unopposed levels of reactive oxygen species in male reproductive system results in impaired sperm quality, fertilization capacity and poor embryo development. Our goal is to assess the potential effects of Aquilaria malaccensis(AM) leaves, a plant with strong antioxidant property on early embryo development in vitroand embryo quality following fertilization with cyclophosphamide (CP) exposed rat sperm. Materials and Methods:Twenty four male Sprague Dawley rats were allocated into eight groups of three rats (n = 3): control, CP only (200 mg/kg), AM only (100 mg/kg, 300 mg/kg and 500 mg/kg) and CP + AM (100 mg/kg, 300 mg/kg and 500 mg/kg). Animals were sacrificed after 63 days of treatment and sperm from caudal epididymis were taken for in vitrofertilization (IVF) with oocytes from untreated female. Fertilization, embryo division and embryo morphology were examined at 8 and 48 hours post insemination and compared between groups. Statistical evaluations were performed using Chi-Square test and Fisher’s exact test and p-value
This paper reports an alternative method for making glass-ceramic from disposal waste water
sludge and soda lime silica (SLS) glass. The glass ceramic samples were prepared from a mixture
of wastewater sludge and SLS glasses, melted at 1375°C for 3 hours and quenched by pouring into
water to obtain a coarse frit. The frit glass was then crushed and sieved to 106μm before it was
pressed to a pellet. The sintering process was performed at various temperatures between 700-
1000°C for 2 hours and morphologically characterized with XRD, SEM, and EDX. Overall results
showed the crystalline phase of diopside sodian-critobalite glass-ceramic is depending on thermal
treatment process and making them attractive to industrial uses such as in construction, tiling, and
glass-ceramic applications.
Non-destructive and real time method becomes a well-liked method to researchers in the oil palm
industry since 2000. This method has the ability to detect oil content in order to increase the
production of oil palm for better profit. Hence, this research investigates the potential of neutron
source to estimate oil content in palm oil fruit since oil palm contains hydrogen with chemical
formula C55H96O6. For this paper, oil palm loose fruit was being used and divided into three
groups. These three groups are ripe, under-ripe and bruised fruit. A total of 21 loose fruit for each
group were collected from a private plantation in Malaysia. Each sample was scanned using
neutron backscattered technique. The higher neutron count, the more hydrogen content, and the
more oil content in palm oil fruit. The best correlation result came from the ripe fruits with r2=0.98.
This research proves that neutron backscattered technique can be used as a non-destructive and
real time grading system for palm oil.
Menthol brand cigarette has been found to be linked with early initiation of smoking and addiction of nicotine. This study was designed to find out the factors associated with smoking menthol brand cigarettes among adult population in Sarawak. This was a cross-sectional study conducted among the adult population in Sarawak. Data were collected from ten villages in Kota Samarahan and Kuching Division by face to face interview using modified Global Adult Tobacco Survey questionnaire. Non-probability purposive sampling method was adopted to select the villages. All the households of the villages were visited, and an adult member was selected randomly from each household irrespective of sex. After missing value imputation, 1000 data sets were analysed using statistical software SPSS 19.0 version. Analysis showed that 28.8% of the respondents were current smokers, and 7.8% were past smokers. Among the smokers, 56.3% were habituated with menthol brand cigarette. Logistic regression analysis revealed that age at initiation of smoking before 15 years of age (OR=11. 68, 95% CI: 4.25, 32.10), smoking within five minutes of wake up from sleep (OR=3. 20, 95% CI: 1.35, 7.54), nature of job as business (OR=4. 81, 95% CI: 2.13, 10.86) and service holders (OR= 3.85, 95% CI: 2.07, 7.16) and family size 5 and above (OR=2. 22, 95% CI: 1.25, 3.94) appeared to be important determinants of smoking any menthol brand cigarette (p< 0.05). Menthol is a prominent design feature to attract and retain younger smokers. It does not necessarily make the transition from experimenting with cigarettes, but to encourage early smokers to become a confirmed smoker. So, anti-tobacco public health programme should focus on age-specific community approach.
Extended use of GC-FID and GC-MS in oil spill fingerprinting and matching is significantly important for oil classification from the oil spill sources collected from various areas of Peninsular Malaysia and Sabah (East Malaysia). Oil spill fingerprinting from GC-FID and GC-MS coupled with chemometric techniques (discriminant analysis and principal component analysis) is used as a diagnostic tool to classify the types of oil polluting the water. Clustering and discrimination of oil spill compounds in the water from the actual site of oil spill events are divided into four groups viz. diesel, Heavy Fuel Oil (HFO), Mixture Oil containing Light Fuel Oil (MOLFO) and Waste Oil (WO) according to the similarity of their intrinsic chemical properties. Principal component analysis (PCA) demonstrates that diesel, HFO, MOLFO and WO are types of oil or oil products from complex oil mixtures with a total variance of 85.34% and are identified with various anthropogenic activities related to either intentional releasing of oil or accidental discharge of oil into the environment. Our results show that the use of chemometric techniques is significant in providing independent validation for classifying the types of spilled oil in the investigation of oil spill pollution in Malaysia. This, in consequence would result in cost and time saving in identification of the oil spill sources.
Safety helmet become vital personal protective equipment especially in the plantation in preventing the head from injury. This study evaluate the knowledge, attitude and practice on safety helmet usage among harvesters, the association between knowledge, attitude and practice of safety helmet usage with head injury; and the significant differences of the safety helmet practices before and after the intervention. A cross-sectional study was conducted among 109 harvesters in two oil palm plantation located in Selangor, Malaysia. A set of questionnaire was used to collect the socio demographic background data, knowledge, attitude and practice on the usage of safety helmet. An intervention program through tool box talk on proper usage of safety helmet also was given followed by an observation to look for the differences before and after the tool box promotion on the use of safety helmet. Result from the descriptive analysis showed high score for knowledge, fair score for the attitude and practice among harvesters. There is no association between knowledge (X2=2.733; p>0.05), attitude (X2=2.546; p>0.05) and practice (X2=2.473; p>0.05) with the head injury. The result also gave no significant differences (p>0.05) of the practices before and after the intervention. However, the trends showed decrease in number of practices after the intervention. This study reveals that the knowledge, attitude and practice are not a prominent indicator for head injury among harvesters.
Entomologi forensik dapat ditakrifkan sebagai pengetahuan mengenai serangga yang berkait rapat dengan bangkai terutamanya manusia, dengan tujuan ia dapat digunakan dalam penentuan jangka masa pascakematian. Jangka masa pascakematian (PMI) dapat ditentukan dengan mengambil kira spesies serangga dan peringkat perkembangan setiap spesies tersebut. Oleh kerana penentuan jenis spesies memerlukan serangga berkembang ke peringkat dewasa dan ini mengambil masa yang lama, maka objektif utama kajian ini adalah untuk mengoptimumkan suhu dan kelembapan terhadap perkembangan serangga dengan menggunakan larva Chrysomya megacephala sebagai spesimen. Larva C. megacephala dipindahkan ke dalam bekas khas, kemudiannya dimasukkan ke dalam pengeram yang telah dilaraskan suhunya kepada 27, 30, 33, 36 dan 39°C. Selepas menentukan suhu optimum perkembangan larva, aras kelembapan relatif ditentukan. Ini dilakukan dengan menentukan tempoh masa yang diperlukan untuk mengembangkan telur C. megacephala hingga ke peringkat dewasa. Untuk itu aras kelembapan relatif dalam pengeram tersebut dilaraskan kepada 54.2, 57.6, 76.0 dan 67.5% (kawalan). Peringkat perkembangan C. megacephala direkodkan. Hasil yang diperolehi menunjukkan perkembangan C. megacephala lebih pantas pada suhu 33oC berbanding suhu-suhu lain yang digunakan. Aras kelembapan relatif yang optimum juga telah dikenal pasti iaitu pada 76.0%. Dengan menggunakan keduadua data didapati keseluruhan peringkat perkembangan C. megacephala iaitu daripada peringkat telur hingga dewasa dapat dipendekkan daripada 8 hingga 9 hari kepada 5 hari.
The art of talking to patients and their relatives does not come naturally to most of us and the ability to put oneself in the patients’ predicament is difficult particularly for the young doctors. To identify the communication abilities of the young doctors, a cross sectional study was carried out on 32 house officers who graduated from UKM in 2004 during their house jobs at different hospitals in Malaysia. A standardized questionnaire was used to collect the data. Fifty nine percent respondents claimed that they had communicated very well with patients while 69% with support staff and 88% with peers. On the other hand 38% and 41% of the respondents claimed they communicated very well with their superiors and families of patients. Only 22% of the graduates’ skills of communication in breaking bad news were very well, while 50% and 81% were very well in counselling patients and taking consent for procedures. Curriculum planners need to emphasize the importance ofdeveloping good communication skills in all aspects for the future doctors.
Turner syndrome is one of the most common chromosomal abnormalities affecting newborn females. More than half of patients with Turner syndrome have a 45X karyotype The rest of the patients may have structurally abnormal sex chromosomes or are mosaics with normal or abnormal sex chromosomes. Mosaicism with a second X sex chromosome is not usually of clinical significance. However, Turner syndrome patients having a second Y chromosome or Y chromosomal material are at risk of developing gonadoblastoma later in life. The aim of this study is to compare the results of conventional (karyotyping) and molecular cytogenetics (FISH), and discuss the advantages and limitations in the diagnosis of Turner syndrome. We also aim to compare the degree of mosaicism identified using conventional cytogenetics and FISH techniques. Conventional cytogenetics and FISH analyses were performed on eight peripheral blood samples of patients with Turner syndrome collected between 2004 and 2006. From this study, two out of eight patients with Turner syndrome were found to have the sex determining region on the Y chromosome (SRY) gene by FISH analysis. Our results showed that the rate of detection of mosaic cases in Turner syndrome was also increased to 88% after using the FISH technique. We concluded that FISH is more superior to conventional cytogenetics in the detection of the Y chromosomal material. FISH is also a quick and cost effective method in diagnosing Turner syndrome and assessing the degree of mosaicism.
Cardio-pulmonary Resuscitation (CPR) is important and should be mastered by House Officers (HO). House officers who have just completed their studies are assigned to acute medical and surgical wards. If a patient in the ward has a cardiac arrest (CA), these doctors are usually the first to attend. Therefore an HO must be confident with CPR skills. They must be competent in performing CPR. The authors assessed 26 new HOs from Universiti Kebangsaan Malaysia Hospital (HUKM) with respect to their self-perception about CPR skills, confidence level in performing CPR and knowledge in performing CPR. Knowledge was assessed by a questionnaire. We found that 16 of 26 (61.5%) assessed themselves to have inadequate knowledge and 46.2% had no confidence in performing CPR. The mean score of the written test was 5.7 ± 1.8. Seven out of 26 (27.0%) HOs had incorrect hand placement position for CPR. Only 4 and 9 out of 26 HOs had their sternal paddle and cardiac apex paddle positions correctly placed respectively. In conclusion, knowledge, perception of skills and confidence levels of HOs on CPR are inadequate and need further assessment and improvement. Medical schools need to review their CPR curriculum in order to prepare HOs adequately to work in emergency situations.
A survey was conducted to investigate the level of consumption of ‘ulam’ in Selangor State among 252 adults (> 17 years) (male 28.6%, female 71.4%) of major ethnics (Malays-51.6%; Chinese-30.5%; Indians-17.5%) with the mean age of 42.7 ± 13.9 years. Consumption data were collected using 24 hours duplicate samples together with questionnaire on perceptions of ‘ulam.’ Results showed that ‘ulam’ was preferred by majority of the subjects (82.1%), especially amongst Malays (92.3%). A total of 52% of the subjects consumed partially or boiled ‘ulam.’ Factors that affect their preferences on ‘ulam’ were the perception of therapeutic effects of the ‘ulam’ towards health, its good taste and unique
aroma. The most consumed ‘ulam’ were cucumber (Cucumis sativus) (60.6%) ‘kacang botol’ (Psophocarpus tetragonolobus) (33%), Indian pennywort (Hydrocotyle asiatica) (31.5%), lettuce (Lactuca sativa) (27.6%), ‘petai’ (Parkia speciosa) (29%) and ‘ulam raja’ (Cosmos caudatus) (21.9%). The most preferred partially or boiled ‘ulam’
were tapioca shoot (Manihot esculenta) (31.5%), ocra (Hibiscus esculentus) (12.5%) and ‘jantung pisang’ (Musa sapientum) (20.1%). There was no significant difference (P > 0.05) amongst the three different ethnic groups on the consumption of ‘ulam’ and the median for total intake per day was within the range of 30-39 g/day. Ulam is a potential
source for increasing vegetable consumption to meet recommendation by World Health Organization (WHO), which is 400 g per day.
Keywords: Adults; perception; ‘ulam;’ Selangor State
Introduction: Clinical resolution of periodontitis (CRP) of type-2 diabetic patients with chronic periodontitis (T2DM-PD) after receiving non-surgical periodontal treatment (NSPT) has been reported in the previous studies. This study aimed to evaluate CRP of T2DM-PD under medicaldental coordinated care (M-DCC). Materials and Methods: A 6-months follow-up quasi-experimental study was conducted among 20 subjects who received M-DCC in 2016. M-DCC included standard diabetic care provided by medical professional from 3 health clinics and NSPT provided by periodontal specialists from two periodontal specialist clinics. Target glycemic control achievement (TGCA) HbA1c 6.5% was assessed at baseline and 6 months after NSPT. Clinical resolution of PD was measured in terms of BPE, BOP %, CAL(mm), PPD(mm), PPD 4mm, PPD =4 mm and PPD 6mm at baseline, 3 and 6 months. Paired simple t test and ANOVA F test were applied to infer clinical resolution of periodontitis and its relation to TGCA.
Results: Mean (SD) of average BPE at baseline, 3- and 6-months were 3.52(0.34), 3.12(0.33) and 3(0.45) with (p<0.05); average PPD(mm) were 3.33(0.5), 3.23(0.75) and 2.73(0.57) with (p<0.05); PPD(%) 4mm were 71.03(12.33), 82.77(9.9) and 85.85 (8.9) with (p<0.05); PPD(%) =4 mm were 27.94(11.9), 16.97(10.01) and 13.71(9.1) with (p<0.05); PPD(%) 6mm were 8.04(4.32), 2.66(2.3) and 1.87(2.32) with (p<0.05). Significant resolution of BPE, CAL(mm) and PPD(mm) was noticed among two subjects who has changed from uncontrolled TGCA to controlled TGCA.
Conclusion(s): CRP and TGCA results have verified the effectiveness of M-DCC. A further clinical control trial with adequate sample size needs to confirm the results of the present study.
KEYWORDS: clinical resolution, chronic periodontitis, periodontal therapy, target HbA1C%, Type-2 Diabetic Patients with chronic periodontitis
This study involves the use of quality engineering in oil spill classification based on oil spill fingerprinting from GC-FID and GC-MS employing the six-sigma approach. The oil spills are recovered from various water areas of Peninsular Malaysia and Sabah (East Malaysia). The study approach used six sigma methodologies that effectively serve as the problem solving in oil classification extracted from the complex mixtures of oil spilled dataset. The analysis of six sigma link with the quality engineering improved the organizational performance to achieve its objectivity of the environmental forensics. The study reveals that oil spills are discriminated into four groups' viz. diesel, hydrocarbon fuel oil (HFO), mixture oil lubricant and fuel oil (MOLFO) and waste oil (WO) according to the similarity of the intrinsic chemical properties. Through the validation, it confirmed that four discriminant component, diesel, hydrocarbon fuel oil (HFO), mixture oil lubricant and fuel oil (MOLFO) and waste oil (WO) dominate the oil types with a total variance of 99.51% with ANOVA giving Fstat>Fcritical at 95% confidence level and a Chi Square goodness test of 74.87. Results obtained from this study reveals that by employing six-sigma approach in a data-driven problem such as in the case of oil spill classification, good decision making can be expedited.
Stable isotope analysis has widely been used to trace the origin of organic materials in various fields, such as geochemistry, biochemistry, archeology and petroleum. In past a decade, it has also become an important tool for food traceability study. The globalisation of food markets and the relative ease which food commodities are transported through and between countries and continentsmeans that consumers are increasingly concerned about the origin of the foods they eat. The natural abundance of stable isotope variation such as carbon, nitrogen, hydrogen and oxygen are usedas geographic tracersor marker to determine the geographic origin of fruits, crop, vegetables and food products from animal. The isotopic compositions of plant materials reflect various factors such as isotopic compositions of source materials and their assimilation processes as well as growth environments. This paper will discuss on stable carbon and nitrogen isotopic compositions inricethat been determined by Isotope Ratio Mass Spectromety, advantages, limitations and potential of other analysis applicationsthat can be incorporated in food traceability system.
A 3.375 kJ plasma focus is designed to operate at 13.5 kV for studying X-ray source in Argon discharge. X-rays are detected by a film from the mammography radiographic plate using radiography technique. The feasibility of plasma focus as a high intensity flash X-ray radiation for a good contrast in radiography image is presented.
Thermal neutron beam from thermal column was selected for a Boron Neutron Capture Therapy
(BNCT) system utilizing the Malaysian TRIGA MARK II reactor. Determination of shielding
materials for fast and epithermal neutron was conducted. The materials selected were polyethylene,
paraffin and water. For gamma-ray shielding, lead was used. The objective of this paper is to present
the simulation and verification of an optimal design of BNCT collimation at a beam. line viewing the
thermal column. A collimator was made from polyethylene pipe with 8 cm of diameter filled with
paraffin.
Samples of fine (PM2.5) and coarse (PM10-2.5) fraction of airborne particulate were collected on weekly basis during the period from May 2012 to July 2014 at Bangi, Selangor. The samples were collected using a Gent Stacked Filter Sampler in two fractions of < 2.5 µm and 2.5 - 10 µm sizes. This research paper aims at establishing the concentration level of PM2.5, PM10-2.5 and PM10 at Bangi area and investigates their possible sources and contribution to the ambient aerosol of the area. The samples were analyzed for their elemental composition and black carbon content by Particle Induced X-ray Emission (PIXE) and Smoke Stain Reflectometer, respectively. The average for PM2.5, PM10-2.5 and PM10 ranged from1.8 µg/m3 to 78.0 µg/m3, 9.6 µg/m3 to 76.8 µg/m3 and 12 µg/m3 to 134 µg/m3, respectively. Positive Matrix Factorization (PMF) technique was also applied to fine and coarse data set in order to identify the possible sources of particulate matter (PM) and their contribution to the ambient particulate matter concentrations in the area. The best solution was found to be five factors for both elemental compositions of fine and coarse PM, respectively. The PMF results show that motor vehicles and secondary sulphate contribute about 40.3% and 33.0% of the fine mass respectively followed by soil, sea salt and smoke/biomass burning with the average contribution of 10.5%, 10.3% and 6.4%, respectively. In case of coarse particles the PMF results show that a large fraction of about more than 50% of the coarse mass comes from motor vehicle. Soil dust including road dust and soil construction contribute about 32.5% of the coarse mass whilst the smoke/biomass burning factor contributes about 6.7% of the coarse mass.
For addressing the issue of adulteration and counterfeiting of the sources of origin for the edible bird’s nests (EBNs), a preliminary study of elemental characterization for their geochemical markers was performed. This study aims to characterize the elemental profiles as geochemical markers and evaluate the relationships between these markers which could be used for the verification of the geographical origin of EBN in Malaysia. EBN samples from house and cave nests that represent a range of geographical and environmental characteristics were analysed using Neutron Activation Analysis (NAA) technique. The method was validated by analysing the Standard Reference Material SRM-1515 (Apple Leaves) and SRM-1573a (Tomato Leaves) of NIST. A total of 18 elements were determined. The results showed a statistical analysis of one way ANOVA has proven that there have a significant different elemental profiles in both EBN, clearly V, As, Ba, Sc, Sm and Th were not detectable in the house EBNs. Therefore, initial finding could be concluded that those elements can be identified as the key elements for geochemical marker to differentiate the type of EBN. Furthermore the differnces probably due to natural presence of those elements as well as regional or location and seasonal variation factors affecting the dietry habits of the swiftlets.