Displaying publications 321 - 340 of 799 in total

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  1. Fulltext Fibreoptic intubation--a case series and brief review
    Tan I, Wang CY
    Med J Malaysia, 1993 Jun;48(2):200-6.
    PMID: 8350796
    Fibreoptic intubation has been established as a major advance in the management of difficult or failed intubation in the awake patient. If necessary, it may be performed under general anaesthesia with either spontaneous or controlled ventilation. This should be considered early in the management of failed intubation, before multiple attempts with other techniques lead to haemorrhage and oedema in the airway. We describe here selected case reports to illustrate this in 8 different situations. This is followed by a brief review of the technique and indications of fibreoptic intubation.
    Matched MeSH terms: Fiber Optic Technology*
  2. Rural poverty and development in West Malaysia
    Peacock F
    J Dev Areas, 1981 Jul;15(4):639-54.
    PMID: 12337651
    Matched MeSH terms: Technology*
  3. Fulltext Rapid Green Synthesis and Characterization of Silver Nanoparticles Arbitrated by Curcumin in an Alkaline Medium
    Khan MJ, Shameli K, Sazili AQ, Selamat J, Kumari S
    Molecules, 2019 Feb 16;24(4).
    PMID: 30781541 DOI: 10.3390/molecules24040719
    Green synthesis of silver nanoparticles is desirable practice. It is not only the required technique for industrial and biomedical purposes but also a promising research area. The aim of this study was to synthesize green curcumin silver nanoparticles (C-Ag NPs). The synthesis of C-Ag NPs was achieved by reduction of the silver nitrate (AgNO₃) in an alkaline medium. The characterizations of the prepared samples were conducted by ultraviolet visible (UV-vis) spectroscopy, powder X-ray diffraction (PXRD), field emission scanning electron microscopy (FESEM), high-resolution transmission electron microscopy (HRTEM), selected area electron diffraction (SAED) and zeta potential (ZP) analyses. The formation of C-Ag NPs was evaluated by the dark color of the colloidal solutions and UV-vis spectra, with 445 nm as the maximum. The size of the crystalline nanoparticles, recorded as 12.6 ± 3.8nm, was confirmed by HRTEM, while the face-centered cubic (fcc) crystallographic structure was confirmed by PXRD and SAED. It is assumed that green synthesized curcumin silver nanoparticles (C-Ag NPs) can be efficiently utilized as a strong antimicrobial substance for food and meat preservation due to their homogeneous nature and small size.
    Matched MeSH terms: Green Chemistry Technology*
  4. An in-vitro method for buccal adhesion studies: importance of instrument variables
    Wong CF, Yuen KH, Peh KK
    Int J Pharm, 1999 Mar 25;180(1):47-57.
    PMID: 10089291
    A method using a texture analyzer equipment and chicken pouch as the biological tissue was investigated for measuring the bioadhesive properties of polymers under simulated buccal conditions. The method was evaluated using two polymers, namely Carbopol 974P and Methocel K4M while the instrument variables studied included the contact force, contact time and speed of withdrawal of the probe from the tissue. The parameters measured were the work of adhesion and peak detachment force. Longer contact time and faster probe speed not only gave better reproducibility of results, but also better sensitivities for both parameters measured. On the other hand, a certain level of contact force was found essential for achieving good bioadhesion, above which there was no further contribution to the bioadhesion process. When the method was applied to determine the bioadhesiveness of several polymers, the values obtained for the work of adhesion and peak detachment force were quite consistent in the ranking of the polymers. The Carbopols were found to have the highest values, followed by gelatin, sodium carboxymethyl celluloses and hydroxypropylmethyl celluloses. On the other hand, Alginic acid, Eudragit RLPO and RSPO, and Chitosan appeared to have low bioadhesive values.
    Matched MeSH terms: Technology, Pharmaceutical/instrumentation*
  5. Real-world data for health technology assessment for reimbursement decisions in Asia: current landscape and a way forward
    Lou J, Kc S, Toh KY, Dabak S, Adler A, Ahn J, et al.
    Int J Technol Assess Health Care, 2020 Oct;36(5):474-480.
    PMID: 32928330 DOI: 10.1017/S0266462320000628
    There is growing interest globally in using real-world data (RWD) and real-world evidence (RWE) for health technology assessment (HTA). Optimal collection, analysis, and use of RWD/RWE to inform HTA requires a conceptual framework to standardize processes and ensure consistency. However, such framework is currently lacking in Asia, a region that is likely to benefit from RWD/RWE for at least two reasons. First, there is often limited Asian representation in clinical trials unless specifically conducted in Asian populations, and RWD may help to fill the evidence gap. Second, in a few Asian health systems, reimbursement decisions are not made at market entry; thus, allowing RWD/RWE to be collected to give more certainty about the effectiveness of technologies in the local setting and inform their appropriate use. Furthermore, an alignment of RWD/RWE policies across Asia would equip decision makers with context-relevant evidence, and improve timely patient access to new technologies. Using data collected from eleven health systems in Asia, this paper provides a review of the current landscape of RWD/RWE in Asia to inform HTA and explores a way forward to align policies within the region. This paper concludes with a proposal to establish an international collaboration among academics and HTA agencies in the region: the REAL World Data In ASia for HEalth Technology Assessment in Reimbursement (REALISE) working group, which seeks to develop a non-binding guidance document on the use of RWD/RWE to inform HTA for decision making in Asia.
    Matched MeSH terms: Technology Assessment, Biomedical*
  6. Fulltext Compact circularly polarized truncated square ring slot antenna with suppressed higher resonances
    Sabran MI, Abdul Rahim SK, Leow CY, Soh PJ, Chew BW, Vandenbosch GA
    PLoS One, 2017;12(2):e0172162.
    PMID: 28192504 DOI: 10.1371/journal.pone.0172162
    This paper presents a compact circularly polarized (CP) antenna with an integrated higher order harmonic rejection filter. The proposed design operates within the ISM band of 2.32 GHz- 2.63 GHz and is suitable for example for wireless power transfer applications. Asymmetrical truncated edges on a square ring create a defected ground structure to excite the CP property, simultaneously realizing compactness. It offers a 50.5% reduced patch area compared to a conventional design. Novel stubs and slot shapes are integrated in the transmission line to reduce higher (up to the third) order harmonics. The proposed prototype yields a -10 dB reflection coefficient (S11) impedance bandwidth of 12.53%, a 3 dB axial ratio bandwidth of 3.27%, and a gain of 5.64 dBi. Measurements also show good agreement with simulations.
    Matched MeSH terms: Wireless Technology/instrumentation*
  7. Tropical medicine and industrial development
    Waddy BB
    J Trop Med Hyg, 1974 Apr;77(4):s:19-21.
    PMID: 4841357
    Matched MeSH terms: Technology*
  8. Sustainable green technology on wastewater treatment: The evaluation of enhanced single chambered up-flow membrane-less microbial fuel cell
    Thung WE, Ong SA, Ho LN, Wong YS, Ridwan F, Oon YL, et al.
    J Environ Sci (China), 2018 Apr;66:295-300.
    PMID: 29628097 DOI: 10.1016/j.jes.2017.05.010
    This study demonstrated the potential of single chamber up-flow membrane-less microbial fuel cell (UFML-MFC) in wastewater treatment and power generation. The purpose of this study was to evaluate and enhance the performance under different operational conditions which affect the chemical oxygen demand (COD) reduction and power generation, including the increase of KCl concentration (MFC1) and COD concentration (MFC2). The results showed that the increase of KCl concentration is an important factor in up-flow membrane-less MFC to enhance the ease of electron transfer from anode to cathode. The increase of COD concentration in MFC2 could led to the drop of voltage output due to the prompt of biofilm growth in MFC2 cathode which could increase the internal resistance. It also showed that the COD concentration is a vital issue in up-flow membrane-less MFC. Despite the COD reduction was up to 96%, the power output remained constrained.
    Matched MeSH terms: Green Chemistry Technology/methods*
  9. Recovery of biotechnological products using aqueous two phase systems
    Phong WN, Show PL, Chow YH, Ling TC
    J Biosci Bioeng, 2018 Sep;126(3):273-281.
    PMID: 29673987 DOI: 10.1016/j.jbiosc.2018.03.005
    Aqueous two-phase system (ATPS) has been suggested as a promising separation tool in the biotechnological industry. This liquid-liquid extraction technique represents an interesting advance in downstream processing due to several advantages such as simplicity, rapid separation, efficiency, economy, flexibility and biocompatibility. Up to date, a range of biotechnological products have been successfully recovered from different sources with high yield using ATPS-based strategy. In view of the important potential contribution of the ATPS in downstream processing, this review article aims to provide latest information about the application of ATPS in the recovery of various biotechnological products in the past 7 years (2010-2017). Apart from that, the challenges as well as the possible future work and outlook of the ATPS-based recovery method have also been presented in this review article.
    Matched MeSH terms: Green Chemistry Technology/methods
  10. Application of a GIS-/remote sensing-based approach for predicting groundwater potential zones using a multi-criteria data mining methodology
    Mogaji KA, Lim HS
    Environ Monit Assess, 2017 Jul;189(7):321.
    PMID: 28593561 DOI: 10.1007/s10661-017-5990-7
    This study integrates the application of Dempster-Shafer-driven evidential belief function (DS-EBF) methodology with remote sensing and geographic information system techniques to analyze surface and subsurface data sets for the spatial prediction of groundwater potential in Perak Province, Malaysia. The study used additional data obtained from the records of the groundwater yield rate of approximately 28 bore well locations. The processed surface and subsurface data produced sets of groundwater potential conditioning factors (GPCFs) from which multiple surface hydrologic and subsurface hydrogeologic parameter thematic maps were generated. The bore well location inventories were partitioned randomly into a ratio of 70% (19 wells) for model training to 30% (9 wells) for model testing. Application results of the DS-EBF relationship model algorithms of the surface- and subsurface-based GPCF thematic maps and the bore well locations produced two groundwater potential prediction (GPP) maps based on surface hydrologic and subsurface hydrogeologic characteristics which established that more than 60% of the study area falling within the moderate-high groundwater potential zones and less than 35% falling within the low potential zones. The estimated uncertainty values within the range of 0 to 17% for the predicted potential zones were quantified using the uncertainty algorithm of the model. The validation results of the GPP maps using relative operating characteristic curve method yielded 80 and 68% success rates and 89 and 53% prediction rates for the subsurface hydrogeologic factor (SUHF)- and surface hydrologic factor (SHF)-based GPP maps, respectively. The study results revealed that the SUHF-based GPP map accurately delineated groundwater potential zones better than the SHF-based GPP map. However, significant information on the low degree of uncertainty of the predicted potential zones established the suitability of the two GPP maps for future development of groundwater resources in the area. The overall results proved the efficacy of the data mining model and the geospatial technology in groundwater potential mapping.
    Matched MeSH terms: Remote Sensing Technology*
  11. Fulltext Robust multiple frequency multiple power localization schemes in the presence of multiple jamming attacks
    Hussein AA, Leow CY, Rahman TA
    PLoS One, 2017;12(5):e0177326.
    PMID: 28493977 DOI: 10.1371/journal.pone.0177326
    Localization of the wireless sensor network is a vital area acquiring an impressive research concern and called upon to expand more with the rising of its applications. As localization is gaining prominence in wireless sensor network, it is vulnerable to jamming attacks. Jamming attacks disrupt communication opportunity among the sender and receiver and deeply impact the localization process, leading to a huge error of the estimated sensor node position. Therefore, detection and elimination of jamming influence are absolutely indispensable. Range-based techniques especially Received Signal Strength (RSS) is facing severe impact of these attacks. This paper proposes algorithms based on Combination Multiple Frequency Multiple Power Localization (C-MFMPL) and Step Function Multiple Frequency Multiple Power Localization (SF-MFMPL). The algorithms have been tested in the presence of multiple types of jamming attacks including capture and replay, random and constant jammers over a log normal shadow fading propagation model. In order to overcome the impact of random and constant jammers, the proposed method uses two sets of frequencies shared by the implemented anchor nodes to obtain the averaged RSS readings all over the transmitted frequencies successfully. In addition, three stages of filters have been used to cope with the replayed beacons caused by the capture and replay jammers. In this paper the localization performance of the proposed algorithms for the ideal case which is defined by without the existence of the jamming attack are compared with the case of jamming attacks. The main contribution of this paper is to achieve robust localization performance in the presence of multiple jamming attacks under log normal shadow fading environment with a different simulation conditions and scenarios.
    Matched MeSH terms: Wireless Technology*
  12. Fulltext New Vertical Handover Method to Optimize Utilization of Wireless Local Area Network in High-Speed Environment
    Yew HT, Supriyanto E, Satria MH, Hau YW
    PLoS One, 2016;11(11):e0165888.
    PMID: 27814388 DOI: 10.1371/journal.pone.0165888
    In heterogeneous wireless networks, wireless local area network (WLAN) is highly preferred by mobile terminals (MTs) owing to its high transmission bandwidth and low access cost. However, in high-speed environment, handover from a cellular network to a WLAN cell will lead to a high number of handover failures and unnecessary handovers due to the WLAN coverage limitation and will become worse at high speed. A new vertical handover method is proposed to minimize the probability of handover failure and unnecessary handover while maximizing the usage of WLAN in high-speed environment. The simulation results show that the proposed method kept the probability of handover failure and unnecessary handover below 0.5% and 1%, respectively. Compared with previous studies, the proposed method reduced the number of handover failures and unnecessary handovers up to 80.0% and 97.7%, respectively, while the MT is highly mobile. Using the proposed prediction method, the MT can benefit high bandwidth and low network access cost from the WLAN with minimum interruption regardless of speed.
    Matched MeSH terms: Wireless Technology/instrumentation*
  13. Bromelain: from production to commercialisation
    Ramli AN, Aznan TN, Illias RM
    J Sci Food Agric, 2017 Mar;97(5):1386-1395.
    PMID: 27790704 DOI: 10.1002/jsfa.8122
    Bromelain is a mixture of proteolytic enzymes found in pineapple (Ananas comosus) plants. It can be found in several parts of the pineapple plant, including the stem, fruit, leaves and peel. High demand for bromelain has resulted in gradual increases in bromelain production. These increases have led to the need for a bromelain production strategy that yields more purified bromelain at a lower cost and with fewer production steps. Previously, bromelain was purified by conventional centrifugation, ultrafiltration and lyophilisation. Recently, the development of more modern purification techniques such as gel filtration, ion exchange chromatography, affinity chromatography, aqueous two-phase extraction and reverse micelle chromatography has resulted in increased industrial bromelain production worldwide. In addition, recombinant DNA technology has emerged as an alternative strategy for producing large amounts of ultrapure bromelain. An up-to-date compilation of data regarding the commercialisation of bromelain in the clinical, pharmaceutical and industrial fields is provided in this review. © 2016 Society of Chemical Industry.
    Matched MeSH terms: Food Technology/methods*
  14. 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.
    Matched MeSH terms: Wireless Technology*
  15. Wirelessly activated device with an integrated ionic polymer metal composite (IPMC) cantilever valve for targeted drug delivery
    Cheong HR, Nguyen NT, Khaw MK, Teoh BY, Chee PS
    Lab Chip, 2018 10 09;18(20):3207-3215.
    PMID: 30229248 DOI: 10.1039/c8lc00776d
    This paper reports a wirelessly powered ionic polymer-metal composite (IPMC) soft actuator operated by external radio frequency (RF) magnetic fields for targeted drug delivery. A 183 μm thick IPMC cantilever valve was fitted with an embedded LC resonant circuit to wirelessly control the actuator when the field frequency is tuned to its resonant frequency of approximately 25 MHz. Experimental characterization of the fabricated actuator showed a cumulative cantilever deflection of 160 μm for three repeated RF ON-OFF cycles at 0.6 W input power. The device was loaded with a dye solution and immersed in DI water to demonstrate wireless drug release. The qualitative result shows the successful release of the dye solution from the device reservoir. The release rate can be controlled by tuning the RF input power. We achieved a maximum average release rate of ∼0.1 μl s-1. We further conducted an in vitro study with human tumor cells (HeLa) to demonstrate the proof of concept of the developed device. The experiments show promising results towards the intended drug delivery application.
    Matched MeSH terms: Wireless Technology*
  16. Health Technology Assessment and Its Use in Drug Policy in Malaysia
    Shafie AA, Chandriah H, Yong YV, Wan Puteh SE
    Value Health Reg Issues, 2019 May;18:145-150.
    PMID: 31082794 DOI: 10.1016/j.vhri.2019.03.003
    OBJECTIVE: To describe the process and role of health technology assessment (HTA) in the context of drug policy in Malaysia.

    METHODS: We summarized the HTA process through review of documents and reports available in the public domain combined with the authors' experience.

    RESULTS: Health technology assessment plays an integral part in prioritizing treatment in public health facilities in Malaysia, particularly for the Ministry of Health Medicines Formulary (MOHMF). The MOHMF is the reference list of drugs allowed to be prescribed in the Ministry of Health (MOH) facilities. There are 2 organizations within the MOH that conduct HTA as their core activities, namely the Malaysian Health Technology Assessment Section and the Formulary Management Branch of Pharmacy Practice & Development Division. The assessment of pharmaceuticals for the purpose of listing medicines into the MOHMF is under the purview of the Formulary Management Branch. The evidence-based assessment focuses on safety, efficacy, effectiveness, and budget impact of the drug. Cost-effectiveness evidence is currently not mandatory but is of interest to the decision makers. The assessment outcomes are considered by the MOH Medicines List Review Panel for formulary decisions.

    CONCLUSIONS: Health technology assessment has supported formulary decisions in MOH. Evidence generation needs to progress beyond efficacy or effectiveness, safety, and budget impact to incorporate cost-effectiveness. Nevertheless, there are challenges to be met to achieve this. The impact of the HTA process is currently unknown and is yet to be evaluated formally.

    Matched MeSH terms: Technology Assessment, Biomedical/methods*
  17. Fulltext A Multiobjective, Lion Mating Optimization Inspired Routing Protocol for Wireless Body Area Sensor Network Based Healthcare Applications
    Faheem M, Butt RA, Raza B, Alquhayz H, Abbas MZ, Ngadi MA, et al.
    Sensors (Basel), 2019 Nov 20;19(23).
    PMID: 31757104 DOI: 10.3390/s19235072
    The importance of body area sensor networks (BASNs) is increasing day by day because of their increasing use in Internet of things (IoT)-enabled healthcare application services. They help humans in improving their quality of life by continuously monitoring various vital signs through biosensors strategically placed on the human body. However, BASNs face serious challenges, in terms of the short life span of their batteries and unreliable data transmission, because of the highly unstable and unpredictable channel conditions of tiny biosensors located on the human body. These factors may result in poor data gathering quality in BASNs. Therefore, a more reliable data transmission mechanism is greatly needed in order to gather quality data in BASN-based healthcare applications. Therefore, this study proposes a novel, multiobjective, lion mating optimization inspired routing protocol, called self-organizing multiobjective routing protocol (SARP), for BASN-based IoT healthcare applications. The proposed routing scheme significantly reduces local search problems and finds the best dynamic cluster-based routing solutions between the source and destination in BASNs. Thus, it significantly improves the overall packet delivery rate, residual energy, and throughput with reduced latency and packet error rates in BASNs. Extensive simulation results validate the performance of our proposed SARP scheme against the existing routing protocols in terms of the packet delivery ratio, latency, packet error rate, throughput, and energy efficiency for BASN-based health monitoring applications.
    Matched MeSH terms: Wireless Technology*
  18. Fulltext Wireless Networking-Driven Healthcare Approaches in Combating COVID-19
    BasheeruddinAsdaq SM, Naveen NR, Gunturu LN, Pamayyagari K, Abdullah I, Sreeharsha N, et al.
    Biomed Res Int, 2021;2021:9195965.
    PMID: 34977249 DOI: 10.1155/2021/9195965
    Since its outbreak, the coronavirus (COVID-19) pandemic has caused havoc on people's lives. All activities were paused due to the virus's spread across the continents. Researchers have been working hard to find new medication treatments for the COVID-19 pandemic. The World Health Organization (WHO) recommends that safety and self-measures play a major role in preventing the virus from spreading from one person to another. Wireless technology is playing a critical role in avoiding viral propagation. This technology mainly comprises of portable devices that assist self-isolated patients in adhering to safe precautionary measures. Government officials are currently using wireless technologies to identify infected people at large gatherings. In this research, we gave an overview of wireless technologies that assisted the general public and healthcare professionals in maintaining effective healthcare services during COVID-19. We also discussed the possible challenges faced by them for effective implementation in day-to-day life. In conclusion, wireless technologies are one of the best techniques in today's age to effectively combat the pandemic.
    Matched MeSH terms: Wireless Technology/trends*
  19. Fulltext Projecting range-wide sun bear population trends using tree cover and camera-trap bycatch data
    Scotson L, Fredriksson G, Ngoprasert D, Wong WM, Fieberg J
    PLoS One, 2017;12(9):e0185336.
    PMID: 28961243 DOI: 10.1371/journal.pone.0185336
    Monitoring population trends of threatened species requires standardized techniques that can be applied over broad areas and repeated through time. Sun bears Helarctos malayanus are a forest dependent tropical bear found throughout most of Southeast Asia. Previous estimates of global population trends have relied on expert opinion and cannot be systematically replicated. We combined data from 1,463 camera traps within 31 field sites across sun bear range to model the relationship between photo catch rates of sun bears and tree cover. Sun bears were detected in all levels of tree cover above 20%, and the probability of presence was positively associated with the amount of tree cover within a 6-km2 buffer of the camera traps. We used the relationship between catch rates and tree cover across space to infer temporal trends in sun bear abundance in response to tree cover loss at country and global-scales. Our model-based projections based on this "space for time" substitution suggested that sun bear population declines associated with tree cover loss between 2000-2014 in mainland southeast Asia were ~9%, with declines highest in Cambodia and lowest in Myanmar. During the same period, sun bear populations in insular southeast Asia (Malaysia, Indonesia and Brunei) were projected to have declined at a much higher rate (22%). Cast forward over 30-years, from the year 2000, by assuming a constant rate of change in tree cover, we projected population declines in the insular region that surpassed 50%, meeting the IUCN criteria for endangered if sun bears were listed on the population level. Although this approach requires several assumptions, most notably that trends in abundance across space can be used to infer temporal trends, population projections using remotely sensed tree cover data may serve as a useful alternative (or supplement) to expert opinion. The advantages of this approach is that it is objective, data-driven, repeatable, and it requires that all assumptions be clearly stated.
    Matched MeSH terms: Remote Sensing Technology*
  20. Fulltext Secrets to a successful awake fibreoptic intubation (AFOI) on a patient with odentogenous abscess
    Teah MK, Liew EHR, Wong MTF, Yeap TB
    BMJ Case Rep, 2021 Feb 19;14(2).
    PMID: 33608338 DOI: 10.1136/bcr-2020-238600
    Awake fibreoptic intubation (AFOI) is an established modality in patients with anticipated difficulty with tracheal intubation. This case demonstrates that with careful and meticulous preparations, AFOI can lead to improved airway management and excellent patient outcomes. A 38-year-old woman presented with severe trismus secondary to odentogenous abscess was identified preoperatively as having a potential difficult airway. AFOI was performed successfully using combined Spray-As-You-Go and dexmedetomidine technique.
    Matched MeSH terms: Fiber Optic Technology*
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