Displaying publications 21 - 40 of 533 in total

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  1. Fulltext A rare cause of otalgia and otorrhagia: alive leech in the ear
    Mohd Syafwan Mohd Soffian, Irfan Mohamad, Norasnieda Md Shukri
    Malaysian Journal of Medicine and Health Sciences, 2016;12(2):44-45.
    MyJurnal
    Leech infestation in otolaryngology is sporadically seen in
    remote area of tropical countries, but the cases are usually not
    scientifically reported. We are reporting an unusual case of a
    land leech removal from external auditory canal (EAC).
    Matched MeSH terms: Environment
  2. Fulltext A review of potentialities and challenges of integrating remote sensing and GIS with socioeconomic data
    Noor Shaila Sarmin, Mohd Hasmadi Ismail
    The Pertanika Journal of Scholarly Research Reviews, 2016;2(1):129-141.
    MyJurnal
    The aim of this paper is to review the potentialities and major methodological challenges
    of integrating remote sensing (RS) and geographic information system (GIS) with socioeconomic data
    from published articles or book chapters. RS and GIS combined with social science (SS)(termed as
    geoinformation technology) serve many applications for sustainable management and monitoring of
    the environment. This combined approach gives more accurate results than the single one. It makes
    information available about the trend and pattern of land use and land cover change (LUCC) with
    socioeconomic variables like population, demographic or income. This combined study which links
    RS and GIS with socioeconomic data can also be used successfully for monitoring transmission rate
    of disease and mapping or preparing vulnerability index. For impact assessment and modelling, this
    combined technology provides better results than the single one. There are some methodological
    problems for the researchers to link completely two different disciplines as the object of study and
    observational unit is completely different. However, this interdisciplinary study is gaining popularity
    day by day to researchers from different disciplines as well as decision makers.
    Matched MeSH terms: Environment
  3. A review of strategies to monitor water and sediment quality for a sustainability assessment of marine environment
    Tavakoly Sany SB, Hashim R, Rezayi M, Salleh A, Safari O
    Environ Sci Pollut Res Int, 2014 Jan;21(2):813-33.
    PMID: 24142490 DOI: 10.1007/s11356-013-2217-5
    The basic aim of this work is (1) to review and present practically operational requirements for a sustainability assessment of marine environment, such as describing the monitoring process, research approaches, objectives, guidelines, and indicators and (2) to illustrate how physico-chemical and biological indicators can be practically applied, to assess water and sediment quality in marine and coastal environment. These indicators should meet defined criteria for practical usefulness, e.g. they should be simple to understand and apply to managers and scientists with different educational backgrounds. This review aimed to encapsulate that variability, recognizing that meaningful guidance should be flexible enough to accommodate the widely differing characteristics of marine ecosystems.
    Matched MeSH terms: Environment; Environmental Monitoring/methods*; Environmental Monitoring/standards
  4. A review on factors related to patient comfort experience in hospitals
    Tian Y
    J Health Popul Nutr, 2023 Nov 08;42(1):125.
    PMID: 37941052 DOI: 10.1186/s41043-023-00465-4
    The creation of a welcoming hospital atmosphere is necessary to improve patient wellbeing and encourage healing. The goal of this study was to examine the variables affecting hospitalised patients' comfort. The study procedure included a thorough search of the Web of Science and Scopus databases, as well as the use of software analytic tools to graphically map enormous literature data, providing a deeper understanding of the linkages within the literature and its changing patterns. Insights from a range of disciplines, including engineering, psychology, immunology, microbiology, and environmental science, were included into our study using content analysis and clustering approaches. The physical environment and the social environment are two crucial factors that are related to patient comfort. The study stress the need of giving patient comfort a top priority as they heal, especially by tackling indoor air pollution. Our research also emphasises how important hospital care and food guidelines are for improving patient comfort. Prioritising patients who need specialised care and attention, especially those who have suffered trauma, should be the focus of future study. Future research in important fields including trauma, communication, hospital architecture, and nursing will be built on the findings of this study. To enhance research in these crucial areas, worldwide collaboration between experts from other nations is also advised. Although many studies stress the significance of patient comfort, few have drawn conclusions from a variety of disciplines, including medicine, engineering, immunology, microbiology, and environmental science, the most crucial issue of thoroughly researching the improvement of patient comfort has not been addressed. Healthcare workers, engineers, and other professions will benefit greatly from this study's investigation of the connection between hospital indoor environments and patient comfort.
    Matched MeSH terms: Environment
  5. Fulltext A stochastic simulation framework for the prediction of strategic noise mapping and occupational noise exposure using the random walk approach
    Han LM, Haron Z, Yahya K, Bakar SA, Dimon MN
    PLoS One, 2015;10(4):e0120667.
    PMID: 25875019 DOI: 10.1371/journal.pone.0120667
    Strategic noise mapping provides important information for noise impact assessment and noise abatement. However, producing reliable strategic noise mapping in a dynamic, complex working environment is difficult. This study proposes the implementation of the random walk approach as a new stochastic technique to simulate noise mapping and to predict the noise exposure level in a workplace. A stochastic simulation framework and software, namely RW-eNMS, were developed to facilitate the random walk approach in noise mapping prediction. This framework considers the randomness and complexity of machinery operation and noise emission levels. Also, it assesses the impact of noise on the workers and the surrounding environment. For data validation, three case studies were conducted to check the accuracy of the prediction data and to determine the efficiency and effectiveness of this approach. The results showed high accuracy of prediction results together with a majority of absolute differences of less than 2 dBA; also, the predicted noise doses were mostly in the range of measurement. Therefore, the random walk approach was effective in dealing with environmental noises. It could predict strategic noise mapping to facilitate noise monitoring and noise control in the workplaces.
    Matched MeSH terms: Environment*
  6. Fulltext A study on the effects of environment on curing characteristics of thixotropic and room temperature cured epoxy-based adhesives using DMTA
    Ahmad, Z., Rohana, H., Md Tahir, P.
    ASM Science Journal, 2013;7(1):37-58.
    MyJurnal
    This study investigated the thermal properties of three room temperature curing adhesives containing nano particles which were thixotropic and shear thinning which allowed injection into overhead holes when exposed to different environmental conditions. Viscosity and shear stress of the adhesives were measured as a function of shear rate. The thermal behaviour of the adhesives were measured using dynamic mechanical thermal anylisis following exposures to different temperatures and humidities which included temperatures of 20 degrees Celcius, 30 degrees Celcius and 50 degrees Celcius, relative humidities of 65% RH, 75% RH 95% RH soaked in water at 20 degrees Celcius and placed in the oven at 50 degrees Celcius. The dynamic thermal properties reported include storage and loss modulus, the loss tangent and the glass transition temperature ( Tg ). For nano- and micro-particles filled adhesives, the Tg increased with the temperature increase, even though the adhesives was subjected to high humidity and this was due to further cross-linking. The results showed that room temperature cured epoxies were only partially cured at room temperature.
    Matched MeSH terms: Environment
  7. Fulltext AMMI and GGE biplot analysis for yield performance and stability assessment of selected Bambara groundnut (Vigna subterranea L. Verdc.) genotypes under the multi-environmental trails (METs)
    Khan MMH, Rafii MY, Ramlee SI, Jusoh M, Al Mamun M
    Sci Rep, 2021 Nov 23;11(1):22791.
    PMID: 34815427 DOI: 10.1038/s41598-021-01411-2
    The stability and high yielding of Vigna subterranea L. Verdc. genotype is an important factor for long-term development and food security. The effects of G × E interaction on yield stability in 30 Bambara groundnut genotypes in four different Malaysian environments were investigated in this research. The experiment used a randomized complete block design with three replications in each environment. Over multiple harvests, yield component traits such as the total number of pods per plant, fresh pods weight (g), hundred seeds weight (g), and yield per hectare were evaluated in the main and off-season in 2020 and 2021. Stability tests for multivariate stability parameters were performed based on analyses of variance. For all the traits, the pooled analysis of variance revealed highly significant (p 
    Matched MeSH terms: Gene-Environment Interaction*
  8. Abundance, Fishing Season and Management Strategy for Blue Swimming Crab (Portunus pelagicus) in Pangkajene Kepulauan, South Sulawesi, Indonesia
    Wiyono ES, Ihsan
    Trop Life Sci Res, 2018 Mar;29(1):1-15.
    PMID: 29644012 DOI: 10.21315/tlsr2018.29.1.1
    In order to manage blue swimming crabs in Pangkajene Kepulauan, management measures are required. Since the environment which affects the abundance of the blue swimming crab varies seasonally, it is necessary to take into account the seasonal nature with the aim of developing a management strategy. The objectives of this study are to define the abundance of and fishing season of blue swimming crabs in the Pangkajene Kepulauan waters, South Sulawesi, Indonesia. The fishing season was analysed using seasonal index analysis, while fish abundance was analysed by means of Equilibrium-Schaefer. The result of this study demonstrated that fishermen allocate their fishing gear all year, although the fish catch is seasonal. Based on analysis of the result, the fishing season for the blue swimming crabs is short. The peak fishing season starts in May and finishes in June. However, in order to enable their families to earn a living, fishermen operated their fishing gear throughout the year. As a result, both catch landing and effort were close to maximum sustainable yield (MSY). In order to reduce fishing pressure, it is necessary to reduce fishing gear and have a seasonal arrangement regarding fishing gear allocation.
    Matched MeSH terms: Environment
  9. Fulltext Acrylamide toxicity and its biodegradation
    Gafar, A.A., Khayat, M.E., Abdul Rahim, M.B.H., Shukor, M.Y.
    Bioremediation Science and Technology Research, 2017;5(2):8-12.
    MyJurnal
    Acrylamide is a synthetic monomer that has been classified as toxic and carcinogenic apart
    from its diverse application in the industry. Its application is in the formation of
    polyacrylamide. Polyacrylamide usage is diverse and is found as herbicide formulation, as soil
    treatment agent and in water treatment plants. Deaths and sickness due to the accidental
    exposure to acrylamide have been reported while chronic toxicity is also a source of the
    problem. This review highlighted the toxic effect of acrylamide to various organisms like
    human, animal and plant. This review also discusses on the potential use of biological
    technologies to remediate acrylamide pollution in the environment and the degradation
    pathways these microorganisms utilize to assimilate acrylamide as a nitrogen, carbon or both as
    carbon and nitrogen sources.
    Matched MeSH terms: Environment
  10. Adaptive invention: independence and mobility through modifications
    Mairami FF, Allotey P, Warren N, Mak JS, Reidpath DD
    Disabil Rehabil Assist Technol, 2018 10;13(7):658-664.
    PMID: 28836873 DOI: 10.1080/17483107.2017.1369586
    BACKGROUND: Stroke is a leading cause of disability that limits everyday activities and reduces social participation. Provision of assistive devices helps to achieve independence and social inclusion. However, due to limited resources or a lack of suited objects for their needs, individuals with disabilities in low and middle income countries (LMIC) often do not have access to assistive devices. This has resulted in the creation of purpose built innovative solutions. Methodology and case content: This paper uses a single case derived from a larger ethnographic study of stroke survivors in rural Malaysia to demonstrate the role of assistive devices in shaping stroke recovery and how existing structures can be modified. Second, the concept of affordances in relation to structures within the environment, issues of affordability and accessibility of assistive devices for individuals in LMIC are discussed.

    FINDINGS AND CONCLUSIONS: Stroke recovery involves adapting to new limitations and discovering the support necessary to live life. These changes are influenced by a range of environmental factors. Healthcare professionals need to support stroke patients in identifying challenges and work to find innovative ways to address them. Stroke survivors may benefit from the use of an assistive device beyond its clinical function to participate purposefully in activities of daily living. Implications for Rehabilitation Stroke is a cause of disability that limits everyday activities and reduces social participation. Assistive devices help achieve independence, social inclusion and shape stroke recovery. Individuals with disabilities in low and middle income countries often do not have access to assistive devices and resort to innovative solutions that are purpose built. Stroke recovery involves adapting to new limitations and discovering the support necessary to live life as best as possible.

    Matched MeSH terms: Environment
  11. Advances in organic-inorganic hybrid sorbents for the extraction of organic and inorganic pollutants in different types of food and environmental samples
    Ng NT, Kamaruddin AF, Wan Ibrahim WA, Sanagi MM, Abdul Keyon AS
    J Sep Sci, 2018 Jan;41(1):195-208.
    PMID: 28834218 DOI: 10.1002/jssc.201700689
    The efficiency of the extraction and removal of pollutants from food and the environment has been an important issue in analytical science. By incorporating inorganic species into an organic matrix, a new material known as an organic-inorganic hybrid material is formed. As it possesses high selectivity, permeability, and mechanical and chemical stabilities, organic-inorganic hybrid materials constitute an emerging research field and have become popular to serve as sorbents in various separaton science methods. Here, we review recent significant advances in analytical solid-phase extraction employing organic-inorganic composite/nanocomposite sorbents for the extraction of organic and inorganic pollutants from various types of food and environmental matrices. The physicochemical characteristics, extraction properties, and analytical performances of sorbents are discussed; including morphology and surface characteristics, types of functional groups, interaction mechanism, selectivity and sensitivity, accuracy, and regeneration abilities. Organic-inorganic hybrid sorbents combined with extraction techniques are highly promising for sample preparation of various food and environmental matrixes with analytes at trace levels.
    Matched MeSH terms: Environment; Environmental Pollutants/analysis*
  12. Aerial surveys give new estimates for orangutans in Sabah, Malaysia
    Ancrenaz M, Gimenez O, Ambu L, Ancrenaz K, Andau P, Goossens B, et al.
    PLoS Biol, 2005 Jan;3(1):e3.
    PMID: 15630475
    Great apes are threatened with extinction, but precise information about the distribution and size of most populations is currently lacking. We conducted orangutan nest counts in the Malaysian state of Sabah (North Borneo), using a combination of ground and helicopter surveys, and provided a way to estimate the current distribution and size of the populations living throughout the entire state. We show that the number of nests detected during aerial surveys is directly related to the estimated true animal density and that a helicopter is an efficient tool to provide robust estimates of orangutan numbers. Our results reveal that with a total estimated population size of about 11,000 individuals, Sabah is one of the main strongholds for orangutans in North Borneo. More than 60% of orangutans living in the state occur outside protected areas, in production forests that have been through several rounds of logging extraction and are still exploited for timber. The role of exploited forests clearly merits further investigation for orangutan conservation in Sabah.
    Matched MeSH terms: Environment*
  13. Fulltext Age-Friendly Environments in ASEAN Plus Three: Case Studies from Japan, Malaysia, Myanmar, Vietnam, and Thailand
    Tiraphat S, Buntup D, Munisamy M, Nguyen TH, Yuasa M, Nyein Aung M, et al.
    Int J Environ Res Public Health, 2020 06 23;17(12).
    PMID: 32586034 DOI: 10.3390/ijerph17124523
    Promoting age-friendly environment is one of the appropriate approaches to support quality of life toward ageing populations. However, the information regarding age-friendly environments in the Association of Southeast Asian Nations (ASEAN) Plus Three countries is still limited. This study aimed to survey the perceived age-friendly environments among ASEAN Plus Three older populations. This study employed cross-sectional quantitative research using multistage cluster sampling to select a sample of older adults in the capital cities of Japan, Malaysia, Myanmar, Vietnam and Thailand. The final sample was composed of 2171 older adults aged 55 years and over, including 140 Japanese, 510 Thai, 537 Malaysian, 487 Myanmarese, and 497 Vietnamese older adults. Data collection was conducted using a quantitative questionnaire with 20 items of perceived age-friendly environments with the rating scale based on the World Health Organization (WHO) standard. The score from the 20 items were analyzed and examined high-risk groups of "bad perception level" age-friendly environments using ordinal logistic regression. The research indicated the five highest inadequacies of age-friendly environments including: (1) participating in an emergency-response training session or drill which addressed the needs of older residents; (2) enrolling in any form of education or training, either formal or non-formal in any subject; (3) having opportunities for paid employment; (4) involvement in decision making about important political, economic and social issues in the community; and (5) having personal care or assistance needs met in the older adult's home setting by government/private care services. Information regarding the inadequacy of age-friendliness by region was evidenced to guide policy makers in providing the right interventions towards older adults' needs.
    Matched MeSH terms: Environment*; Social Environment
  14. Fulltext Allah’s wondrous creatures, the holy Qur’an and technological inventions: ultrasound imaging
    Sayed, Inayatullah Shah
    International Medical Journal Malaysia, 2018;17(101):83-88.
    MyJurnal
    Allah (s.w.t) has created innumerable distinct creatures and mentioned to us about their special qualities through His revelation. The Qur’an is the ultimate source of guidance for its followers for all aspects of life including science. If one is to study nature scientifically there are countless observable facts that are parallel to the teachings of Islam. One of these facts is echolocation found in bats and dolphins. These animals generate ultrasonic signals and detect the echoes reflected back to them to map out their environment and catch prey. Modern health sciences have already adopted this phenomenon in the form of ultrasound imaging for diagnosis of certain diseases. However, there is room for improvement in the overall performance of this technique. This article highlights the technological developments directly inspired by nature i.e., crawfish/crayfish and relates echolocation characteristics of bats and dolphins with basic principles of ultrasound imaging. In-depth studies on the echolocation properties of these creatures can lead to further improvement in the current ultrasound imaging technique. Such as; the construction of a transducer which simultaneously generates multi-frequency ultrasound signals and development of new interpreting software. Moreover, reading verses of the Holy Qur’an heartily and enthusiastically will lead to the development of innovative ideas that can be translated into reality and applied for the betterment of humankind.
    Matched MeSH terms: Environment
  15. Alternative systems in Malaysian drug rehabilitation: organization and control in comparative perspective
    Lee RL
    Soc Sci Med, 1985;21(11):1289-96.
    PMID: 4095582
    This paper examines four drug rehabilitation systems in Malaysia from an organizational perspective. It focuses on authority structures in rehabilitation centres and their impact on rehabilitees' identities. The findings show that there are important differences between government-run and private centres in terms of administration and approach to therapy. Some policy implications are derived from a comparison of these systems.
    Matched MeSH terms: Social Environment
  16. Fulltext Ambient factors influencing Photovoltaic module temperature in Klang valley
    Hedzlin Zainuddin, Maisarah Ismail, Nurul Hidayah Bostamam, Muhamad Mukhzani Muhamad Hanifah, Mohamad Fariz Mohamad Taib, Mohamad Zhafran Hussin
    Science Letter, 2016;10(2):23-25.
    MyJurnal
    The study is conducted to evaluate the significance of solar irradiance, ambient temperature and relative humidity as predictors and to quantify the relative contribution of these ambient parameters as predictors for photovoltaic module temperature model. The module temperature model was developed from experimental data of mono-crystalline and poly-crystalline PV modules retrofitted on metal roof in Klang Valley. The model was developed and analyzed using Multiple Linear Regressions (MLR) and Principle Component Analysis (PCA) Techniques. Solar irradiance, ambient temperature and relative humidity have been proven to be the significant predictors for module temperature. For poly-crystalline PV module, the relative contribution of solar irradiance, ambient temperature and relative humidity are 64.28 %, 17.45 % and 12.64 % respectively. For mono-crystalline PV module, the relative contribution of solar irradiance, ambient temperature and relative humidity are 66.12 %, 17.46 % and 12.48 % respectively. Thus, there is no significant difference in terms of relative contribution of these ambient parameters towards photovoltaic module temperature between poly-crystalline and mono-crystalline PV module technologies.
    Matched MeSH terms: Environment
  17. Fulltext An M/M/c/K State-Dependent Model for Pedestrian Flow Control and Design of Facilities
    Rahman K, Abdul Ghani N, Kamil AA, Mustafa A, Chowdhury MA
    PLoS One, 2015;10(7):e0133229.
    PMID: 26196124 DOI: 10.1371/journal.pone.0133229
    Pedestrian overflow causes queuing delay and in turn, is controlled by the capacity of a facility. Flow control or blocking control takes action to avoid queues from building up to extreme values. Thus, in this paper, the problem of pedestrian flow control in open outdoor walking facilities in equilibrium condition is investigated using M/M/c/K queuing models. State dependent service rate based on speed and density relationship is utilized. The effective rate of the Poisson arrival process to the facility is determined so as there is no overflow of pedestrians. In addition, the use of the state dependent queuing models to the design of the facilities and the effect of pedestrian personal capacity on the design and the traffic congestion are discussed. The study does not validate the sustainability of adaptation of Western design codes for the pedestrian facilities in the countries like Bangladesh.
    Matched MeSH terms: Environment Design*
  18. An evaluation of fermentation period and discs rotation speed of rotary discs reactor for bacterial cellulose production
    Khairul Azly Zahan, Norhayati Pa’e, Ida Idayu Muhamad
    Sains Malaysiana, 2016;45:393-400.
    Acetobacter xylinum strains are known as efficient producers of cellulose. A. xylinum is an obligate aerobic bacterium that has an oxygen-based metabolism. The dissolved oxygen (DO) concentration in a rotary discs reactor (RDR) is one of the most important factors that need to be observed during the cellulose synthesis by these bacteria. In this study, the effects of different discs rotation speed (5, 7, 9 and 12 rpm) and fermentation period (3, 4, 5 and 6 days) on the DO concentration and production of bacterial cellulose in a 10-L RDR were examined. The highest yield was obtained at 7 rpm with a total dried weight of 28.3 g for 4 days fermentation. The results showed that the DO concentration in the 10-L RDR increased in the range of 13 to 17% with increasing of discs rotation speed from 7 to 12 rpm. However, fermentation with high discs rotation speed at 12 rpm reduced the bacterial cellulose production. Analysis of data using Statistica 8.0 showed a high coefficient of determination value (R2 = 0.92). In conclusion, discs rotation speed gave more significant effect on the DO concentration and production of bacterial cellulose in 10-L RDR compared to fermentation period. This was further combined with synergistic effect from sufficient consumption of oxygen for the enhanced production of bacterial cellulose and providing the controlled environment for encouraging bacterial growth throughout the fermentation process.
    Matched MeSH terms: Environment, Controlled
  19. An examination of the factor structure of the Sociocultural Attitudes Towards Appearance Questionnaire-3 in Malaysia
    Swami V
    Body Image, 2009 Mar;6(2):129-32.
    PMID: 19249260 DOI: 10.1016/j.bodyim.2009.01.003
    The present study examined the factor structure of a Malay translation of the Sociocultural Attitudes Towards Appearance Questionnaire-3 among a community sample of 554 Malaysian women. Results of an exploratory factor analysis revealed the existence of four factors, two of which (Information and Internalization-Athlete) mirrored those found among Western samples. An additional factor was an amalgamation of two factors reported in the West, namely Pressure and Internalization-General. A fourth factor consisted of six items, four of which cross-loaded onto previous factors, and was consequently dropped from analyses. Cronbach's alpha coefficients for the three retained factors were all above .82, and the three factors were significantly correlated with each other and with participants' body mass index. The results of this study stress the need for locally developed scales in the study of body image and a shift away from reliance on scales developed in the West.
    Matched MeSH terms: Social Environment*
  20. An integrated life cycle multi-objective optimization model for health-environment-economic nexus in food waste management sector
    Lin Z, Ooi JK, Woon KS
    Sci Total Environ, 2022 Apr 10;816:151541.
    PMID: 34774629 DOI: 10.1016/j.scitotenv.2021.151541
    Food waste is a universal problem in many countries. In line with Sustainable Development Goals 7 and 12, it is crucial to identify a cost-effective food waste valorization management framework with the least human health and environmental impacts. However, studies on the synergistic effect of life cycle assessment and mathematical optimization interconnected with human health, environment, and economic are relatively few and far between; hence they cannot provide holistic recommendations to policymakers in developing environmental and economic feasibility of food waste management frameworks. Taking Malaysia as a case study, this study proposes a simple and deterministic model that integrates life cycle assessment and multi-objective mathematical optimization to unpack the health-environment-economic wellbeing nexus in food waste management sector. The model evaluates the life cycle human health, environmental, and economic impacts of five food waste disposal and valorization technologies: open landfill, sanitary landfill, aerated windrow composting, high-temperature drying sterilization, and anaerobic digestion, and identifies the optimal food waste valorization configuration solution in Malaysia. Based on the results modeled by SimaPro 9.0 and General Algebraic Modeling System with augmented ε-constraint, valorization of food waste into electricity via anaerobic digestion is the most favorable option, with 146% and 161% reduction of human health and ecosystems, respectively, as compared with open landfill. If cost is combined as an objective function with human health and ecosystems, high-temperature drying sterilization is the most attractive scenario due to the high livestock feed revenue. Among the 10 Pareto-optimal solutions, 9% sanitary landfill, 3% aerated windrow composting, 30% high-temperature drying sterilization, 30% anaerobic digestion to electricity, and 28% anaerobic digestion to cooking gas, is recommended as future food waste management configuration. The sensitivity results demonstrate that prices of electricity, cooking gas, and livestock feed affect the optimal configuration food waste management system.
    Matched MeSH terms: Environment
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