Displaying publications 21 - 40 of 735 in total

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  1. Treatment and decolorization of biologically treated Palm Oil Mill Effluent (POME) using banana peel as novel biosorbent
    Mohammed RR, Chong MF
    J Environ Manage, 2014 Jan;132:237-49.
    PMID: 24321284 DOI: 10.1016/j.jenvman.2013.11.031
    Palm Oil Mill Effluent (POME) treatment has always been a topic of research in Malaysia. This effluent that is extremely rich in organic content needs to be properly treated to minimize environmental hazards before it is released into watercourses. The main aim of this work is to evaluate the potential of applying natural, chemically and thermally modified banana peel as sorbent for the treatment of biologically treated POME. Characteristics of these sorbents were analyzed with BET surface area and SEM. Batch adsorption studies were carried out to remove color, total suspended solids (TSS), chemical oxygen demand (COD), tannin and lignin, and biological oxygen demand (BOD) onto natural banana peel (NBP), methylated banana peel (MBP), and banana peel activated carbon (BPAC) respectively. The variables of pH, adsorbent dosage, and contact time were investigated in this study. Maximum percentage removal of color, TSS, COD, BOD, and tannin and lignin (95.96%, 100%, 100%, 97.41%, and 76.74% respectively) on BPAC were obtained at optimized pH of 2, contact time of 30 h and adsorbent dosage of 30 g/100 ml. The isotherm data were well described by the Redlich-Peterson isotherm model with correlation coefficient of more than 0.99. Kinetic of adsorption was examined by Langergren pseudo first order, pseudo second order, and second order. The pseudo second order was identified to be the governing mechanism with high correlation coefficient of more than 0.99.
    Matched MeSH terms: Models, Theoretical
  2. Fulltext Travelling Wave Pulse Coupled Oscillator (TWPCO) Using a Self-Organizing Scheme for Energy-Efficient Wireless Sensor Networks
    Al-Mekhlafi ZG, Hanapi ZM, Othman M, Zukarnain ZA
    PLoS One, 2017;12(1):e0167423.
    PMID: 28056020 DOI: 10.1371/journal.pone.0167423
    Recently, Pulse Coupled Oscillator (PCO)-based travelling waves have attracted substantial attention by researchers in wireless sensor network (WSN) synchronization. Because WSNs are generally artificial occurrences that mimic natural phenomena, the PCO utilizes firefly synchronization of attracting mating partners for modelling the WSN. However, given that sensor nodes are unable to receive messages while transmitting data packets (due to deafness), the PCO model may not be efficient for sensor network modelling. To overcome this limitation, this paper proposed a new scheme called the Travelling Wave Pulse Coupled Oscillator (TWPCO). For this, the study used a self-organizing scheme for energy-efficient WSNs that adopted travelling wave biologically inspired network systems based on phase locking of the PCO model to counteract deafness. From the simulation, it was found that the proposed TWPCO scheme attained a steady state after a number of cycles. It also showed superior performance compared to other mechanisms, with a reduction in the total energy consumption of 25%. The results showed that the performance improved by 13% in terms of data gathering. Based on the results, the proposed scheme avoids the deafness that occurs in the transmit state in WSNs and increases the data collection throughout the transmission states in WSNs.
    Matched MeSH terms: Models, Theoretical
  3. Transient electro-magneto-hydrodynamic two-phase blood flow and thermal transport through a capillary vessel
    Mirza IA, Abdulhameed M, Vieru D, Shafie S
    Comput Methods Programs Biomed, 2016 Dec;137:149-166.
    PMID: 28110721 DOI: 10.1016/j.cmpb.2016.09.014
    Therapies with magnetic/electromagnetic field are employed to relieve pains or, to accelerate flow of blood-particles, particularly during the surgery. In this paper, a theoretical study of the blood flow along with particles suspension through capillary was made by the electro-magneto-hydrodynamic approach. Analytical solutions to the non-dimensional blood velocity and non-dimensional particles velocity are obtained by means of the Laplace transform with respect to the time variable and the finite Hankel transform with respect to the radial coordinate. The study of thermally transfer characteristics is based on the energy equation for two-phase thermal transport of blood and particles suspension with viscous dissipation, the volumetric heat generation due to Joule heating effect and electromagnetic couple effect. The solution of the nonlinear heat transfer problem is derived by using the velocity field and the integral transform method. The influence of dimensionless system parameters like the electrokinetic width, the Hartman number, Prandtl number, the coefficient of heat generation due to Joule heating and Eckert number on the velocity and temperature fields was studied using the Mathcad software. Results are presented by graphical illustrations.
    Matched MeSH terms: Models, Theoretical
  4. Towards reinforcing telemedicine adoption amongst clinicians in Nigeria
    Adenuga KI, Iahad NA, Miskon S
    Int J Med Inform, 2017 08;104:84-96.
    PMID: 28599820 DOI: 10.1016/j.ijmedinf.2017.05.008
    Telemedicine systems have been considered as a necessary measure to alleviate the shortfall in skilled medical specialists in developing countries. However, the obvious challenge is whether clinicians are willing to use this technological innovation, which has aided medical practice globally. One factor which has received little academic attention is the provision of suitable encouragement for clinicians to adopt telemedicine, in the form of rewards, motivation or incentives. A further consideration for telemedicine usage in developing countries, especially sub-Saharan Africa and Nigeria in particular, are to the severe shortage of available practising clinicians. The researchers therefore explore the need to positively reinforce the adoption of telemedicine amongst clinicians in Nigeria, and also offer a rationale for this using the UTAUT model. Data were collected using a structured paper-based questionnaire, with 252 physicians and nurses from six government hospitals in Ondo state, Nigeria. The study applied SmartPLS 2.0 for analysis to determine the relationship between six variables. Demographic moderating variables, age, gender and profession, were included. The results indicate that performance expectancy (p<0.05), effort expectancy (p<0.05), facilitating condition (p<0.01) and reinforcement factor (p<0.001) have significant effects on clinicians' behavioural intention to use telemedicine systems, as predicted using the extended UTAUT model. Our results showed that the use of telemedicine by clinicians in the Nigerian context is perceived as a dual responsibility which requires suitable reinforcement. In addition, performance expectancy, effort expectancy, facilitating condition and reinforcement determinants are influential factors in the use of telemedicine services for remote-patient clinical diagnosis and management by the Nigerian clinicians.
    Matched MeSH terms: Models, Theoretical*
  5. Fulltext Towards dynamic remote data auditing in computational clouds
    Sookhak M, Akhunzada A, Gani A, Khurram Khan M, Anuar NB
    ScientificWorldJournal, 2014;2014:269357.
    PMID: 25121114 DOI: 10.1155/2014/269357
    Cloud computing is a significant shift of computational paradigm where computing as a utility and storing data remotely have a great potential. Enterprise and businesses are now more interested in outsourcing their data to the cloud to lessen the burden of local data storage and maintenance. However, the outsourced data and the computation outcomes are not continuously trustworthy due to the lack of control and physical possession of the data owners. To better streamline this issue, researchers have now focused on designing remote data auditing (RDA) techniques. The majority of these techniques, however, are only applicable for static archive data and are not subject to audit the dynamically updated outsourced data. We propose an effectual RDA technique based on algebraic signature properties for cloud storage system and also present a new data structure capable of efficiently supporting dynamic data operations like append, insert, modify, and delete. Moreover, this data structure empowers our method to be applicable for large-scale data with minimum computation cost. The comparative analysis with the state-of-the-art RDA schemes shows that the proposed scheme is secure and highly efficient in terms of the computation and communication overhead on the auditor and server.
    Matched MeSH terms: Models, Theoretical*
  6. Fulltext Totally opportunistic routing algorithm (TORA) for underwater wireless sensor network
    Rahman Z, Hashim F, Rasid MFA, Othman M
    PLoS One, 2018;13(6):e0197087.
    PMID: 29874237 DOI: 10.1371/journal.pone.0197087
    Underwater Wireless Sensor Network (UWSN) has emerged as promising networking techniques to monitor and explore oceans. Research on acoustic communication has been conducted for decades, but had focused mostly on issues related to physical layer such as high latency, low bandwidth, and high bit error. However, data gathering process is still severely limited in UWSN due to channel impairment. One way to improve data collection in UWSN is the design of routing protocol. Opportunistic Routing (OR) is an emerging technique that has the ability to improve the performance of wireless network, notably acoustic network. In this paper, we propose an anycast, geographical and totally opportunistic routing algorithm for UWSN, called TORA. Our proposed scheme is designed to avoid horizontal transmission, reduce end to end delay, overcome the problem of void nodes and maximize throughput and energy efficiency. We use TOA (Time of Arrival) and range based equation to localize nodes recursively within a network. Once nodes are localized, their location coordinates and residual energy are used as a matrix to select the best available forwarder. All data packets may or may not be acknowledged based on the status of sender and receiver. Thus, the number of acknowledgments for a particular data packet may vary from zero to 2-hop. Extensive simulations were performed to evaluate the performance of the proposed scheme for high network traffic load under very sparse and very dense network scenarios. Simulation results show that TORA significantly improves the network performance when compared to some relevant existing routing protocols, such as VBF, HHVBF, VAPR, and H2DAB, for energy consumption, packet delivery ratio, average end-to-end delay, average hop-count and propagation deviation factor. TORA reduces energy consumption by an average of 35% of VBF, 40% of HH-VBF, 15% of VAPR, and 29% of H2DAB, whereas the packet delivery ratio has been improved by an average of 43% of VBF, 26% of HH-VBF, 15% of VAPR, and 25% of H2DAB. Moreover, the average end-to-end delay has been reduced by 70% of VBF, 69% of HH-VBF, 46% of VAPR, and 73% of H2DAB. Furthermore, average hope-count has been improved by 57%, 53%, 16% and 31% as compared to VBF, HHVBF, VAPR, and H2DAB, respectively. Also, propagation delay has been reduced by 34%, 30%, 15% and 23% as compared to VBF, HHVBF, VAPR, and H2DAB, respectively.
    Matched MeSH terms: Models, Theoretical*
  7. Fulltext Tools for integrated river flood management (hydraulics modeling and logical framework analysis)
    Bong, C.H.J., Mah, D.Y.S, Putuhena, F.J., Said, S., Bustami, R.A.
    ASM Science Journal, 2012;6(1):47-60.
    MyJurnal
    Hydraulics simulation can be used as a supporting tool for planning and developing a framework, such as Integrated Flood Management for river management. To demonstrate this, a hydraulics model for the Sarawak River Basin was run using InfoWorks RS software by Wallingford Software, UK. InfoWorks River Simulation (RS) was chosen because its applicability has been proven and widely used to model Malaysian rivers. The extraction of computed floodwater level and flood maps for different time intervals would produce the rate of floodplain submergence from river bank level. This information could be incorporated into a logical framework to support decisions on flood management measures. Thus, hydraulics models can be used as tools to provide the necessary decision parameters for developing logical frameworks which would act as to guide the planning when it involved various stakeholders’ participation.
    Matched MeSH terms: Models, Theoretical
  8. Thermal dispersion effect on fully developed free convection of nanofluids in a vertical channel
    Grosan T
    Sains Malaysiana, 2011;40:1429-1435.
    The effect of thermal dispersion on the steady free convection flow of a nanofluid in a vertical channel is investigated numerically using a single phase model. Considering the laminar and fully developed flow regime a simplified mathematical model is obtained. In the particular cases when solid phase and thermal dispersion effects are neglected the problem was solved analytically. The numerical solution is shown to be in excellent agreement with the close form analytical solution. Nusselt number enhancement with the Grashof number, volume fraction and thermal diffusivity constant increasing has been found.
    Matched MeSH terms: Models, Theoretical
  9. Fulltext Thermal behaviour of beams with slant end-plate connection subjected to nonsymmetric gravity load
    Zahmatkesh F, Osman MH, Talebi E
    ScientificWorldJournal, 2014;2014:323206.
    PMID: 24587720 DOI: 10.1155/2014/323206
    Research on the steel structures with confining of axial expansion in fixed beams has been quite intensive in the past decade. It is well established that the thermal behaviour has a key influence on steel structural behaviours. This paper describes mechanical behaviour of beams with bolted slant end-plate connection with nonsymmetric gravity load, subjected to temperature increase. Furthermore, the performance of slant connections of beams in steel moment frame structures in the elastic field is investigated. The proposed model proved that this flexible connection system could successfully decrease the extra thermal induced axial force by both of the friction force dissipation among two faces of slant connection and a small upward movement on the slant plane. The applicability of primary assumption is illustrated. The results from the proposed model are examined within various slant angles, thermal and friction factors. It can be concluded that higher thermal conditions are tolerable when slanting connection is used.
    Matched MeSH terms: Models, Theoretical*
  10. Fulltext Thermal Charging Optimization of a Wavy-Shaped Nano-Enhanced Thermal Storage Unit
    Ghalambaz M, Mehryan SAM, Hajjar A, Shdaifat MYA, Younis O, Talebizadehsardari P, et al.
    Molecules, 2021 Mar 09;26(5).
    PMID: 33803488 DOI: 10.3390/molecules26051496
    A wavy shape was used to enhance the thermal heat transfer in a shell-tube latent heat thermal energy storage (LHTES) unit. The thermal storage unit was filled with CuO-coconut oil nano-enhanced phase change material (NePCM). The enthalpy-porosity approach was employed to model the phase change heat transfer in the presence of natural convection effects in the molten NePCM. The finite element method was applied to integrate the governing equations for fluid motion and phase change heat transfer. The impact of wave amplitude and wave number of the heated tube, as well as the volume concertation of nanoparticles on the full-charging time of the LHTES unit, was addressed. The Taguchi optimization method was used to find an optimum design of the LHTES unit. The results showed that an increase in the volume fraction of nanoparticles reduces the charging time. Moreover, the waviness of the tube resists the natural convection flow circulation in the phase change domain and could increase the charging time.
    Matched MeSH terms: Models, Theoretical
  11. Fulltext Theoretical modeling of pseudo hydrostatic force in solid-liquid pipe flow with two layer
    Hussain H. Al-Kayiem, Iylia Elena Abdul Jamil
    Pertanika Journal of Science & Technology, 2013;21(2):521-532.
    MyJurnal
    In the moving layer of particles with variable concentration, the shear estimation is not directly predictable and there is no existing clear mathematical or empirical formula to achieve this objective. This paper presents a developed approach to estimate the shear forces in a flow having suspended and moving layers of solid particles in liquid flow. The two-layer approach was taken whereby the flow consisting of one upper suspended layer of particles in the liquid, and the bottom layer was the moving bed of particles. In the present work, the method of finding the force acting on the pipe wall by the particles in the layer, termed as the ‘dry force’, was presented using a “pseudo hydrostatic pressure” method. To attain the equation for the dry force, a mathematical approach is taken with the assumptions that the flow is horizontal, two-phase pipe flow (solid in Newtonian liquid), incompressible and it is at steady-state. The analysis was conducted considering various particles densities, various concentrations in the suspended layer and different thicknesses of the moving bed. Changing the concentration in the suspended layer from 0.00001 up to 0.001 didn’t showed significant changes in the dry force evaluation. The dry friction force is increasing with increasing moving bed thickness. The developed mathematical model can be
    applicable in solving for the shear force in horizontal solid liquid two-phase flows.
    Matched MeSH terms: Models, Theoretical
  12. Fulltext Theoretical development and critical analysis of burst frequency equations for passive valves on centrifugal microfluidic platforms
    Thio TH, Soroori S, Ibrahim F, Al-Faqheri W, Soin N, Kulinsky L, et al.
    Med Biol Eng Comput, 2013 May;51(5):525-35.
    PMID: 23292292 DOI: 10.1007/s11517-012-1020-7
    This paper presents a theoretical development and critical analysis of the burst frequency equations for capillary valves on a microfluidic compact disc (CD) platform. This analysis includes background on passive capillary valves and the governing models/equations that have been developed to date. The implicit assumptions and limitations of these models are discussed. The fluid meniscus dynamics before bursting is broken up into a multi-stage model and a more accurate version of the burst frequency equation for the capillary valves is proposed. The modified equations are used to evaluate the effects of various CD design parameters such as the hydraulic diameter, the height to width aspect ratio, and the opening wedge angle of the channel on the burst pressure.
    Matched MeSH terms: Models, Theoretical*
  13. Fulltext Theoretical analysis and optimization of chromatic dispersion measurement using the technique of relative power of two beating frequencies
    Abdul-Rashid, H.A., Al-Qdah, M.T., Chuah, H.T., Tayahi, M.
    ASM Science Journal, 2008;2(2):129-132.
    MyJurnal
    The operating principle and the performance of chromatic dispersion (CD) measurement technique are discussed through developed numerical models. The performance of the CD measurement technique was studied in terms of the measurement range and sensitivity as the wavelength separation was varied. Based on the numerical model, the technique sensitivity increased with wavelength separation. However, this increase in sensitivity was traded off with a narrower measurement range. The measurement technique was optimized at 5.0 GHz wavelength separation with a sensitivity of 0.009 (dB/ps/nm) and measurement range of 2500 ps/nm.
    Matched MeSH terms: Models, Theoretical
  14. Theoretical analyses on enantiospecificity of L-2-haloacid dehalogenase (DehL) from Rhizobium sp. RC1 towards 2-chloropropionic acid
    Adamu A, Abdul Wahab R, Aliyu F, Abdul Razak FI, Mienda BS, Shamsir MS, et al.
    J Mol Graph Model, 2019 11;92:131-139.
    PMID: 31352207 DOI: 10.1016/j.jmgm.2019.07.012
    Dehalogenases continue to garner interest of the scientific community due to their potential applications in bioremediation of halogen-contaminated environment and in synthesis of various industrially relevant products. Example of such enzymes is DehL, an L-2-haloacid dehalogenase (EC 3.8.1.2) from Rhizobium sp. RC1 that catalyses the specific cleavage of halide ion from L-2-halocarboxylic acids to produce the corresponding D-2-hydroxycarboxylic acids. Recently, the catalytic residues of DehL have been identified and its catalytic mechanism has been fully elucidated. However, the enantiospecificity determinants of the enzyme remain unclear. This information alongside a well-defined catalytic mechanism are required for rational engineering of DehL for substrate enantiospecificity. Therefore, using quantum mechanics/molecular mechanics and molecular mechanics Poisson-Boltzmann surface area calculations, the current study theoretically investigated the molecular basis of DehL enantiospecificity. The study found that R51L mutation cancelled out the dehalogenation activity of DehL towards it natural substrate, L-2-chloropropionate. The M48R mutation, however introduced a new activity towards D-2-chloropropionate, conveying the possibility of inverting the enantiospecificity of DehL from L-to d-enantiomer with a minimum of two simultaneous mutations. The findings presented here will play important role in the rational design of DehL dehalogenase for improving substrate utility.
    Matched MeSH terms: Models, Theoretical*
  15. The utility of Guillain-Barré syndrome prognostic models in Malaysian patients
    Tan CY, Razali SNO, Goh KJ, Shahrizaila N
    J Peripher Nerv Syst, 2019 06;24(2):168-173.
    PMID: 31001904 DOI: 10.1111/jns.12320
    Guillain-Barré syndrome (GBS) is an acute immune-mediated neuropathy that has variable disease course and outcome. The Erasmus GBS outcome score (EGOS), modified EGOS (mEGOS), and Erasmus GBS respiratory insufficiency score (EGRIS) are prognostic models designed to predict the functional outcome of GBS patients at 6 months (EGOS and mEGOS) and the need for mechanical ventilation within a week of admission (EGRIS). The models were primarily developed in the Dutch GBS population, and thus the usefulness of these models in other GBS cohorts is less clear. In the current study, we aimed to validate mEGOS, EGOS, and EGRIS in Malaysian GBS patients. A total of 107 patients with GBS and its variants were consecutively recruited. Patients with GBS and Miller Fisher syndrome (MFS) were analysed separately. In the GBS cohort, high mEGOS and EGOS scores were significantly correlated with poor outcome at 6 months (mEGOS on admission: r = .381, P = .005; mEGOS at day 7 of admission: r = .507, P 
    Matched MeSH terms: Models, Theoretical*
  16. Fulltext The use of quantile regression to forecast higher than expected respiratory deaths in a daily time series: a study of New York City data 1987-2000
    Soyiri IN, Reidpath DD
    PLoS One, 2013;8(10):e78215.
    PMID: 24147122 DOI: 10.1371/journal.pone.0078215
    Forecasting higher than expected numbers of health events provides potentially valuable insights in its own right, and may contribute to health services management and syndromic surveillance. This study investigates the use of quantile regression to predict higher than expected respiratory deaths. Data taken from 70,830 deaths occurring in New York were used. Temporal, weather and air quality measures were fitted using quantile regression at the 90th-percentile with half the data (in-sample). Four QR models were fitted: an unconditional model predicting the 90th-percentile of deaths (Model 1), a seasonal/temporal (Model 2), a seasonal, temporal plus lags of weather and air quality (Model 3), and a seasonal, temporal model with 7-day moving averages of weather and air quality. Models were cross-validated with the out of sample data. Performance was measured as proportionate reduction in weighted sum of absolute deviations by a conditional, over unconditional models; i.e., the coefficient of determination (R1). The coefficient of determination showed an improvement over the unconditional model between 0.16 and 0.19. The greatest improvement in predictive and forecasting accuracy of daily mortality was associated with the inclusion of seasonal and temporal predictors (Model 2). No gains were made in the predictive models with the addition of weather and air quality predictors (Models 3 and 4). However, forecasting models that included weather and air quality predictors performed slightly better than the seasonal and temporal model alone (i.e., Model 3 > Model 4 > Model 2) This study provided a new approach to predict higher than expected numbers of respiratory related-deaths. The approach, while promising, has limitations and should be treated at this stage as a proof of concept.
    Matched MeSH terms: Models, Theoretical
  17. The use of operations research in health
    Ching CY
    Med J Malaysia, 1978 Sep;33(1):20-2.
    PMID: 750890
    Matched MeSH terms: Models, Theoretical
  18. Fulltext The use of D-optimal mixture design in optimising okara soap formulation for stratum corneum application
    Borhan FP, Abd Gani SS, Shamsuddin R
    ScientificWorldJournal, 2014;2014:173979.
    PMID: 25548777 DOI: 10.1155/2014/173979
    Okara, soybean waste from tofu and soymilk production, was utilised as a natural antioxidant in soap formulation for stratum corneum application. D-optimal mixture design was employed to investigate the influence of the main compositions of okara soap containing different fatty acid and oils (virgin coconut oil A (24-28% w/w), olive oil B (15-20% w/w), palm oil C (6-10% w/w), castor oil D (15-20% w/w), cocoa butter E (6-10% w/w), and okara F (2-7% w/w)) by saponification process on the response hardness of the soap. The experimental data were utilized to carry out analysis of variance (ANOVA) and to develop a polynomial regression model for okara soap hardness in terms of the six design factors considered in this study. Results revealed that the best mixture was the formulation that included 26.537% A, 19.999% B, 9.998% C, 16.241% D, 7.633% E, and 7.000% F. The results proved that the difference in the level of fatty acid and oils in the formulation significantly affects the hardness of soap. Depending on the desirable level of those six variables, creation of okara based soap with desirable properties better than those of commercial ones is possible.
    Matched MeSH terms: Models, Theoretical
  19. The state-of-the-art system dynamics application in integrated water resources modeling
    Zomorodian M, Lai SH, Homayounfar M, Ibrahim S, Fatemi SE, El-Shafie A
    J Environ Manage, 2018 Dec 01;227:294-304.
    PMID: 30199725 DOI: 10.1016/j.jenvman.2018.08.097
    In recent years, water resources management has become more complicated and controversial due to the impacts of various factors affecting hydrological systems. System Dynamics (SD) has in turn become increasingly popular due to its advantages as a tool for dealing with such complex systems. However, SD also has some limitations. This review contains a comprehensive survey of the existing literature on SD as a potential method to deal with the complexity of system integrated modeling, with a particular focus on the application of SD to the integrated modeling of water resources systems. It discusses the limitations of SD in these contexts, and highlights a number of studies which have applied a combination of SD and other methods to overcome these limitations. Finally, our study makes a number of recommendations for future modifications in the application of SD methods in order to enhance their performance.
    Matched MeSH terms: Models, Theoretical*
  20. Fulltext The relationship between perceptions and self-paid hepatitis B vaccination: A structural equation modeling approach
    Rajamoorthy Y, Radam A, Taib NM, Rahim KA, Wagner AL, Mudatsir M, et al.
    PLoS One, 2018;13(12):e0208402.
    PMID: 30521602 DOI: 10.1371/journal.pone.0208402
    BACKGROUND: Malaysia has a comprehensive, publicly-funded immunization program for hepatitis B (HepB) among infants, but adults must pay for the vaccine. The number of HepB carriers among adults is expected to increase in the future; therefore, we examined the impact of five constructs (cues to action, perceived barriers, perceived benefit, perceived severity, and perceived susceptibility) on adults' willingness to pay (WTP) for HepB vaccine; secondarily, we examined the association between perceived barriers and perceived benefits.

    METHODS: Adults were selected through a stratified, two-stage cluster community sample in Selangor, Malaysia. The reliability, convergent validity, and discriminant validity of the measurement model were assessed before implementing a partial least squares structural equation model (PLS-SEM) to evaluate the significance of the structural paths.

    RESULTS: A total of 728 participants were enrolled. The five constructs all showed adequate internal reliability, convergent validity, and discriminant validity. There was a significant, positive relationship to WTP from constructs (perceived barriers [Path coefficient (β) = 0.082, P = 0.036], perceived susceptibility [β = 0.214, P<0.001], and cues to action [β = 0.166, P<0.001]), and the model all together accounted for 8.8% of the variation in WTP. There was a significant, negative relationship between perceived barriers and perceived benefit [β = -0.261, P<0.001], which accounted for 6.8% of variation in perceived benefit.

    CONCLUSIONS: Policy and programs should be targeted that can modify individuals' thoughts about disease risk, their obstacles in obtaining the preventive action, and their readiness to obtain a vaccine. Such programs include educational materials about disease risk and clinic visits that can pair HepB screening and vaccination.

    Matched MeSH terms: Models, Theoretical
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