Inflammatory myopathies (IM) is a rare inflammatory muscle disorder, which can be broadly divided into 5 subgroups. The accurate diagnosis of subtype of IM can be challenging due to a diverse presentation of the disease. On the other hand, skeletal muscle complication is common in patients with systemic lupus erythematosus (SLE) in the form of myalgia or myopathy. Inflammatory myopathy is a rare association of SLE and the diagnosis and treatment can be quite challenging. A 43-year-old lady with underlying systemic lupus erythematosus (SLE), presented with subacute onset progressively worsening muscle weakness involving upper limbs and lower limbs. Neurological examination showed findings consistent with proximal myopathy, with proximal power of 3/5 and distal power of 4/5. She has elevated creatinine kinase, ALT and AST level. Her myositis-specific autoantibodies were positive for anti-Ku antibodies. Her electromyography showed evidence of active myopathy of the upper and lower limb. Here, we would like to report a case of polymyositis in a patient with SLE.
Teaching, learning and reseach activities in chemical laboratory usually involves a variety of hazardous chemicals. All chemicals stored in the laboratories should be accompanied by a safety data sheet which contains information such as chemical composition, safety precautions for handling and storing chemicals and emergency measures in case of accident. Ineffective management of chemical safety data sheet makes it difficult to access and resulting in slow action taken in the event of accident. To overcome this problem, Quisy-SDS was introduced to ensure a more effective chemical safety information management. Quisy-SDS provides a convenient method for all lab users and emergency respondents to acess the chemical safety information. This method uses a Quick Response (QR) code and website that allow users to acess the information in no time, anytime and anywhere. The use of Quisy-SDS has successfully reduced the search time of chemical safety information by 98% compared to the previous method.
Nigeria is naturally blessed with wide diversity of native animal genetic resources. Indigenous ruminant livestock such as cattle, camel, donkey, sheep and goat contributes largely in both protein supply, revenue generation and national economy. In Nigeria, these animal resources are mismanaged and undermined through the indiscriminate slaughter of pregnant animals and foetal losses in abattoirs. This unethical practice resulted in the loss of genetic diversity, preferred traits and superior females ruminant animals. The current research focus on reported incidences across abattoirs, which is a centre where such practice is highly occurs within the country. Lack of modern facilities, law enforcement, poor management and animal welfare in abattoirs to protect pregnant animals are among few factors responsible for an increase in incidences. It is unprofitable to continue the tradition of pregnant animal slaughter that causes foetal losses. This is a condition that significantly threatens the animal genetic resources and general livestock industry in Nigeria. This practice must be discard with a proper conservation and documentation of these valuable animal genetic resources. Both long and short terms conservation programs must aim for substantial benefits of these resources. Laws must be enforced with strict penalties to those involved in pregnant animal slaughter. Genetic resources of these species and meat industry future could be safe with proper implementation of these laws and conservation measures.
The study of Representative Volume Element (RVE) on Composite Material has been performed in the aim to obtain the relation and effect of fiber volume fraction on its tensile properties which is one of the important mechanical properties for composite designers in automotive and aerospace community.The properties such as fibre content, orientation, dimension of constituent fibres (diameter), level of intermixing of fibres, interface bonding between fibre and matrix, and arrangement of fibres between different types of fibres, influences the mechanical properties of hybrid composite.Representative Volume Element (RVE) for each constituent Carbon Fiber Reinforced Polymer (CFRP) and Glass Fiber Reinforced Polymer (GFRP) assumed isotropic behavior for carbon fibre, glass fibre and epoxy resin matrix and assumed to be perfectly bonded interface between fibre and matrix region i.e. strain compatibility at the interface. The scope of study on the micro mechanical modelling via representative volume element (RVE) is limited only to unidirectional composites.The result of parametric study performed deduces that incremental volume fraction of carbon and glass respectively will increase the E11 (Modulus of Elasticity in Tensile Direction) and enhance the tensile properties of both CFRP and GFRP.
High-intensity exercise acutely improves suppression of appetite in populations with normal body mass index (BMI). However, whether moderate intensity exercise (MIE) and high-intensity exercise (HIE) can elicit similar (or greater) appetite suppression effects for obese populations are still relatively unknown. The main aim is to investigate the acute effects of MIE and HIE on the appetite score, eating behaviour and blood glucose regulation among the obese population. Twelve obese participants (age: 20.8 ± 1 yr, BMI: 34.1 ± 3 kg·m-2, V̇o2max: 30.7 ± 3 ml·kg·min-1) were randomly allocated, in a crossover manner, with a 7-day interval in between (1) MIE (cycling at 60-75% HRmax), (2) HIE (cycling at 80-95% HRmax, 8-sec sprint x 12 sec rest) and (3) control (CON) condition after a 10-hr overnight fast. Physiological (fasting blood [glucose] and 24-hr calorie intake) and psychological responses (Three Factor Eating Questionnaire-R18, TFEQ-R18, and appetite score using Visual Analog Scale, VAS) were recorded prior to and after exercise interventions. Both MIE and HIE significantly reduced the calorie intake compared to CON (P0.05). A difference was found in fasting blood [glucose] level between trials in MIE (P0.05). In response to acute intervention, both MIE and HIE improved some psychological appetite score and attenuated daily energy consumption; these positive effects could benefit obese and diabetic populations.
Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with adverse effects. However, NSAIDs are among the most popular pain killers and easily available over the counter. This study aimed to determine the prevalence of NSAIDs use in Malaysian adults and among those with chronic diseases such as arthritis, kidney disease, hypertension, heart disease and asthma. It also examined the factors associated with NSAIDs use. Data from the National Health Morbidity Survey (NHMS) 2011, a nation-wide survey was analysed. A total of 18231 respondents aged 18 years and above responded to this module. Multivariate logistic regression was used to investigate the association between NSAIDs use and associated factors. The overall prevalence of NSAIDs use among Malaysian adults was 14.2% (95%CI 13.3-15.1). Of the respondents, 4.2% (95%CI 3.8-4.7) took NSAIDs once daily. NSAIDs use was highly associated with those who were ever-told to have arthritis (aOR: 3.03; 95%CI 2.60-3.52) and have difficulty of performing daily activities or work (aOR: 2.06; 95%CI 1.86-2.28). Those who were ever-told to have kidney disease (aOR: 2.36; 95%CI 1.74-3.20), ever-told to have asthma (aOR: 1.36; 95%CI 1.17-1.58), ever-told to have heart disease (aOR: 1.34; 95%CI 1.08-1.65), known hypertension (aOR: 1.22; 95%CI 1.08-1.37) also were associated with NSAIDs use. By socio-demographic profiles, NSAIDs use was positively associated with those who have government benefit scheme or private health insurance (aOR: 1.44; 95%CI 1.31-1.58), higher education level (aOR: 1.35; 95%CI 1.20-1.51), higher household income (aOR: 1.26; 95%CI 1.11-1.44, aOR: 1.12; 95%CI 1.02-1.24), currently working (aOR: 1.25; 95%CI 1.13-1.39) and female (aOR: 1.17; 95%CI 1.07-1.28). NSAIDs use was less likely among those aged 60 years and above (aOR: 0.83; 95% CI 0.72-0.97), Chinese (aOR: 0.41; 95% CI 0.36-0.47) and ‘Others’ ethnicity (aOR: 0.82; 95% CI 0.67-0.99) compared to Malay ethnicity. NSAIDs use is prevalent in Malaysian adults and associated with co-morbidities and higher socio-demographic status, thus appropriate awareness should be promoted and highlighted in the community.
Study name: National Health and Morbidity Survey (NHMS-2011)
The pandemic of Coronavirus Disease 2019 (COVID-19) has brought much fear and anxiety
worldwide due to the rapid transmission rate and mortality. The exponential surge of COVID19 cases need to be addressed aggressively to flatten the epidemic curve. This review aims to
describe the COVID-19 disease epidemiology and disease transmission, response actions
taken by the authorities to control this pandemic and risk communication strategies in Malaysia.
A literature search via the ScienceDirect and Google Scholar databases of published articles
and official statements from the Ministry of Health, Malaysia from December 2019 to May 2020
was conducted. The first wave of COVID-19 outbreak in Malaysia started in late January
involving 22 cases but the second wave involved more cases due to the massive religious
gathering that occurred in late February. Malaysia implemented the Movement Control Order
(MCO) on 18th March 2020 and other well-coordinated response action plans to prevent
community transmission. The reproduction number (R0) was successfully reduced from 3.6 to
0.3 due to the MCO. Malaysia’s risk communication strategies that include daily press
conference by the Director General of Health and dissemination of information through national
television and social media, played a crucial role in dealing with the COVID-19 outbreak. In
conclusion, effective response actions and mitigation plans, should be the main priorities to
combat this pandemic. The immediate direction will need to be focused on development of
vaccines for COVID-19. Future research should study the origin of the virus in animals and the
role of comorbidities contributing to poorer prognosis.
Introduction: Scarcity of data found in regard to association of vitamin D level with bone mineral density (BMD). Our study aimed to determine the correlation of vitamin D with BMD and intact parathyroid hormone (iPTH) among healthy Malay adult. Methods: This cross-sectional study recruited 126 healthy Malay volunteers (aged 21–45 years old) from Kota Bharu, Malaysia. Serum total calcium, albumin, phosphorus, 25-hydroxyvitamin D (25(OH)D), and iPTH were measured. BMD was assessed with dual energy X-ray absorptiometry (DXA) scan over left hip (right hip in case of problem with left hip) and lumbar spine (L1 – L4 vertebrae). Results: The mean serum 25(OH)D was 38.91
± 14.07 nmol/L. Out of 126 study subjects, 104 subjects (82.5%) had insufficient level of vitamin D (< 50 nmol/L). Mean hip and lumbar BMD were 0.952 ± 0.145 g/cm2 and 1.006 ± 0.133 g/cm2 respectively. According to T-score, 93 subjects (73.8%) had normal T-score of -1, 33 subjects (26.2%) had osteopenia (T-score -2.5 to -1) and none had osteoporosis (T-score -2.5). Significant positive correlation between serum 25(OH)D and hip BMD (r = 0.234, p = 0.009) was observed, but no correlation was found between serum 25(OH)D and lumbar BMD. Meanwhile, significant inverse correlation between serum 25(OH)D and iPTH was observed (r = -0.324, p < 0.001). Conclusion: High prevalence of vitamin D insufficiency was observed among healthy Malay population, but majority had normal bone density. Nonetheless, serum 25(OH)D was positively correlated with BMD and inversely correlated with iPTH. Our findings support the role of vitamin D for maintaining bone health.
Postquantum cryptography for elevating security against attacks by quantum computers in the Internet of Everything (IoE) is still in its infancy. Most postquantum based cryptosystems have longer keys and signature sizes and require more computations that span several orders of magnitude in energy consumption and computation time, hence the sizes of the keys and signature are considered as another aspect of security by green design. To address these issues, the security solutions should migrate to the advanced and potent methods for protection against quantum attacks and offer energy efficient and faster cryptocomputations. In this context, a novel security framework Lightweight Postquantum ID-based Signature (LPQS) for secure communication in the IoE environment is presented. The proposed LPQS framework incorporates a supersingular isogeny curve to present a digital signature with small key sizes which is quantum-resistant. To reduce the size of the keys, compressed curves are used and the validation of the signature depends on the commutative property of the curves. The unforgeability of LPQS under an adaptively chosen message attack is proved. Security analysis and the experimental validation of LPQS are performed under a realistic software simulation environment to assess its lightweight performance considering embedded nodes. It is evident that the size of keys and the signature of LPQS is smaller than that of existing signature-based postquantum security techniques for IoE. It is robust in the postquantum environment and efficient in terms of energy and computations.
Given the excessive foul language identified in audio and video files and the detrimental consequences to an individual's character and behaviour, content censorship is crucial to filter profanities from young viewers with higher exposure to uncensored content. Although manual detection and censorship were implemented, the methods proved tedious. Inevitably, misidentifications involving foul language owing to human weariness and the low performance in human visual systems concerning long screening time occurred. As such, this paper proposed an intelligent system for foul language censorship through a mechanized and strong detection method using advanced deep Convolutional Neural Networks (CNNs) and Recurrent Neural Networks (RNNs) through Long Short-Term Memory (LSTM) cells. Data on foul language were collected, annotated, augmented, and analysed for the development and evaluation of both CNN and RNN configurations. Hence, the results indicated the feasibility of the suggested systems by reporting a high volume of curse word identifications with only 2.53% to 5.92% of False Negative Rate (FNR). The proposed system outperformed state-of-the-art pre-trained neural networks on the novel foul language dataset and proved to reduce the computational cost with minimal trainable parameters.
Introduction:Gliosarcoma is a rare malignant brain tumor. The clinical presentation is acute with rapid progression of symptoms. Commonly affecting the elderly, it is rare to happen in youngsters. Case description: A 28-year-old radiographer presented to us with two episodes of unprovoked seizure. He denied any medical illnesses, or trauma, fall, motor vehicle accident and fever prior to these attacks. The computed tomography (CT) of brain was normal. He was managed as epilepsy and remained symptom-free for 3 years until the unprovoked seizure recurred. Another CT of brain performed and revealed a right parietal intracranial mass. This finding was supported by magnetic reso-nance imaging scan. The histologic examination showed a biphasic pattern of glial with predominant sarcomatous component giving a diagnosis of gliosarcoma of the brain. He had completed six cycles of adjuvant chemotherapy and was asymptomatic during clinic follow up with no tumor recurrence. Conclusion: Individuals with high risk of radiation exposure particularly radiographer as in our case requires a special attention when it comes to the diagnosis of malignancy. Despite of indolent clinical presentations, a close monitoring is needed to avoid mismanagement and subsequent morbidities.
Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder characterized by recurrent intrusive, distressing thoughts and repetitive behaviours or mental rituals performed to reduce anxiety. The lifetime prevalence of OCD is 2.3% and it can happen to all people of various levels, including child and adolescent. The mean age of onset is 19.5 years, and a subset of patients, mostly males, have an early onset before 10 years of age. The lifetime risk of developing OCD is higher in females, who typically develop the disorder in adolescence [1]. Person with OCD usually presented with obsession involving various themes, namely contamination; repeated doubts; religious, need for symmetry and exactness, or taboo thoughts of a sexual, religious, or aggressive nature. Whereas, the most common compulsions are checking, washing, hoarding, and counting compulsions[1]. (Copied from article).
The purpose of this study was to translate and adapt the Vestibular Rehabilitation Benefit Questionnaire (VRBQ) into Malay (My-VRBQ). This is to add on to the limited number of
vestibular questionnaire available in Malay version. After the permission from the original
author was obtained, the process of adaptation began with forward-translation by the author with
audiological background and a linguistic expert. Then, the process of backward translation into
English were completed by three bilinguals who were proficient in both Malay and English. The final version of the draft was evaluated for its content validity, which was conducted by five professionals with audiological or speech pathology backgrounds. Additionally, its face validity was determine amongst 32 respondents with diverse backgrounds. Ten participants diagnosed with vestibular problems were recruited in the My-VRBQ for internal consistency validation process. They were enlisted from two hospitals in the East Coast of Malaysia. Based on the comments and
suggestions made by the validators; some changes in terms of the appropriateness of the instructions, items and the sentence structure were made. In the consistency analysis, the My-VRBQ revealed good internal consistency based on Cronbach alpha values (0.77 to 0.96). A translated and validated My-VRBQ has the potential to be used clinically to document vestibular rehabilitation benefits. Nevertheless, future studies are encouraged to further support the present study findings.
In this paper, we propose a non-localization routing protocol for underwater wireless sensor networks (UWSNs), namely, the triangle metric based multi-layered routing protocol (TM2RP). The main idea of the proposed TM2RP is to utilize supernodes along with depth information and residual energy to balance the energy consumption between sensors. Moreover, TM2RP is the first multi-layered and multi-metric pressure routing protocol that considers link quality with residual energy to improve the selection of next forwarding nodes with more reliable and energy-efficient links. The aqua-sim package based on the ns-2 simulator was used to evaluate the performance of the proposed TM2RP. The obtained results were compared to other similar methods such as depth based routing (DBR) and multi-layered routing protocol (MRP). Simulation results showed that the proposed protocol (TM2RP) obtained better outcomes in terms of energy consumption, network lifetime, packet delivery ratio, and end-to-end delay.
Prurigo nodularis (PN) is an uncommon skin condition known to be associated with underlying systemic diseases. This case report is about PN secondary to underlying Hodgkin’s lymphoma. A 30-year-old man presented with this skin condition three months before lymphadenopathy and systemic symptoms due to lymphoma. He had made multiple visits to general practitioners for the disturbing rash, given multiple courses of topical treatment without relief. His PN showed marked improvement after initiation of chemotherapy. This case reminds that an unexplained skin condition should prompt clinicians for investigating for an underlying systemic disease. This case, to our knowledge, is the first Hodgkin’s lymphoma-associated prurigo nodularis reported in Malaysia.
Subsea cable laying is a risky and challenging operation faced by engineers, due to many uncertainties arise during the operation. In order to ensure that subsea cables are laid out diligently, the analysis of subsea cable tension during the laying operation is crucial. This study focuses on the fatigue failure of cables that will cause large hang-off loads based on catenary configuration after laying operation. The presented problem was addressed using mathematical modelling with consideration for a number of defining parameters, which include external forces such as current velocity and design parameters such as cable diameter. There were two types of subsea cable tension analyses studied: tensional analysis of catenary configurations and tensional analysis of lazy wave configurations. The latter involved a buoyancy module that was incorporated in the current catenary configuration that reduced subsea cable tension and enhanced subsea cable lifespan. Both analyses were solved using minimization through the gradient- based approach concerning on the tensional analysis of the subsea cable in different configurations. Lazy wave configurations were shown to successfully reduce cable tension, especially at the hang-off section.
The Golden Apple Snail (GAS), Pomacea canaliculata is an invasive species that has become a serious pest organism in rice fields in Southeast Asia since 1980s. This study was conducted to assess the hatchability of eggs under a combination effect of temperature and light. The clusters of eggs were exposed to different temperature (28oC, 30oC, 32oC, 34oC and 36oC) and under the presence and the absence of light. The finding showed that the cluster of egg hatched faster with an increase of temperature (2-way ANOVA; P < 0.05). However, the egg hatchability was not impacted by the presence or the absence of light. The combined effect between temperature and light on egg hatchability was also insignificant (2-way ANOVA; P > 0.05). Our findings indicate that temperature alone produces the main impact on the egg hatchability. Therefore, this knowledge provides an initial understanding to predict the population dynamic and geographical distribution of Pomacea from Malaysia particularly in the effort to hamper their ecological invasion.
Introduction: Airway inflammation is the pathological hallmark of chronic inflammatory airway diseases, especially asthma and chronic obstructive pulmonary disease (COPD). Airway epithelium plays an indispensable role in these diseases by secreting inflammatory mediators and cytokines in response to foreign substances, such as lipopolysac- charide (LPS). Previous studies have shown that diarylpentanoid analogues, especially 5-(3,4-dihydroxyphenyl)-3-hy- droxy-1-(2-hydroxyphenyl)penta-2,4-dien-1-one (DHHPD) and 2-benzoyl-6-(3,4-dihydroxybenzylidene)cyclohex- en-1-ol (BDHBC), significantly inhibited nitric oxide (NO) production; suggesting their anti-inflammatory property. However, the therapeutic potential of DHHPD and BDHBC in airway inflammation has not been explored. Thus, this study aims to investigate their effects on interleukin (IL)-6 and IL-8 gene expression in LPS-induced Calu-3 cells, a cellular model of human airway epithelium. Methods: MTT cytotoxicity assay was carried out to identify non-cy- totoxic concentrations of DHHPD and BDHBC on Calu-3 cells. RT-PCR was done to determine IL-6 and IL-8 gene expression levels. Results: DHHPD and BDHBC were not cytotoxic on Calu-3 cells up to 200µM. Four non-cyto- toxic concentrations were chosen – 6.25, 12.5, 25 and 50µM to determine the effect of both compounds on gene expression. All four concentrations of DHHPD and BDHBC significantly inhibited LPS-induced mRNA expression of IL-6 while all concentrations of BDHBC, except 6.25µM, significantly reduced IL-8 mRNA expression. Similar find- ing was obtained for DHHPD, except that at 50µM, there was no inhibition of IL-8 mRNA expression. Conclusion: Diarylpentanoid analogues, DHHPD and BDHBC, are proven to be effective in suppressing LPS-induced IL-6 and IL-8 gene expression. However, further studies are required to confirm their inhibitory effects on the production of pro-inflammatory cytokines.
In Islamic transaction, the disputations between two or more parties could affect the roles and responsibilities. Furthermore, when the court received a case from disputed parties, there will be a perception among each of parties of win-lose situation, whereby one party embellished with satisfaction, while the other party will beat in suffering, so the impact is the relationship between two parties are become farther. Therefore, alternative dispute resolution (ADR) in Islamic Finance is suggested in by many Muslim economist and legal experts as a substitute to any further legal activities. This is because it will satisfy many of litigants and it provides a complementary substitute to litigation. The study about ADR in Islamic finance has been done by previous literature. By the way, the implementation of ADR in Islamic financial institutions still needs to be elaborated. Therefore, this paper aims to discuss about updated issues and challenges of implementations of ADR in Islamic finance. This paper found that the ADR in Islamic finance need a model to make the ADR more flexible and eligible with different kinds of conflicts.
Carbon nanoparticles have been widely used in various applications. However, they are commonly known to have low dispersibility and chemical inertness which limit their practical ability in medical or biological area. Some studies have been performed to modify carbon nanoparticles such as carbon nanotubes using ultraviolet (UV)-Ozone system. However, little is known on the effects of such system towards other types of carbon nanoparticles such as mesoporous hollow carbon nanoparticles (MHCNs). Thus, in this study, improvement of MHCNs physiochemical properties have been studied using UV-Ozone treatment for the first time. The treatment was conducted in water as dispersant agent at ozone flowrate of 1.0 L/min and exposure time of 45 min. SEM images observed that MHCNs morphology and surface structure remain intact after the treatment. Observations on the dispersibility of MHCNs in phosphate buffered saline (PBS) solution shows that the dispersibility was improved compared to the untreated ones. This was supported by the low Z-average and PDI values of treated MHCNs obtained at ~400 nm and 0.2, respectively when compared to the untreated MHCNs which was obtained at 970 nm and 0.417, respectively. Thermogravimetric analysis (TGA) showed an increased in weight loss of treated MHCNs at the lower temperature compared to untreated MHCNs. Results from Fourier Transform Infrared (FTIR) showed an increase number of new functional groups that includes carboxylic acid group presence at the surface of treated MHCNs which contributes to the improvement of their dispersibility, thermal properties and chemical functionality. These findings opened a new possibility of using UV-Ozone treatment to improve physicochemical properties of MHCNs for medical area such as in drug delivery application in addition to their excellent storage and carrier system.