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  1. Fulltext Identification of risk factors for myopia questionnaire in the Malay language among primary school children in Malaysia
    Nur Liyana I., Sharanjeet-Kaur, Saadah M.A., Mahadir A., Abdul Mutalib O.
    International Medical Journal Malaysia, 2018;17(1):127-134.
    MyJurnal
    This study aimed to develop a questionnaire in Malay language for the identification of risk factors for myopia among primary school children aged 10 to 12 years old in Malaysia. Materials and Methods: The study commenced in October 2012 till Julai 2013 in two main phases. The first phase was a pilot study for the construction of questionnaire items by literature review and discussion with the experts. A total of 103 parents of primary school children were randomly selected to test the comprehensibility of the preliminary questionnaire. The second phase was the actual study which involved parents of 353 primary school children , 132 were parents whose children were myopes and 221 parents whose children were nonmyopes. Results: Discussions with experts in human vision science identified 5 main domains and 71 items for the preliminary questionnaire. A total of 55 items were retained for the actual study phase in view of statistically good correlation (r = 0.4 and above). Predictive validity by chi-square test allowed 28 items to be retained because of significant association with myopia (p
    Matched MeSH terms: Malaysia
  2. Fulltext Sensor application for soil treatment and behaviour
    Syahrul Affandi Saidi, Syarifah Idrus Sofia Syed Mohd Yamin, Mohd Sharizan Md Sarip, Wan Azani Mustafa
    Journal of Advanced Research in Applied Sciences and Engineering Technology, 2018;13(1):8-15.
    MyJurnal
    In Malaysia, it is estimated that almost 80 percent of the world's population today used palm oil in their daily lives. Malaysia is the second country exporting palm oil, about 39 percent of world palm oil output. Besides that, Malaysia also recorded about 44 per cent of world exports, making the palm industry very important for countries other than rubber and cocoa. However, to keep the palm industry running smoothly and constantly, there are many challenges to face. One is to maintain soil fertility because the soil can affect the growth of oil palm trees. With the use of this system, it will show the condition of soil behaviour to the farmer about the treatment given. Arduino board is used in this project which it is programmed to calculate and display the level of soil condition by using temperature sensor and soil moisture sensors as an input. This sensor will detect the level of soil moisture and temperature and it is easier for farmers to monitor the soil conditions. Controlled soil conditions can improve the soil's ability to maintain the fertility of palm trees and help plant growth suit to the weather and local climate.
    Matched MeSH terms: Malaysia
  3. A Humanist Neurosurgeon: A Legacy of Dr. Roy Selby
    Lichterman BL, Wong SN, Likhterman LB
    World Neurosurg, 2019 Aug;128:149-157.
    PMID: 31042604 DOI: 10.1016/j.wneu.2019.04.178
    The article is dedicated to the life and work of Dr. Roy Selby (1930-2002), an American neurosurgeon who founded neurosurgery in Malaysia. Dr. Selby stayed in Malaysia from July 1963 to May 1970. He opened the first neurosurgical department at the general hospital in Kuala Lumpur and established a training program under which Malaysian physicians and nurses were sent to neurosurgery centers in the United States and Canada. Some physicians came back and headed local neurosurgical units. On his return to the United States, Dr. Selby practiced neurosurgery until 1986, when he had to give it up due to the impact of progressive congestive heart failure. From 1986 to 1994, Dr. Selby taught graduate courses in the Department of Psychology at East Texas State University, Texarkana, Texas. He was a pioneer of spinal surgery and founded the Lumbar Spine Society. Dr. Selby was a world citizen neurosurgeon and advocated international standards of training in neurosurgery. From 1985 to 1994, he was chairman of the Archives Committee of the American Association of Neurological Surgeons. Dr. Selby serves as a model of a physician as a humanist.
    Matched MeSH terms: Malaysia
  4. Fulltext Caring for moderate to severe dementia patients - Malaysian family caregivers experience
    Zuria Idura A.M., Noorlaili M.T., Rosdinom R., Azlin B.., Tuti Iryani M.D.
    International Medical Journal Malaysia, 2018;17(1):93-102.
    MyJurnal
    Introduction: Caring for those with dementia affects the quality of life for both the caregivers and the patients themselves, particularly in the informal care system here in Malaysia. To date, only a few studies have explored from the family caregivers’ perspectives in the communities of different cultural background. The purpose of this study is to describe the Malaysian family caregivers’ perspectives of their experiences in providing care to for their family members suffering from moderate to severe dementia in Kuala Lumpur, Malaysia. Methods: This qualitative study involved in-depth individual interviews with twelve caregivers to patients with moderate to severe dementia. Participants were recruited via purposive sampling from the outpatient psycho-geriatric clinic at UKM Medical Centre, Kuala Lumpur. All interviews were audio-recorded and transcribed verbatim. Transcribed data was later analysed using a thematic approach. Results: Four themes identified in this study were; i) the feeling that ‘it is like caring for a baby’, ii) the caregivers’ perception of inadequate knowledge and skills, iii) the need for caregivers’ support system and iv) the importance of spirituality in enhancing care giving experiences. Conclusions: The framework of care shared by the caregivers in this study demonstrated strong cultural and spirituality influences in addition to the common issues of the challenges in managing the behavioural and psychological symptoms in people with dementia. Hence, culture and spirituality aspects should be addressed in the development of appropriate intervention to manage the needs of informal caregivers in this community.
    Matched MeSH terms: Malaysia
  5. Fulltext Association of angiogenic cells in the tumour microenvironment and the circulating matured endothelial cells in astrocytic glioma
    Das, Priscilla, Naing, Nyi Nyi, Nadiah Wan-Arfah, Noorjan, KON, Yee, Cheng Kueh, Rasalingam, Kantha
    International Medical Journal Malaysia, 2018;17(2):3-10.
    MyJurnal
    Introduction: Astrocytic gliomas are the most common and lethal intracranial brain tumours and rely on angiogenesis for the tumour development. Endothelial progenitor cells (EPCs) contribute to the angiogenesis of glioma tumour. Objectives: The study aimed to investigate the matured circulating endothelial cells population in the peripheral blood mononuclear cells (PBMCs) and its associations with tissue resident angiogenic cells in astrocytic glioma patients. Methods: A total of 22 astrocytic glioma patients were recruited from Hospital Universiti Sains Malaysia. Tumour were sliced and stained with CD133+ and VEGFA+ for angiogenic cells (n=22). The circulating (CD133-/VEGFR2+) matured endothelial cells in PBMCs (n=22) were quantified using FACS. The paired t-test and Pearson correlation test were used for the data analysis. Results: The angiogenic cells in brain tumour tissue were significantly higher compared to adjacent normal brain tissue (median 1.07±0.96% vs. median 0.69±0.68%; Wilcoxon signed rank test Z=-3.100; p=0.002). Positive correlation was found between the angiogenic cells of brain tumour tissue and adjacent normal brain tissue (Spearman’s rho correlation test, r=0.56; p=0.007). Significant positive correlation was found between matured endothelial cells in peripheral circulating systems and angiogenic cells in tumour of astrocytic glioma patients (Pearson correlation test, r=0.60, p=0.003).Conclusion:The findings of the study give support to the possible roles of EPCs in astrocytic glioma patients. Thus targeting tissue resident angiogenic cells and matured circulating endothelial cells by antiangiogenic treatment might be useful to prevent the tumour growth.
    Matched MeSH terms: Malaysia
  6. Fulltext Reliability and Validity of the Malay Mindful Eating Questionnaire (MEQ-M) among Overweight and Obese Adults
    Abdul Basir SM, Abdul Manaf Z, Ahmad M, Abdul Kadir NB, Ismail WNK, Mat Ludin AF, et al.
    Int J Environ Res Public Health, 2021 01 24;18(3).
    PMID: 33498903 DOI: 10.3390/ijerph18031021
    The Mindful Eating Questionnaire is a reliable tool for the assessment of mindful eating behavior among the general population. This study aimed to determine the reliability and validity of The Malay Mindful Eating Questionnaire (MEQ-M) in a sample of overweight and obese adults. This is a cross-sectional survey which involved 144 overweight and obese adults in a selected public university. After linguistic validation of the Malay version of the MEQ, exploratory factor analysis (EFA) with varimax rotation was performed on the scale constructs. The psychometric properties of the MEQ were assessed through Cronbach's alpha and intraclass correlation coefficient (ICC) analysis. The EFA of the MEQ produced a seven-dimensional model (58.8% of overall variances). The concurrent validity analysis between total MEQ scores and total Mindfulness Attention Awareness Scale (MAAS) scores indicated a weak non-significant correlation (p = 0.679). The internal consistency reliability of the MEQ was reasonable (Cronbach's α = 0.64). The agreement stability of the MEQ over eight weeks was poor (ICC = 0.10). In conclusion, the psychometric properties of the Malay-translated MEQ are acceptable through construct validity and internal consistency reliability tests. This instrument may be used for assessing mindful eating habits in the Malaysian population, especially among overweight and obese adults.
    Matched MeSH terms: Malaysia
  7. Fulltext Coordinating a Postgraduate Orthopaedic Exam During the COVID-19 Pandemic
    Mohamed-Haflah NH, Abdullah S, Abdul-Rani R
    Malays Orthop J, 2021 Mar;15(1):16-20.
    PMID: 33880143 DOI: 10.5704/MOJ.2103.003
    The Coronavirus (COVID-19) pandemic and institution of the Movement Control Order (MCO) had resulted in the cancellation of a major orthopaedic exam in April 2020. The exam is known as the Malaysian Orthopaedic Specialist Committee (OSC) Part I Examinations. It is similar to the British Royal Colleges of Surgeons Membership (MRCS) exams and held twice annually in April and October. There are up to 200 candidates involved. With implementation of new guidelines and standard operating procedures (SOP), the OSC Part I exam was successfully held by Universiti Kebangsaan Malaysia (UKM) from 5th-9th October 2020. Here we highlight the challenges we faced whilst coordinating a major exam at a national level during the COVID-19 pandemic with recommendations for future exams.
    Matched MeSH terms: Malaysia
  8. Fulltext Validity and Reliability of the Malay Version of the Identification of Functional Ankle Instability (IdFAI-M) Questionnaire among Malaysian University Athletes
    Omar MK, Abdul-Karim S
    Malays Orthop J, 2021 Mar;15(1):32-42.
    PMID: 33880146 DOI: 10.5704/MOJ.2103.006
    Introduction: This study was designed to produce a validated and reliable Malay version of the Identification of Functional Ankle Instability (IdFAI-M) questionnaire.

    Materials and method: The cross-cultural adaptation was conducted based on standard guidelines to produce the Malay version of the Identification of Functional Ankle Instability (IdFAI-M) questionnaire. The reliability and validity testing were then performed among one hundred and twenty-three physically active University of Malaya students. Among them, twenty-two students also participated in the second return of the questionnaire over a two-week interval, which was then evaluated for test-retest reliability testing.

    Results: The content validity for item-level (I-CVI) and Kappa values for all items were more than 0.7, respectively and the all scales-level (S-CVI) values were 0.983 (consistency), 0.967 (representativeness), 1.00 (relevance) and 0.983 (clarity). The questionnaire also demonstrated excellent reliability with an intraclass correlation coefficient (ICC2.1) above 0.850 for all items. It was observed that outer loading of most items were more than the minimum acceptable value (0.7). Fornell-Larcker criterion demonstrate all values for each reflective construct was larger than the correlations with other constructs, indicating discriminant. The cross-loading values of each item has shown a weak correlation with all other constructs, except for the one to which it was theoretically associated.

    Conclusions: The Malay version of the IdFAI (IdFAI-M) is a reliable and valid instrument that can be readily utilised to subjectively assess ankle instability.

    Matched MeSH terms: Malaysia
  9. Fulltext The Scenario of Adoption and Foster Care in Relation to the Reproductive Medicine Practice in Asia
    Shiraishi E, Takae S, Faizal AM, Sugimoto K, Okamoto A, Suzuki N
    Int J Environ Res Public Health, 2021 03 26;18(7).
    PMID: 33810525 DOI: 10.3390/ijerph18073466
    In vitro fertilization (IVF) is a hallmark of reproductive medicine. However, the inconclusive outcome leads to marital disharmonies; thus, the choices of gamete donation and surrogacy (GD/S) are often offered. In restricted countries, the child-rearing choice through foster/adoption care is promising, but the uptake remains low. We explore the current reproductive services and adoption scenarios in Asian countries to delineate this issue. The web and literature search using PubMed and Ichushi was conducted in Japanese and English using the keywords "adoption", "foster care", "reproductive medicine", including the interview with the respective Asian clinicians. We found that an established adoption system was seen in China, Malaysia, and the Philippines, mainly due to the restriction of GD/S. Although GD/S were allowed in Thailand, Singapore, and India, the different local affordability of IVF cost led to various adoption system scenarios. Nevertheless, the country's economic aspect does influence the establishment of adoption care, mainly due to financial support from local government. Otherwise, the significant barrier was the cultural/religious background leading to low adoption rates. We concluded that the adoption option should always be highlighted as an alternative strategy as it synergistically contributes to children's and infertile couples' welfare.
    Matched MeSH terms: Malaysia
  10. Promoting Inter-Ethnic Understanding and Empathy Using a Round Table Cinema Activity with Malaysian Malay and Chinese Students
    Swami V, Zahari HS, Mohd Khatib NA, Toh EKL, Barron D
    Integr Psychol Behav Sci, 2020 06;54(2):416-437.
    PMID: 31950435 DOI: 10.1007/s12124-020-09514-7
    The Round Table Cinema Activity (RTCA) is an intervention designed to promote improved multicultural understanding by having different social identity groups watch a carefully-selected film and take part in repeated dialogic exchanges. Here, we examined the efficacy of the RTCA paradigm at improving inter-ethnic understanding and empathy among members of different social identity groups from the same country (i.e., Malaysian Malays and Chinese). A total of 87 participants completed a measure of ethnocultural empathy before and after the RTCA paradigm, which involved watching the film Sepet, taking part in group discussions, and answering open-ended question about their experiences. Analyses of written responses suggested that the RTCA was successful at promoting intergroup dialogue and exchange of ideas. Analyses of quantitative data suggested significant and large improvements in ethnocultural empathy at post-intervention. Our findings suggest that the RTCA paradigm may be a useful tool for promoting inter-ethnic harmony in the Malaysian context.
    Matched MeSH terms: Malaysia
  11. First Report of Environmental Isolation of Exophiala spp. in Malaysia
    Jayaram M, Nagao H
    Curr Microbiol, 2020 Oct;77(10):2915-2924.
    PMID: 32661678 DOI: 10.1007/s00284-020-02109-w
    The opportunistic pathogen Exophiala dermatitidis has been frequently isolated from tropical regions of the world. However, there is no report of environmental isolation of Exophiala spp. from Malaysia. The information regarding the ecology of this microbe is important for a better understanding of the opportunism. This study aims to conduct a survey of natural distribution of Exophiala spp. in Malaysia. Forty-seven strains of Exophiala-like was isolated by using selective media. These isolates from the fields were molecularly identified based on the ITS region. The biochemical activity of these microbes was tested by conducting various tests, i.e. DNase test, proteinase activity, and urea hydrolysis. Overall, 22 strains of E. dermatitidis were successfully obtained and identified from burnt tree bark, oil dripped soil sample, hot spring biofilm, railway track stones, tar road contaminated with petrol hydrocarbon, drain and deep mud of Sungai Pinang besides the new discovery from pigeon droppings. A single strain of E. heteromorpha was identified from tar road contaminated with petrol hydrocarbon. Genotypes of the isolated E. dermatitidis were identified by the neighbor-joining tree and grouped into Genotype A, A2 and B. The existence of new Genotype A4 was confirmed by a similar cladogram position in both neighbor-joining and maximum likelihood tree. The survival of E. dermatitidis in the hydrocarbon contaminated environment was studied by supplying engine oil and observing the growth pattern. The results of this study suggest that the opportunistic Exophiala spp. was isolated from nutrient limited and harsh conditions in the natural environment.
    Matched MeSH terms: Malaysia
  12. Fulltext Diabetic hidden gem: high amylose content in Sabah’s traditional rice germplasm [Abstract]
    Tyng CF, Fui LF, Abdul Latip M, Kumar V
    Malaysian Journal of Medicine and Health Sciences, 2019;15(106):17.
    MyJurnal
    ABSTRACTS FOR THE 1ST INTERNATIONAL BORNEO HEALTHCARE AND PUBLIC HEALTH CONFERENCE AND 4TH BORNEO TROPICAL MEDICINE AND INFECTIOUS DISEASE CONGRESS. New Frontiers in Health: Expecting the Unexpected. Held at the Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia. 3rd-5th September 2019
    Introduction: Rice is classified as waxy, very low, low, intermediate and high based on its amylose content (AC). Most people prefer to consume intermediate AC rice because of its texture which tends to appear in between low (moist and sticky) and high (dry and less tender). Although rice with high AC appears dry and less tender, it usually possesses a low glycemic index (GI) i.e. a slower increase in blood glucose level after the consumption of food. Consequently, people with diabetes are recommended to eat low and intermediate GI foods. Although, rice is generally categorised as a high GI staple food there are some exceptions to it. For example, the premium Basmati aromatic rice possesses a low GI and is recommended for diabetic patients. The study aimed to identify Sabah’s traditional rice germplasm with low GI via AC that may be used as a replacement to commercial rice varieties.
    Methods: A total of 110 traditional rice samples were obtained from rice fields located in the Tuaran and Kota Belud districts of Sabah. The AC in each sample was determined via I:KI method (ISO AACC-6647).
    Results: We found that 46 (41.8%), 51 (46.4%), 7 (6.4%) and 6 (5.5%) Sabah’s traditional rice samples possess high, intermediate, low and very low AC, respectively. The intermediate AC type is predominant in Sabah’s traditional rice germplasm as it is the preferred rice texture by the general population. We have identified 46 rice germplasm with high AC type (i.e. with low GI value). The AC content in these is comparable to the Basmati rice and may be suitable candidates for diabetic patients.
    Conclusion: The present study showed Sabah’s traditional rice germplasm has the potential to be promoted as a low GI rice cultivar based on AC for diabetic patients in order to prevent spikes in blood glucose levels while still enjoying the staple food
    Matched MeSH terms: Malaysia
  13. 25S rDNA genotyping and multi-locus sequence typing of Candida albicans of pathogenic and commensal origins in the Klang Valley, Malaysia
    Illyaaseen Z, Ngeow YF, Yap SF, Ng HF
    Malays J Pathol, 2021 Apr;43(1):55-61.
    PMID: 33903306
    Candida albicans is an important opportunistic fungal pathogen capable of causing fatal systemic infections in humans. Presently in Malaysia, there is little information available on the genetic diversity of this organism and trends in behavioural characteristics. In this project, three genotyping methods: 25S rDNA genotyping, Alternative Lengthening of Telomerase (ALT) sequence typing and Multi-Locus Sequence Typing (MLST) were applied to study the genetic diversity of strains from infected hospital in-patients and asymptomatic individuals in the community. The results showed that, with the 25S rDNA genotyping, as in other parts of the world, the most common genotype was type A which accounted for approximately 70% of the 111 isolates tested. Further typing with the ALT sequence showed type 3 to be the most common in the isolates tested. MLST analysis revealed many possibly novel sequence types, as well as a statistically significant association between pathogenicity and a group of closely related isolates, most of which were from hospital samples. Further work on genotypes associated with enhanced virulence will help to clarify the value of genotyping for clinical and epidemiological investigations.
    Matched MeSH terms: Malaysia
  14. Prevalence of burnout syndrome and its associated factors among doctors in Sabah, Malaysia
    Yao LM, Hung CS, Ain SN, Pui E, Lee OC
    Psychol Health Med, 2021 Feb 18.
    PMID: 33602003 DOI: 10.1080/13548506.2021.1891265
    Burnout syndrome is a condition marked by emotional exhaustion, deterioration in motivation and lack of commitment, resulting from long-lasting workplace stress, characterized by exhaustion, negative feelings towards one's work and reduced professional efficacy. Healthcare workers are at particularly high risk for burnout due to high levels of stress. Our objectives were to determine the prevalence of burnout syndrome among doctors in Sabah and factors associated with it. This multi-centre cross-sectional study was carried out among doctors working in five Sabah main hospitals. Data were collected by using self-administered questionnaires consisting of basic socio-demographic information and Copenhagen Burnout Inventory (CBI). Overall, a total of 523 doctors consented to participate in this study. The prevalence of personal burnout, work-related burnout, and patient-related burnout among doctors were 57.1%, 48.8%, and 30.4% respectively. Chi-square analysis showed factors that were associated to personal burnout and work-related burnout, were marital status, duration of service and position in the service. Duration of service was the only factor associated with patient-related burnout. The prevalence of burnout syndrome in Sabah should not to be overlooked and more researches are indicated to look into prevention of burnout syndrome in Malaysian setting.
    Matched MeSH terms: Malaysia
  15. Fulltext Reef foraminifera as bioindicators of coral reef health in southern South China Sea
    A'ziz ANA, Minhat FI, Pan HJ, Shaari H, Saelan WNW, Azmi N, et al.
    Sci Rep, 2021 Apr 26;11(1):8890.
    PMID: 33903697 DOI: 10.1038/s41598-021-88404-3
    Pulau Tioman is a famous tourist island off Peninsular Malaysia with beautiful coral reefs. This study aims to assess the health of the coral reefs surrounding Pulau Tioman based on the application of the Foraminifera in Reef Assessment and Monitoring Index (FI). Ten sampling sites around Pulau Tioman were studied with a total of 30 samples. Eight orders, 41 families, 80 genera, and 161 species of benthic foraminifera were identified. The agglutinated type of foraminifera constituted 2-8% of the total assemblages. Calcareous hyaline and porcelaneous groups represented 79% and 19% of the total assemblages, respectively. Symbiont-bearing taxa were the most common foraminifera. The results indicate that most of the sampling sites are conducive for coral reef growth with good recoverability from future stress to the ecosystem. However, several areas with higher coastal development and tourism have reduced water and sediment quality. Therefore, the limit on the number of visitors and tourists should be revised to enable coral growth and health. The FI values in this study showed a positive correlation with good water qualities and a negative correlation with organic matter enrichment. The FI is a good measure to assess the health of a coral reef and can be applied to other reef ecosystems around Malaysia.
    Matched MeSH terms: Malaysia
  16. Fulltext Malay Version of the mHealth App Usability Questionnaire (M-MAUQ): Translation, Adaptation, and Validation Study
    Mustafa N, Safii NS, Jaffar A, Sani NS, Mohamad MI, Abd Rahman AH, et al.
    JMIR Mhealth Uhealth, 2021 02 04;9(2):e24457.
    PMID: 33538704 DOI: 10.2196/24457
    BACKGROUND: Mobile health (mHealth) apps play an important role in delivering education, providing advice on treatment, and monitoring patients' health. Good usability of mHealth apps is essential to achieve the objectives of mHealth apps efficiently. To date, there are questionnaires available to assess the general system usability but not explicitly tailored to precisely assess the usability of mHealth apps. Hence, the mHealth App Usability Questionnaire (MAUQ) was developed with 4 versions according to the type of app (interactive or standalone) and according to the target user (patient or provider). Standalone MAUQ for patients comprises 3 subscales, which are ease of use, interface and satisfaction, and usefulness.

    OBJECTIVE: This study aimed to translate and validate the English version of MAUQ (standalone for patients) into a Malay version of MAUQ (M-MAUQ) for mHealth app research and usage in future in Malaysia.

    METHODS: Forward and backward translation and harmonization of M-MAUQ were conducted by Malay native speakers who also spoke English as their second language. The process began with a forward translation by 2 independent translators followed by harmonization to produce an initial translated version of M-MAUQ. Next, the forward translation was continued by another 2 translators who had never seen the original MAUQ. Lastly, harmonization was conducted among the committee members to resolve any ambiguity and inconsistency in the words and sentences of the items derived with the prefinal adapted questionnaire. Subsequently, content and face validations were performed with 10 experts and 10 target users, respectively. Modified kappa statistic was used to determine the interrater agreement among the raters. The reliability of the M-MAUQ was assessed by 51 healthy young adult mobile phone users. Participants needed to install the MyFitnessPal app and use it for 2 days for familiarization before completing the designated task and answer the M-MAUQ. The MyFitnessPal app was selected because it is one among the most popular installed mHealth apps globally available for iPhone and Android users and represents a standalone mHealth app.

    RESULTS: The content validity index for the relevancy and clarity of M-MAUQ were determined to be 0.983 and 0.944, respectively, which indicated good relevancy and clarity. The face validity index for understandability was 0.961, which indicated that users understood the M-MAUQ. The kappa statistic for every item in M-MAUQ indicated excellent agreement between the raters (κ ranging from 0.76 to 1.09). The Cronbach α for 18 items was .946, which also indicated good reliability in assessing the usability of the mHealth app.

    CONCLUSIONS: The M-MAUQ fulfilled the validation criteria as it revealed good reliability and validity similar to the original version. M-MAUQ can be used to assess the usability of mHealth apps in Malay in the future.

    Matched MeSH terms: Malaysia
  17. Biogas and biofertilizer production from organic fraction municipal solid waste for sustainable circular economy and environmental protection in Malaysia
    Yong ZJ, Bashir MJK, Hassan MS
    Sci Total Environ, 2021 Jul 01;776:145961.
    PMID: 33640552 DOI: 10.1016/j.scitotenv.2021.145961
    Waste management in Malaysia remains a persistent economic and environmental challenge. Up to date, more than 80% of Malaysian solid waste disposed at landfills and dumpsites. Therefore, Malaysia is facing an urgent need to move towards a sustainable solid waste management and thus resource recovery from organic solid waste. Hence, this study aims to investigate the feasibility of energy and bio fertilizer recovery from organic fraction municipal solid waste (OFMSW) via anaerobic digestion. The economic and environmental benefit analysis was investigated. Approximate and elementary analysis of OFMSW samples were carried out to estimate the potential production of biogas and bio fertilizer. It was found that organic waste contributes about 45% of the total MSW generated in Malaysia. Anaerobic digestion of 50% of organic waste is expected to produce 3941 MWh/day of electrical energy and 2500 t/day of bio fertilizer. In terms of environmental impacts, 2735 t/day of Carbon dioxide (CO2) emission, 1128 m2/day of landfilling area and 481 m3/day of leachate can be avoided. A net revenue of 3300 million RM (1 US Dollar ≈ 4.15 RM) can be generated by the sales of electricity via Feed-in-Tariff (FiT), sales of biofertilizer to local agricultural industries and inclusive of the saving generated from the reduction of OFMSW landfilling operations and leachate treatment at landfills. Economic development can go hand-in-hand with environmental sound practices in the field of waste management.
    Matched MeSH terms: Malaysia
  18. A proposal for a legally enforceable no-fault compensation framework for clinical trial-related injury in Malaysia
    Chin WK, Thuraisingam AS, Kanagasabapathy S
    Account Res, 2021 May 05.
    PMID: 33857400 DOI: 10.1080/08989621.2021.1917397
    Clinical trials play a critical role in the development of life-enhancing and life-sustaining biomedical advances. It is costly and, regardless of how well-designed and ethically conducted, there are always inherent uncertainties which subsequently expose human participants to the risk of injuries or even death. In Malaysia, compensation for clinical trial-related injury has not been incorporated into standard national regulations or policies. Therefore, when clinical trial-related injuries do occur, such participants cannot be compensated by researchers, and with the absence of specific statutory laws governing trial-related injury within the local legal framework, aggrieved parties need to seek legal redress and can only depend on the existing tort laws. To propose a viable compensation framework, the existing compensation regulations and policies implemented in India and South Africa are analyzed, and their best principles have been recommended. This study proposes the implementation of a no-fault compensation framework in Malaysia which should be disbursed efficiently at minimum administrative cost. This proposed approach should be mandated by the amendment of current laws governing biomedical research and, in the interim, should be adopted voluntarily by research sponsors, institutions and investigators conducting clinical trials in Malaysia.
    Matched MeSH terms: Malaysia
  19. Screening and genotyping of Orientia tsutsugamushi from field-collected on-host chiggers (Acari: Prostigmata) recovered from a positive scrub typhus locality in Kelantan, Malaysia
    Ernieenor FCL, NorJaiza MJ, Fadillah A, Canedy J, Mariana A
    Exp Appl Acarol, 2021 May;84(1):171-182.
    PMID: 33826009 DOI: 10.1007/s10493-021-00609-3
    Orientia tsutsugamushi is the causative agent of scrub typhus vectored by larval stages of trombiculid mites (chiggers) that occur in most tropical regions of Southeast Asia. A total of 242 chiggers extracted from eight small mammals captured from a positive scrub typhus locality in Kelantan, Malaysia, were screened for the presence of O. tsutsugamushi. The chiggers were grouped in 16 pools for extraction of DNA prior to screening of O. tsutsugamushi based on the nucleotide sequence of 56-kDa type specific antigen (TSA) gene using nested polymerase chain reaction. Two species of on-host chiggers were identified, the one, Leptotrombidium deliense, much more dominant (94.8%) than the other, Ascoshoengastia sp. (5.2%). The pathogen was detected in two pools (12.5%) of L. deliense recovered from Rattus rattus and Tupaia sp. The 56-kDa TSA gene sequence analysis revealed the O. tsutsugamushi harboured in those chiggers were Karp prototype strain with high similarity (99.3%). Findings of this study strongly supported the existence of scrub typhus infections in certain parts of Malaysia which agrees with previous local reports. Moreover, this study highlighted the pressing need of a large-scale close observation of O. tsutsugamushi DNA sequences from chiggers that can probably be collected from other positive scrub typhus localities to precisely provide the distribution and prevalence of this zoonotic pathogen.
    Matched MeSH terms: Malaysia
  20. A cross-region analysis of commercial food waste recycling behaviour
    Mak TMW, Yu IKM, Xiong X, Zaman NQ, Yaacof N, Hsu SC, et al.
    Chemosphere, 2021 Jul;274:129750.
    PMID: 33549880 DOI: 10.1016/j.chemosphere.2021.129750
    To tackle the crisis associated with the rising commercial food waste generation, it is imperative to comprehend how corporates' recycling behaviour is influenced by different industry structures and economies. This study aims to fill in the information gap that various factors might be affecting corporates' recycling behaviour in two different economies due to environmental inequality by comparing upper-middle-income region (Malaysia) and high-income region (Hong Kong), respectively. A questionnaire survey regarding food waste management according to the Theory of Planned Behaviour was conducted with representatives coming from diverse industries of the hotel, food and beverage, and property management. The questionnaire responses were evaluated based on quantitative structural equation modelling and correlation analysis. The analysis results showed that the model fit the data well, explaining 78% of the variance in recycling behaviour. The findings demonstrated that the most substantial factor on individual's recycling intention by Malaysian commercial food waste generators was perceived behavioural control, and logistics and management incentives. Subjective norms demonstrated significant and adverse effects on the behaviour of food waste recycling. The variable of administrative incentives and corporate support presented strong positive correlations with moral attitudes as well as logistics and management incentives. Hotel industries from both Hong Kong and Malaysia have a higher acceptance level on human resources regarding food waste recycling. In comparison, food and beverage industries from both regions have a lower acceptance level. These findings could enrich our knowledge of the concerns in establishing regional policy strategies to encourage economic behavioural changes for sustainable development.
    Matched MeSH terms: Malaysia
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