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Fulltext A review on illegals and the stateless in Sabah

Narinderjeet Kaur, Syed Sharizman Syed Abdul Rahim, Mohd Yusof Ibrahim, Mohammad Saffree Jeffree, Mazlinda Musa

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):13-13.
MyJurnal

Introduction: Illegal immigrants refer to the migration of people into a country in ways that violates its immigra-tion laws. A stateless person is a person who is not considered as a national by any state under the operation of its law. Interestingly, many who are stateless have never even crossed an international border. The term illegal is very loosely used in places like Sabah where it is interchanged with statelessness. As of 13 November 2018, it was estimated that there are about 12 million stateless people in the world. This review seeks to understand the current demographic situation in Sabah along with the public health repercussions of this demographic change and also to look into the success stories from around the world along with the recommendations from United Nation in solving this matter. Methods: The method used is reviewing of literature of previous studies conducted on statelessness and illegals. Local as well as international studies were reviewed. The data base used was ProQuest. Results: This review identified that one third of Sabah’s population consists of non-locals and in the past 27 years, about half a million illegal immigrants have been deported from Sabah. These numbers pose major public health repercussions from the economic, crime and health point of view. The way forward involves incorporating the United Nation Action plan with the local requirements and settings. Despite challenges, Sabah is trying its best to curb this issue and the Public health repercussions through various initiatives. We have also identified that more public health actions can be taken to reduce the negative effects. Conclusion: Dealing with the stateless and illegals is a delicate matter and there is no one way to solve it. Every country and every state are unique therefore the methods used must be tailor made. This is not something that can be solved within a short period of time and therefore persistence and perseverance is very much needed to tackle this global issue.

Matched MeSH terms: Malaysia
Fulltext Assessment of practical science communication skills as a core competency of admission to undergraduate medical programmes: nationwide outcomes and associated factors

Nicholas Pang, Jiann Lin Loo, Yusuf Ibrahim, Pasupuleti Visweswara Rao, Fairrul Kadir, Mohd Saffree Jeffree

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):14-14.
MyJurnal

Introduction: Interprofessional scientific communication skills are an essential part of the medical profession. Mul-tiple research suggests poor interprofessional communication has direct correlations with poor patient outcomes. As part of the inaugural Multiple Mini Interview (MMI) at Universiti Malaysia Sabah, a 5-minute station on science com-munication was introduced, assessed on three domains – logical thinking, communication skills, and general impres-sion. This station featured a panicky nurse calling a doctor to get them to calculate doses of a medication, using only upper primary school-level arithmetic and knowledge of ratios. Methods: 255 candidates, grouped into 3 separate geographical groups – Klang Valley, non-Klang Valley, and Borneo – participated in the MMI featuring a science communication station. Candidates were graded in the abovementioned three domains, and correlations were cal-culated between scores and various sociodemographic factors, with an objective written basic science test, and with overall scores. Also, quantitative analysis was done of the “red flag” comments for candidates deemed unsuitable for the practise of medicine. Results: The average scores for West Malaysia for logical thinking scores were higher than Borneo, with non-Klang Valley scores (4.1) significantly higher than Klang Valley (3.6). Communication scores were also significantly lower in Borneo compared to West Malaysia. General impression scores hence also showed a dis-crepancy between West Malaysian and Bornean scores. There were a total of 8 red flags, with reasons ranging from gross miscalculation with misplaced confidence, to nervous breakdowns while performing calculations. Conclusion: The present study showed that there is a distinct separation of science communication scores between geographic re-gions. Also it illustrates the yawning gap between academic knowledge and “translational” scientific knowledge. The results illustrate the need for medical curricula to boost resilience and translational computational skills in medical graduates who will be working in environments that demand usual abilities under unusual and trying circumstances.

Matched MeSH terms: Malaysia
Fulltext Evaluating clinical waste management done by the concessionaire company in accredited non-specialist government hospitals in West Coast Division and Interior Division of Sabah

Mohd Ferous Alias, Yusof Ibrahim

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):15-15.
MyJurnal

Introduction: Clinical wastes produced by health facilities were considered as scheduled waste listed in the First Scheduled of the Environmental Quality (Scheduled Waste) Regulation 1989. The management of clinical waste in all government hospitals in Sabah were outsourced to private concession company. Until now, there was no research being done in Sabah to evaluate it. Methods: This cross-sectional study was carried out on eight concessionaire com-panies located inside accredited non-specialist government hospitals in West Coast Division & Interior Division of Sabah. Data collected through Clinical Waste Management (CWM) Scores and Questionnaires. CWM scores adopt 5 elements of accreditation standard produced by Malaysian Society Quality in Health (MSQH). Questionnaires were used to collect concessionaire staff’s basic personal data, services and activities related to clinical wastes ac-cording to MSQH standard. Response from questionnaires were used to compare and support result gained from CWM scores. Descriptive analysis was used to analyze the data. Results: Two concessionaire companies got overall CWM scores ranging between 86% - 90%, while the other six companies were above 95%. It happened because both companies gained 81% and 73.3% on Policies and Procedures element. Result from questionnaires answered by 67 concessionaire staffs showed 98% of staffs had attended meeting, 97% had received an orientation, 97% had received training related to clinical wastes, 95% agreed that their work was monitored and no occupational disease and injury recorded between January to April 2019. These result correlate with CWM scores gained under Orga-nization Management element (99.6%), Human Resource Management element (90.1%), Facilities and equipment element (97%) and Safety & Quality Improvement element (100%). Conclusions: All concessionaire companies were implementing excellent clinical waste management in hospitals. CWM scores can be used to rank individual conces-sionaire company and provide pattern of uniformity or non-uniformity of the clinical waste management in Sabah.

Matched MeSH terms: Malaysia
Fulltext Vaccine knowledge, awareness, and hesitancy among Malaysian parents attending health clinics in Sandakan, Sabah

James Yau Hon Voo, Baharudin Ibrahim, Mohamed Azmi Hassali, Foong Ming Moy

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):21-21.
MyJurnal

Introduction: There has been a resurgence of vaccine-preventable diseases in Malaysia over the recent years. In overcoming this issue, parents as the main caregiver of their children play a major role, which is to protect their children against diseases via vaccinations. This study aimed to examine the parents’ vaccine knowledge, aware-ness, and hesitancy in relation to their children’s immunisation status and to determine the association between the parents’ vaccine knowledge, awareness, and hesitancy. Methods: A cross-sectional study with a sample size of 405 parents was conducted in the Sandakan health clinics from February 2018 to April 2018 by employing validated questionnaires adapted from two studies. Results: The median ± IQR of the total vaccine knowledge and awareness scores (ranging from 0-10) were 7.00±3.00 and 8.00±4.00, respectively. Meanwhile, the median ± IQR of the total vaccine hesitancy scores (ranging from 0-100) was 16.67±20.00, with only 27 (6.8%) parents being vaccine-hesitant (scores >50). Most of the children (n=376, 92.8%) were immunised in the study. It observed a significant association between the children’s immunisation status and the parents’ vaccine knowledge scores (p = 0.005). Nevertheless, the children’s immunisation status was not significantly associated with the parents’ vaccine awareness and hesitancy scores. The positive Spearman correlation value (r = 0.551) signified that the parents’ vaccine knowledge was posi-tively associated with their vaccine awareness. On the other hand, both the vaccine knowledge and awareness were negatively correlated to the vaccine hesitancy as indicated by the negative Spearman correlation value (r = -0.397 and r = -0.351 respectively). Conclusion: The study established that the parents with a better understanding about vaccinations were more likely to keep their children’s immunisation up-to-date. It was also revealed that improving the parents’ knowledge and raising their awareness about the importance of vaccination are vital in reducing their vaccine hesitancy.

Matched MeSH terms: Malaysia
Fulltext Situation of Melioidosis in Tuaran (2017)

Marilyn Maluda, Noraziah B. Bakri

Borneo Journal of Medical Sciences, 2018;12(101):13-0.
MyJurnal

Melioidosis an infectious disease caused by gram-negative bacteria, Burkholderia pseudomallei is highly endemic in Malaysia, Thailand, Singapore and parts of northern Australia. The district of Tuaran which is located on the west coast of Sabah had reported an increasing trend of Melioidosis cases where in 2017, a total of 19 cases were reported, more than doubling the number of cases reported the prior year (7 cases).

Matched MeSH terms: Malaysia
Fulltext The Comparison of Effectiveness between Static Clinic and Mobile Health Clinic in Remote Areas in Sabah

Ian Bede M. Tinun, Abdul Hamid Jaafar

Borneo Journal of Medical Sciences, 2018;12(101):15-16.
MyJurnal

The population of Malaysia is estimated in 2018 to be around 32.04 million and 23.5% of the population resides in rural areas. The Ministry of Health has provided healthcare services to the rural areas with the access of modern healthcare facilities based on the two-tier healthcare system. In remote areas, mobile health clinic is the extension of healthcare service by the nearest static health clinic. However, most of the remote areas only covered by a community clinic or Klinik Desa which is limited for mother and child healthcare. There is demand from the people in remote areas for static health clinic or Klinik Kesihatan. Objectives: This study is to evaluate and compare the effectiveness between two health services in remote areas applied in Sabah. This study also determines which type of health services that able to worth the service to people in remote areas. Methods: This is a descriptive study. Data was taken from HMIS report (Per PL 206) under Sabah State Health Department. The data analysed by using Microsoft Excel. Results: This study was conducted based from the data obtained in 2015 till 2017 for the number of patients attended to static health clinics and mobile health clinics on selected remote areas. For example, Jambongan Health Clinic only have an average of 10 â€“ 15 patients per day while the Mobile Health Clinic team under Beluran Health District which covers the adjacent remote areas of Jambongan Island have more than 20 patients per day on a single visit. Another example is from Terian Health Clinic in Penampang, which only have an average of 5 â€“ 10 patients per day. However, on the mobile health team on a single visit to the village next to Terian which is Kg. Buayan, the average patients attended for the service is mo re than 20 patients. Conclusion: From the study, it was noted that people in remote areas prefer the mobile health service to visit their villages. This can be due to financial issue and limitation of transportation service to the nearest static clinic. The density of population and the development of the rural areas play important roles for the healthcare service to be effective in remote areas.

Matched MeSH terms: Malaysia
Fulltext General Practitioners Involvement in Public Health Infectious Disease Surveillance, District of Kota Kinabalu: A Brief Descriptive Study

Musiun, Aldrin Alexander

Borneo Journal of Medical Sciences, 2018;12(101):25-0.
MyJurnal

Infectious disease remains a public health concern in Malaysia. Efficient public health infectious disease surveillance is needed in order to address the issues posed by infectious disease. The main goal of public health infectious disease surveillance is to facilitate the control and prevention of the infectious diseases. For that, infectious disease surveillance needs involvement of multidiscipline either in government or non-government/private to ensure its success. General practitioners (GPs) have an important role in public health infectious disease surveillance considering their role and position as one of the main front liner medical personnel.

Matched MeSH terms: Malaysia
Fulltext Fasciolasis in Tuaran, Sabah: A Case Report

Bizini, Fionna Vincent

Borneo Journal of Medical Sciences, 2018;12(101):35-36.
MyJurnal

Fascioliasis is a major parasitic disease caused by the liver flukes, Fasciola hepatica and Fasciola gigantica in Malaysia. On 31st May 2016, three cases of fasciolasis among humans were notified in Tuaran involving two localities.

Matched MeSH terms: Malaysia
Significance of Nasal Septum Angulation and Its Association with Rhinosinusitis Symptom Scores

Lazim NM, Abdullah AM, Abdullah B, Ismail ZIM

Medeni Med J, 2019;34(4):333-339.
PMID: 32821458 DOI: 10.5222/MMJ.2019.25986

Objective: The aim of the study was to determine the association of angulation of nasal septum with the severity of rhinosinusitis as measured by symptom score and Visual Analog Score (VAS).
Method: The study was performed as a cross sectional study conducted at two different centres in Malaysia. Ninety-eight patients who were diagnosed with rhinosinusitis and fulfilled the selection criteria were assessed as for the symptom score and VAS and the measurement of angulation of nasal septum was performed through a coronal view of CT paranasal sinuses in bone window setting at osteomeatal complex level.
Results: The result obtained from one-way ANOVA test revealed a significant association between category of severity of septal angulation and the symptom score of rhinosinusitis (p=0.025). In addition, the result obtained from one-way ANOVA test also revealed a significant association between category of severity of septal angulation and the VAS of rhinosinusitis (p<0.05).
Conclusion: Severity of nasal septum angulation may be significantly associated with severity of rhinosinusitis based on symptom score and VAS. These findings could be used in tailored management of patient with rhinosinusitis especially during functional endoscopic sinus surgery.

Matched MeSH terms: Malaysia
Fulltext Landslide Susceptibility Mapping Using Machine Learning Algorithms and Remote Sensing Data in a Tropical Environment

Nhu VH, Mohammadi A, Shahabi H, Ahmad BB, Al-Ansari N, Shirzadi A, et al.

Int J Environ Res Public Health, 2020 07 08;17(14).
PMID: 32650595 DOI: 10.3390/ijerph17144933

We used AdaBoost (AB), alternating decision tree (ADTree), and their combination as an ensemble model (AB-ADTree) to spatially predict landslides in the Cameron Highlands, Malaysia. The models were trained with a database of 152 landslides compiled using Synthetic Aperture Radar Interferometry, Google Earth images, and field surveys, and 17 conditioning factors (slope, aspect, elevation, distance to road, distance to river, proximity to fault, road density, river density, normalized difference vegetation index, rainfall, land cover, lithology, soil types, curvature, profile curvature, stream power index, and topographic wetness index). We carried out the validation process using the area under the receiver operating characteristic curve (AUC) and several parametric and non-parametric performance metrics, including positive predictive value, negative predictive value, sensitivity, specificity, accuracy, root mean square error, and the Friedman and Wilcoxon sign rank tests. The AB model (AUC = 0.96) performed better than the ensemble AB-ADTree model (AUC = 0.94) and successfully outperformed the ADTree model (AUC = 0.59) in predicting landslide susceptibility. Our findings provide insights into the development of more efficient and accurate landslide predictive models that can be used by decision makers and land-use managers to mitigate landslide hazards.

Matched MeSH terms: Malaysia
Fulltext Systematic Screening of Tuberculosis Using Mobile Digital Chest Radiography in Sabah

Goroh, Michelle, Avoi, Richard, Deena Baharuddin

Borneo Journal of Medical Sciences, 2018;12(101):49-0.
MyJurnal

Chest radiography, or chest X-ray (CXR), is not only an important tool for triaging and screening for pulmonary tuberculosis (TB) but is also useful in aiding diagnosis when pulmonary TB cannot be confirmed bacteriologically. Sabah is a state with high TB burden with the incidence rate of 124/100,000 population in 2015. Access to chest radiography is limited in many settings in Sabah. In 2016, the TB and Leprosy Control Unit of Sabah State Health Department started systematic screening for TB with the help of a mobile digital X-ray unit.

Matched MeSH terms: Malaysia
Fulltext Willingness and Perceived Barriers towards Organ Donation among Student Nurses in Universiti Malaysia Sabah

R. Segaran, Mohd Amsyar Bacho, Asrani Yaco

Borneo Journal of Medical Sciences, 2018;12(101):67-68.
MyJurnal

Organ transplant has become a main stream important medical procedure commonly used in hospitals. However, for organ transplant programme to be successful, it heavily relies on the public to voluntarily register for organ procurement. Effort to promote awareness and register public as organ donors has been ongoing, but public response to commit and register as donors has been lukewarm. Arguably, healthcare personnel and nurses are in a key position to educate and advocate for organ donation but often, ironically healthcare personal themselves are reluctant or unwilling to commit as organ donors. Thus, in the context of student nurses in Universiti Malaysia Sabah (UMS), the question arises, what is their stance and views regarding organ donation.

Matched MeSH terms: Malaysia
Fulltext What are the barriers and solutions to renal transplantation in Malaysia? a qualitative key-informant study

Peter Gan Kim Soon, Sanjay Rampal, Lim Soo Kun, Tin Tin Su

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):8-8.
MyJurnal

Introduction: Kidney transplantation (KT) is the preferred end-stage renal disease (ESRD) treatment because it pro-vides a better survival rate, quality of life as well as a cheaper alternative. However, Malaysia’s KT rates is consis-tently low considering that ESRD rates have been increasing exponentially. With only four hospitals performing KT, there’s a gap to indicate a lack of evaluation in KT system of Malaysia. Qualitative study was undertaken to explore and describe the barriers and solutions improve the rates and service of KT in Malaysia. Methods: Semi-structured interviews adopted as qualitative methodological approach to explore current KT policy and service in Malaysia be-tween March – May 2018 in Kuala Lumpur. Eight key-informants selected using stakeholder analysis and informed consent were obtained. Interviews were digitally audio-recorded, transcribed verbatim and analysed using thematic analysis. Results: Barriers and solutions of Malaysia’s KT are the results of complex interplay of personal, cultural, and environmental factors that can be categorized and described using the five levels of influence conceptualized by the socio-ecological model (SEM). Guidance for developing culturally appropriate and sensitive interventional strategies was elicited from the key informants’ experiences to improve KT rate and services in Malaysia. Conclusion:Malaysia is experiencing very low rate of KT compared to other countries. The use of SEM provided a framework to foster a better understanding of current practice, barriers and solutions to KT in Malaysia. Implications of these find-ings could prompt policy change for better KT service delivery model. Further stakeholder engagement and evalua-tion is required to align best practices to improve KT rates and service in Malaysia that is comparable to high-income countries.

Matched MeSH terms: Malaysia
Fulltext Choral speaking: perceptions and challenges in an ESL context

Vasuthavan, Evelyn Sharminnie, Vijayarajoo, Angeline Ranjethamoney, Kumaran, Arutchelvi, Nur Hidayah Mohd Razali

Journal of Academia Universiti Teknologi MARA Negeri Sembilan, 2019;7(101):18-24.
MyJurnal

Choral Speaking is known for its’ numerous benefits in the enhancement of the English Language in the ESL context. However, it has been found that both – learners and teachers alike, perceive Choral Speaking to be arduous. Hence, when performances and competitions are organised, there is a dual resistance and anxiety from the learners and teachers. This study looked at perceptions and challenges on Choral Speaking, of learners from a public university, and that of teachers from secondary schools in Malaysia. Methodology comprised qualitative and quantitative methods, where questionnaires and interviews were administered to the participants. Hence, data comprised responses from these two instruments. The findings showed that though the majority of the learners and teachers perceive Choral Speaking as beneficial, the challenges identified, caused reluctance in participation. This paper provides recommendations to address these issues.

Matched MeSH terms: Malaysia
Fulltext Focus in your study and don't worry": exploring the roles of student mother in higher education institution in Malaysia

Siti Norzaimalina Abd Majid

Malaysian Journal of Social Sciences and Humanities, 2019;4(8):20-28.
MyJurnal

The role of a mother alone is very challenging. With an additional role as a student or a worker add more burden to them. It is undeniable that Malaysian women in the 21st century has more roles than women in the pre-independent era. Nowadays, women have equal opportunities to work and pursue higher education like men. The need to provide quality life to the children has also encouraged women to contribute more in the family income. Despite the multiple roles play by women, the household tasks are still managed by them. For this phenomenological research, in-depth interviews were conducted with two participants who studied in public university in Malaysia. By using thematic analysis, four themes were emerged from this study. The themes were challenges, role management, assistance/support and coping strategies. In this study, the major challenge was to balance the role of mother and student. But whatever challenges they faced; family was their priority. Furthermore, spousal support also helped the mothers in managing their multiple roles. From the findings, it is hoped that it gives some insights on the type of support that student mother needs and ways of coping in challenging situation.

Matched MeSH terms: Malaysia
Fulltext A pilot study of the relationship between parenting style and academic procrastination among final year students of faculty of human ecology, Universiti Putra Malaysia (UPM)

Fasya Sulaiman, Mohammad Mujaheed Hassan

Malaysian Journal of Social Sciences and Humanities, 2019;4(7):152-167.
MyJurnal

Academic procrastination is a behaviour which can be defined as putting off, delay, prolong, defer, stall, or postpone in performing tasks related to the academic. Academic procrastination is not a new phenomenon but it is a common behaviour especially among students as previous research has found that approximately 75% of students consider themselves as procrastinators. This issue is very much related to the “Student Syndrome” where student only starts to make themselves work in completing the task instantly right before the due date and leaving them with a very short period of time to complete it. There were many previous researchers that had investigated the factors that causing academic procrastination and one of the most common factors are parenting style. However, the pattern of the previous results was inconsistent. Therefore, the purpose of this study is to investigate in deep on the relationship between the motivational aspects of parenting style to academic procrastination with focusing among the undergraduate students who are in their final year from Faculty of Human Ecology, Universiti Putra Malaysia. The research design of this study is a quantitative research and for that reason, a set of questionnaire was distributed to 148 respondents. Result shows that 52.7% of the final year students perceived at high level of academic procrastination. Apart from that, the result also shows that there is no significant relationship between gender and parenting styles to academic procrastination. As a conclusion, academic procrastination is a common behaviour among final year students. However, parenting styles does not affecting academic procrastination due to the students’ age which can be categorised as early adulthood which at this age, parenting style factors does not give an impact on academic procrastination.

Matched MeSH terms: Malaysia
Fulltext Pre-tertiary education, ethnicity, and attitudes of Asian medical undergraduates towards communication skills

Foong AL, Sow CF, Ramasamy S, Yap PS

Int J Med Educ, 2019 Jan 25;10:1-8.
PMID: 30685752 DOI: 10.5116/ijme.5c30.988d

Objectives: This study was aimed at determining whether the pre-tertiary education system and ethnicity have any association with the attitudes of medical undergraduates towards communication skills. It also sought to determine if attitudes should have any relationship with communication skills assessment outcomes.
Methods: A cross-section survey design was performed with 323 participants from two cohorts of medical undergraduates, i.e., first-year (n = 153) and second-year students (n = 170) who completed the Communication Skills Attitude Scale. Participants comprised of the main ethnic groups in Malaysia, i.e., Malays, Chinese and Indians, from different language medium pre-tertiary education backgrounds. Attitude measurements were compared with OSCE outcomes.
Results: There was a significant difference in Negative Attitude Scale between pre-tertiary education system with attitudes towards communication skills (F (3, 319) = 7.79, p = .001), but no significant difference with Positive Attitude Scale (F (3, 319) = 0.43, p = .649). There was no significant difference between ethnicity and attitudes towards communication skills with PAS (F (2, 320) = 0.66, p = .519) and NAS (F (2, 320) = 1.24, p = .291). Students from Chinese medium education system had stronger negative attitudes with a mean score of 14.7 (n = 56, SD = 3.6) for primary school levels and 15.9 (n = 17, SD = 3.0) for secondary school levels, compared with others. There was no significant prediction of student's attitudes towards assessments outcomes.
Conclusions: Preliminary findings from the small data pool suggest indicative relationships requiring further studies with more participants and proportionate pre-tertiary education system backgrounds.

Matched MeSH terms: Malaysia
Overview of the distribution of Burkholderia pseudomallei Sequence Types and the Emergence of Sequence Type 1342 in Malaysia

Teh CSJ, Yap PSX, Zulkefli NJ, Subramaniam P, Sit PS, Kong ZX, et al.

Transbound Emerg Dis, 2021 Jan 27.
PMID: 33506647 DOI: 10.1111/tbed.14005

Burkholderia pseudomallei, a Gram-negative bacterial pathogen that causes melioidosis, is of public health importance in endemic areas including Malaysia. An investigation of the molecular epidemiology links of B. pseudomallei would contribute to better understanding of the clonal relationships, transmission dynamics and evolutionary change. Multi-locus sequence typing (MLST) of 45 clinical B. pseudomallei isolates collected from sporadic meliodosis cases in Malaysia was performed. In addition, a total of 449 B. pseudomallei Malaysian strains submitted to the MLST database from 1964 until 2019 were included in the temporal analysis to determine the endemic sequence types (STs), emergence and re-emergence of ST(s). In addition, strain-specific distribution was evaluated using BURST tool. Genotyping of 45 clinical strains were resolved into 12 STs and the majority were affiliated with ST46 (n=11) and ST1342 (n=7). Concomitantly, ST46 was the most prevalent ST in Malaysia which first reported in 1964. All the Malaysian B. pseudomallei strains were resolved into 76 different STs with 36 of them uniquely present only in Malaysia. ST1342 was most closely related to ST1034, in which both STs were unique to Malaysia and first isolated from soil samples in Pahang, a state in Malaysia. The present study revealed a high diversity of B. pseudomallei in Malaysia. Localised evolution giving rise to the emergence of new STs was observed, suggesting that host and environmental factors play a crucial role in the evolutionary changes of B. pseudomallei.

Matched MeSH terms: Malaysia
Fulltext Relationship between ISO 9001:2015 and operational and business performance of manufacturing industries in a developing country (Indonesia)

Nurcahyo R, Zulfadlillah, Habiburrahman M

Heliyon, 2021 Jan;7(1):e05537.
PMID: 33506119 DOI: 10.1016/j.heliyon.2020.e05537

Previous research has emphasized the need to further investigate the impact of ISO 9001 on company performance in the manufacturing sector of developing countries. Indonesia is one of those developing countries where the implementation of ISO 9001 is yet to be adequately researched. The Indonesian automotive manufacturing industry is still unable to compete with Malaysia and Thailand even though many companies have implemented ISO 9001. This study aimed to examine the relationship between ISO 9001 and operational (productivity, customer satisfaction, and product quality) and business (sales growth, profit rate, and market share) performance of Indonesian automotive component manufacturing industries. It also aimed to identify major obstacles in the effective implementation of ISO 9001. Multiple linear regression analyses about operational and business performance were employed for this purpose. The sample size comprised 50 automotive component manufacturing industries located in the Jakarta, Bogor, Tangerang, and Bekasi region of Indonesia. The study demonstrates that the implementation of the ISO 9001:2015 quality management system has a significant positive impact on the operational performance as well as the business performance. Additionally, the operational performance has a significant positive impact on the business performance. This study also reveals the major obstacles in the effective implementation of ISO 9001 in the manufacturing industry, which include a lack of qualified personnel, inadequate training, employee resistance, and lack of commitment among top-level management executives. It offers clear implications for managers who focus on elements that will enhance the effectiveness of ISO 9001 implementation by choosing the correct strategies, allocating sufficient resources, and improving their firm's performance. The novelty of this study lies in filling the existing research gap, which involves a detailed examination of the relationship between the implementation of ISO 9001 and the company's performance, particularly in manufacturing industries of developing countries.

Matched MeSH terms: Malaysia
Phytochemical survey of Malaysian plants preliminary chemical and pharmacological screening

Nakanishi K, Sasaki S, Kiang AK, Goh J, Kakisawa H, Ohashi M, et al.

Chem Pharm Bull (Tokyo), 1965 Jul;13(7):882-90.
PMID: 5867816
Matched MeSH terms: Malaysia

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