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  1. Fulltext Anti-High Mobility Group Box-1 Monoclonal Antibody Attenuates Seizure-Induced Cognitive Decline by Suppressing Neuroinflammation in an Adult Zebrafish Model
    Paudel YN, Othman I, Shaikh MF
    Front Pharmacol, 2020;11:613009.
    PMID: 33732146 DOI: 10.3389/fphar.2020.613009
    Epilepsy is a chronic brain disease afflicting around 70 million global population and is characterized by persisting predisposition to generate epileptic seizures. The precise understanding of the etiopathology of seizure generation is still elusive, however, brain inflammation is considered as a major contributor to epileptogenesis. HMGB1 protein being an initiator and crucial contributor of inflammation is known to contribute significantly to seizure generation via activating its principal receptors namely RAGE and TLR4 reflecting a potential therapeutic target. Herein, we evaluated an anti-seizure and memory ameliorating potential of an anti-HMGB1 monoclonal antibody (mAb) (1, 2.5 and 5 mg/kg, I.P.) in a second hit Pentylenetetrazol (PTZ) (80 mg/kg, I.P.) induced seizure model earlier stimulated with Pilocarpine (400 mg/kg, I.P.) in adult zebrafish. Pre-treatment with anti-HMGB1 mAb dose-dependently lowered the second hit PTZ-induced seizure but does not alter the disease progression. Moreover, anti-HMGB1 mAb also attenuated the second hit Pentylenetetrazol induced memory impairment in adult zebrafish as evidenced by an increased inflection ration at 3 and 24 h trail in T-maze test. Besides, decreased level of GABA and an upregulated Glutamate level was observed in the second hit PTZ induced group, which was modulated by pre-treatment with anti-HMGB1 mAb. Inflammatory responses occurred during the progression of seizures as evidenced by upregulated mRNA expression of HMGB1, TLR4, NF-κB, and TNF-α, in a second hit PTZ group, which was in-turn downregulated upon pre-treatment with anti-HMGB1 mAb reflecting its anti-inflammatory potential. Anti-HMGB1 mAb modulates second hit PTZ induced changes in mRNA expression of CREB-1 and NPY. Our findings indicates anti-HMGB1 mAb attenuates second hit PTZ-induced seizures, ameliorates related memory impairment, and downregulates the seizure induced upregulation of inflammatory markers to possibly protect the zebrafish from the incidence of further seizures through via modulation of neuroinflammatory pathway.
    Matched MeSH terms: Family Characteristics
  2. Fulltext Improvement of Blue Ribbon certification by including humanistic value (TFI Buddies)
    Siti Munira Yasin, Harizah Mad Hisma, Mazlifah Omar, Nurhuda Ismail, Zahir Izuan Azhar, Zalina Omar, et al.
    Jurnal Inovasi Malaysia, 2020;4(1):61-78.
    MyJurnal
    Cigarette smoke produces more than 4,000 toxic chemicals and 53 of these chemicals can cause cancer. Smoking increases your health risks such as lung cancer, heart attack and stroke. In Malaysia, between 10% and 12% of causes of death are caused by smoking and this results in over 10,000 deaths a year. According to the National Health Morbidity Survey (NHMS) in 2015, the number of smokers aged 15 and above in Malaysia is estimated to be more than 5 million (22.8%). This alarming amount will lead to increased health costs. Smoking can also lead to a reduction in worker productivity and air pollution and the pollution due to cigarette smoke. Therefore, smokers need to be aware of the effects of smoking habits and the importance of maintaining a tobacco-free environment for the health and well-being of their families, friends and the community around them. To address this, Smoke Busters have created an innovation called Blue Ribbon Star Certification with an additional component of humanization into the TFI Buddies existing Blue Ribbon Certification. The main goal of this innovation is to make University of Technology MARA (UiTM) campuses 100% tobacco free. The first project at the Sungai Buloh Campus resulted in a decrease in the percentage of ‘hotspots’, whereby the number of cigarette butts was found to be greatly reduced. In addition, the percentage of staff with good knowledge and attitude on the effects of cigarettes increased. Feedback from users comprising staff and students also showed a very positive response. The direct impact on faculty and campuses include cost savings in terms of medical expenses and increase in staff productivity. The long-term effects include enhancing UiTM’s image nationally and internationally. From a social point of view, this in addition creates a more caring and responsible generation of colleagues and the environment.
    Matched MeSH terms: Family Characteristics
  3. Fulltext Abattoirs – a hidden centre for livestock genetic resources loss in Nigeria
    Khaleel, Aliyu Garba, Nasir, Mudassir, Salisu, Nasiru, Abdullahi, Auwalu Yusuf, Saidu, Sulaiman Shehu, Saleh, Ahmadu, et al.
    Malaysian Journal of Applied Sciences, 2020;5(2):1-16.
    MyJurnal
    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.
    Matched MeSH terms: Family Characteristics
  4. Fulltext Paradigm shift: a need of the hour in the techno era
    Krishna Dilip Murthy
    Borneo Journal of Medical Sciences, 2020;14(1):1-2.
    MyJurnal
    It is time to cogitate as to “how and what ”we teach in the medical faculties/schools. We are aware that the generation of students is different; called the “Z”-generation. So, in keeping with the trends in the field of globalization, IR 4.0, artificial intelligence and the techno era, there is a need to change and become flexible to meet the demands of the artificial intelligence and the era. The future generations will be the Centennials who will adapt heutagogy (pronounced as: hyoo-tuh-goh-jee) principles to learn what they are passionate about. Heutagogy was first defined by Hase and Kenyon (2000) as a form of “self-determined learning”. So, in other words, pedagogy (the art and science of teaching children) and andragogy (the art and science of teaching adults) periods are almost over or take a back seat. In simpler terms, pedagogy is faculty-centred education; andragogy is student-centred education is not enough1. Heutagogy is self-directed, transformative and the present thing2. We need to be aware and cognizant of this fact in order to cater to our clients of the next generation.
    Matched MeSH terms: Family Characteristics
  5. Sizing Optimization of Hybrid Photovoltaic-Wind-Battery System towards Zero Energy Building using Genetic Algorithm
    Farhana Johar, Julies Bong Shu Ai, Fuaada Mohd Siam
    MATEMATIKA, 2020;36(3):235-250.
    MyJurnal
    A new topic of Zero Energy Building (ZEB) is getting famous in research area
    because of its goal of reaching zero carbon emission and low building cost. Renewable
    energy system is one of the ideas to achieve the objective of ZEB. Genetic Algorithm (GA)
    is widely used in many research areas due to its capability to escape from a local minimal
    to obtain a better solution. In our study, GA is chosen in sizing optimization of the
    number of photovoltaic, wind turbine and battery of a hybrid photovoltaic-wind-battery
    system. The aim is to minimize the total annual cost (TAC) of the hybrid energy system
    towards the low cost concept of ZEB. Two GA parameters, which are generation number
    and population size, have been analysed and optimized in order to meet the minimum
    TAC. The results show that the GA is efficient in minimizing cost function of a hybrid
    photovoltaic-wind-battery system with its robustness property.
    Matched MeSH terms: Family Characteristics
  6. Fulltext System identification of helical strakes suppressed vortexinduced vibration for flexible pipes
    Ooi, Ching Sheng, Lim, Meng Hee, Lee, Kee Quen, Kang, Hooi Siang, Mohd Salman Leong
    Pertanika Journal of Science & Technology, 2020;28(2):493-508.
    MyJurnal
    Previous studies have indicated that the pipe-surface-mounted helical strakes effectively reduce vortex-induced vibration (VIV) under a uniform flow application, particularly during the lock-in region. Since VIV experiments are time-consuming, observation is generated with an interval helical strakes parameter in pitch and height to lessen tedious procedures and repetitive post-processing analyses. The aforementioned result subset is insufficient for helical strakes design optimisation because the trade-off between the helical strakes dimension, lock-in region and flow velocity are non-trivial. Thus, a parametric model based on an improved recursive least squares (RLS) parameter estimation technique is proposed to define the statistical relationship between input, or strakes and pipe dimension, and output, or VIV amplitude ratio. As results suggested, revised RLS estimated VIV model demonstrated an optimal prediction with the highest coefficient of determination and lowest Integral Absolute Error. The feasibility of VIV parametric model was validated by embed into Genetic Algorithm (GA) as the fitness function to acquire a desirable helical strakes dimension with minimum VIV amplitude. The rapid generation of optimal helical strakes dimension which returned the highest VIV suppression implied a superior simulation method compared to the experimental outcome.
    Matched MeSH terms: Family Characteristics
  7. Fulltext Effectiveness of flaxseed oil on peripheral nerve regeneration following crush injury of sciatic nerve in rat: behavioural analysis and an electron microscopic study
    Muhammad Danial Che Ramli, Nur Amira Sumari, Neni Widiasmoro Selamat, Hussin Muhammad, Junedah Sanusi
    Malaysian Journal of Medicine and Health Sciences, 2020;16(101):106-111.
    MyJurnal
    Introduction: Peripheral nerve injuries (PNI) are a disabling injury as it often results in motor and sensory deficit with cognitive impairment. Flaxseed oil provides a good source of omega-3 fatty acid and it is believed to be able to protect the damaged nerve cell for successful nerve recovery. This study aimed to investigate a potential neuro-re- generation properties of flaxseed oil in treating the PNI. Methods: A total of 65 rats were separated into 4 groups: Group 1: Normal group (n=5), Group 2: Negative group (n=20), Group 3: Experimental group (n=20) and Group 4: Positive control (n=20), all the group were further divided into 4 groups (post-operative 7, 14, 21, 28 days, n=5 for each days). The functional restoration was assessed by walking track analysis (Sciatic Functional Index analysis-SFI) and toe spreading reflex (grading score). Electron microscope studies were performed on sciatic nerve to evaluate the regenerative process through morphologic and morphometric changes. Results: Oral administration of flaxseed oil (experimental group) at 1000 mg/kg body weight/day showed better recovery compared to negative control value. However, there was no significant difference in SFI and toe spreading reflex between positive (mecobalamin) and experimental group (flaxseed oil). Morphological and morphometrical findings indicated increases in the myelin thickness and myelin sheath layer after administration of flaxseed oil. Conclusion: The flaxseed oil supplementation could enhance the neurorestorative capacities of injured sciatic nerve.
    Matched MeSH terms: Family Characteristics
  8. Fulltext New protocols for the synthesis of 5-amino-7-(4-phenyl)-4,7-dihydro-[1,2,4]triazolo[1,5-a]pyrimidine-6-carboxylate esters using an efficient additive
    Ghaffari Khaligh N, Mihankhah T, Titinchi S, Shahnavaz Z, Rafie Johan M
    Turk J Chem, 2020;44(4):1100-1109.
    PMID: 33488215 DOI: 10.3906/kim-2005-6
    This work introduces a new additive named 4,4'-trimethylenedipiperidine for the practical and ecofriendly preparation of ethyl 5-amino-7-(4-phenyl)-4,7-dihydro-[1,2,4]triazolo[1,5-a]pyrimidine-6-carboxylate derivatives. This chemical is commercially available and easy to handle. It also possesses a low melting point and a broad liquid range temperature, high thermal stability, and good solubility in water. Based on green chemistry principles, the reaction was performed in a) a mixture of green solvents i.e. water and ethanol (1:1 v/v) at reflux temperature, and b) the additive was liquefied at 65 °C and the reaction was conducted in the liquid state of the additive. High yields of the desired triazolo-pyrimidines were obtained under both aforementioned conditions. Our results demonstrated that this additive, containing 2 Lewis base sites and able to act as an acceptor-donor hydrogen bonding group, is a novel and efficient alternative to piperidine, owing to its unique properties such as its reduced toxicity, nonflammable nature, nonvolatile state, broad liquid range temperature, high thermal stability, and ability to be safely handled. Furthermore, this additive could be completely recovered and exhibited high recyclability without any change in its chemical structure and no significant reduction in its activity. The current methodology has several advantages: (a) it avoids the use of hazardous materials, as well as toxic, volatile, and flammable solvents, (b) it does not entail tedious processes, harsh conditions, and the multistep preparation of catalysts, (c) it uses a metal-free and noncorrosive catalyst, and (d) reduces the generation of hazardous waste and simple work-up processes. The most important result of this study is that 4,4'-trimethylenedipiperidine can be a promising alternative for toxic, volatile, and flammable base reagents in organic synthesis owing to its unique properties.
    Matched MeSH terms: Family Characteristics
  9. Fulltext Arene diazonium saccharin intermediates: a greener and cost-effective alternative method for the preparation of aryl iodide
    Zaharani L, Ghaffari Khaligh N, Shahnavaz Z, Rafie Johan M
    Turk J Chem, 2020;44(3):535-542.
    PMID: 33488175 DOI: 10.3906/kim-2002-26
    In the current protocol, the arene diazonium saccharin derivatives were initially produced from various substituted aromatic amines; subsequently, these intermediates were treated with a greener organic iodide for the preparation of the aryl iodide. We tried to choose low-cost, commercially available, biodegradable, recoverable, ecofriendly, and safe reagents and solvents. The arene diazonium saccharin intermediates could be stored in the liquid phase into a refrigerator for a long time with no significant loss activity. The outstanding merits of the current protocol (a) included the partial recovering of saccharin and tetraethylammonium salt, (b) reduce the use of solvents and the reaction steps due to eliminating separation and purification of intermediates, (c) good yield of the sterically hindered substrates, and (d) avoid the generation of heavy metal or corrosive waste.
    Matched MeSH terms: Family Characteristics
  10. Fulltext The association between sleep quality and quality of life among undergraduate student in private university
    Len Xen Mei, ThavamalarParamasivam, Ng Siow Fam, Lim Pek Hong, Fong Ka Ling, Mohammed Abdul Razzaq Jabbar, et al.
    Malaysian Journal of Medicine and Health Sciences, 2020;16(105):16-0.
    MyJurnal
    Introduction: Studies found that low sleep quality (SQ) is associated with many factors such as health, quality of life (QOL), work or academic performance and co-curriculum activities. Hence, improvement to maintain SQ to en- hance students’ QOL is important. Approximately 43% of Malaysian were unaware of their sleep problem and how it affects their physical and mental health, especially among the younger generation. The study aims to investigate the association between SQ and QOL among undergraduate students in UTAR Sungai Long Campus. Method: A cross-sectional study among 256 undergraduate students recruited by purposive sampling was conducted. The Pitts- burgh Sleep Quality Index (PSQI) and the World Health Organization Quality of Life Instruments (WHOQOL-BREF) were administered to evaluate SQ and QOL, respectively. Self-reported demographic data were collected with a structured sociodemographic profile. Associations were evaluated using Spearman’s correlation coefficient, Chi- square test and independence t-test. The level of significance was p< 0.05. Result: Results showed more than one half of students had poor SQ (F=137, 53.5%) and poor QOL (F= 159, 62.1%). All seven PSQI components were significantly associated with at least one QOL domain. Sleep disturbances, sleep latency and daytime dysfunction were correlated with all four QOL domains which are physical health, psychological, social relationships, and envi- ronment. Among the sociodemographic variables, only time travelled from place of stay to campus was associated to SQ (p = 0.04). However, there was no significant association between SQ and the selected sociodemographic vari- ables such as gender, working part-time job, and travel distance from place of stay to campus. Conclusion: Overall, the results from this study showed one half of students suffered from poor SQ and QOL. SQ among undergraduate students is vital in developing good QOL.
    Matched MeSH terms: Family Characteristics
  11. Fulltext Path finding of static indoor mobile robot via AOR iterative method using harmonic potentials
    A'qilah Ahmad Dahalan, Azali Saudi, Jumat Sulaiman
    ZULFAQAR International Journal of Defence Science, Engineering & Technology, 2020;3(2):18-24.
    MyJurnal
    Mobile robots often have to discover a path of collision-free towards a specific goal point in their environment. We are trying to resolve the mobile robot problem iteratively by means of numerical technique. It is built on a method of potential field that count on the use of Laplace’s equation in the mobile robot’s configuration space to constrain/which reduces the generation of a potential function over regions. This paper proposed an iterative approach in solving robot path finding problem known as Accelerated Over-Relaxation (AOR). The experiment shows that these suggested approach can establish a smooth path between the starting and goal points by engaging with a finite-difference technique. The simulation results also show that a more rapidly solution with smoother path than the previous work is achieved via this numerical approach.
    Matched MeSH terms: Family Characteristics
  12. Fulltext Refining the terminology of pre-higher education students: a quantitative study of entry qualifications, academic performance and family background
    Anealka Aziz, Imelia Laura Daneil, Tang Howe Eng
    Borneo Akademika, 2020;4(1):25-37.
    MyJurnal
    It is vital for educators to understand and match the learning needs of every student for learning to take place effectively. A detailed reference of the students’ entry characteristics, family background, and previous academic performance is useful in determining the materials and activities to be used with the students. The respondents of this study involved 103 students who enrolled in the pre-higher education programme. The characteristics to identify at-risk students are used as guidelines to redefine the definition of pre-higher education students. Therefore, the study aims to examine the characteristics of pre-higher education students based on their academic performance and socio-economic status. A quantitative method is used to gather more information about the basic entry characteristics, previous academic achievement, family background and Sijil Pelajaran Malaysia (SPM) results of the students. The findings of the study help the researcher to define the terminology of the prehigher education programme. Having to confirm to the conceptual definition of the pre-higher education students helps the policy makers and institutions to develop a suitable learning programme to cater to their learning needs.
    Matched MeSH terms: Family Characteristics
  13. Fulltext Gender-based market constraints to informal fish retailing: Evidence from analysis of variance and linear regression
    Murphy S, Arora D, Kruijssen F, McDougall C, Kantor P
    PLoS One, 2020;15(3):e0229286.
    PMID: 32231375 DOI: 10.1371/journal.pone.0229286
    Over the last decade, Egypt's aquaculture sector has expanded rapidly, which has contributed substantially to per capita fish supply, and the growth of domestic fish markets and employment across the aquaculture value chain. Despite the growing importance of aquaculture sector in Egyptian labour force, only a few studies have explored the livelihoods of Egypt's women and men fish retailers. Even fewer studies have examined gender-based market constraints experienced by these informal fish retailers. This study uses sex-disaggregated data collected in 2013 in three governorates of Lower Egypt to examine the economic and social constraints to scale of enterprises between women (n = 162) and men informal fish retailers (n = 183). Specifically, we employ linear regression method to determine the correlates of enterprise performance. We found that both women and men retailers in the informal fish market earn low profits and face livelihood insecurities. However, women's enterprise performance is significantly lower than that of men even after controlling for individual socio-economic and retailing characteristics. Specifically, the burden of unpaid household work and lack of support therein impedes women's ability to generate higher revenues. These findings strengthen the argument for investing in understanding how gender norms and attitudes affect livelihood options and outcomes. This leads to recommendations on gender-responsive interventions that engage with both men and women and enhance the bargaining power and collective voice of fish retailers.
    Matched MeSH terms: Family Characteristics
  14. Controlled Synthesis of Well-Aligned and Highly Ordered TiO₂ Nanotubes Without Bundling for Enhanced Solar-Powered Photoelectrochemical Responses
    Lai CW, Lau KS, Chou PM
    J Nanosci Nanotechnol, 2019 Dec 01;19(12):7934-7942.
    PMID: 31196312 DOI: 10.1166/jnn.2019.16777
    Using solar-powered water electrolysis systems for hydrogen generation is a key decision for the development of a sustainable hydrogen economy. A facile approach is presented in the present investigation to improve the solar-powered photoelectrochemical performance of water electrolysis systems by synthesising well-aligned and highly ordered TiO₂ nanotube films without bundling through the electrochemical anodisation technique. Herein, geometrical calculations were conducted for all synthesised TiO₂ nanotubes, and determination of the aspect ratio (AR) and geometric surface area factor (G) was achieved. On the basis of the collected data, well-aligned TiO₂ nanotubes with an AR of approximately 60 and G of approximately 400 m² ·g-1 were successfully formed in an electrolyte mixture of ethylene glycol with 0.3 wt% NH4F and 5 wt% H₂O₂ at 40 V for 60 min. The nanotubes were subsequently annealed at 400 °C to form anatase-phase TiO₂ nanotube films. The resultant well-aligned and highly ordered TiO₂ nanotube films exhibited a photocurrent density of 1.5 mA · cm-2 due to a large number of photo-induced electrons moving along the tube axis and perpendicular to the Ti substrate, which greatly reduces interfacial recombination losses.
    Matched MeSH terms: Family Characteristics
  15. Fulltext Contrasting Computational Models of Mate Preference Integration Across 45 Countries
    Conroy-Beam D, Buss DM, Asao K, Sorokowska A, Sorokowski P, Aavik T, et al.
    Sci Rep, 2019 11 15;9(1):16885.
    PMID: 31729413 DOI: 10.1038/s41598-019-52748-8
    Humans express a wide array of ideal mate preferences. Around the world, people desire romantic partners who are intelligent, healthy, kind, physically attractive, wealthy, and more. In order for these ideal preferences to guide the choice of actual romantic partners, human mating psychology must possess a means to integrate information across these many preference dimensions into summaries of the overall mate value of their potential mates. Here we explore the computational design of this mate preference integration process using a large sample of n = 14,487 people from 45 countries around the world. We combine this large cross-cultural sample with agent-based models to compare eight hypothesized models of human mating markets. Across cultures, people higher in mate value appear to experience greater power of choice on the mating market in that they set higher ideal standards, better fulfill their preferences in choice, and pair with higher mate value partners. Furthermore, we find that this cross-culturally universal pattern of mate choice is most consistent with a Euclidean model of mate preference integration.
    Matched MeSH terms: Family Characteristics
  16. Long-term civil conflict, migration, and the mental health of adults left behind in Thailand: a longitudinal study
    Ford K, Jampaklay A, Chamratrithirong A
    Int J Public Health, 2019 Nov;64(8):1193-1201.
    PMID: 31489461 DOI: 10.1007/s00038-019-01297-y
    OBJECTIVES: A long-term civil conflict has been occurring in the southernmost provinces of Thailand, and migration to Malaysia has been accelerated by this conflict. The objective of this work was to examine the influence of perceived effects of the unrest, migration of a household member, and children left behind on the reporting of psychiatric symptoms of working age adults.

    METHODS: A first round of data collection was conducted in 2014 including interviews with a probability sample of 1102 households and individual interviews with 2058 males and females aged 18-59. In 2016, a second round of data collection was conducted. A fixed effects model was used in the analysis.

    RESULTS: The perceived effect of the unrest on the household was associated with an increased reporting of psychiatric symptoms. Furthermore, the migration of a household member for work and the presence of children left behind were related to an increased reporting of psychiatric symptoms among adults, especially among females.

    CONCLUSIONS: The unrest and its associated migration was related to an increased reporting of psychiatric symptoms among working age adults in the study population.

    Matched MeSH terms: Family Characteristics
  17. Fulltext Factors associated with tuberculosis disease among children who are household contacts of tuberculosis cases in an urban setting in Malaysia
    Azit NA, Ismail A, Ahmad N, Ismail R, Ishak S
    BMC Public Health, 2019 Nov 01;19(1):1432.
    PMID: 31675946 DOI: 10.1186/s12889-019-7814-x
    BACKGROUND: With the rise in prevalence of childhood tuberculosis (TB) globally, contact tracing should be a powerful strategy for early diagnosis and management, especially in children who are household contacts of active TB cases. Here, we aimed to determine the prevalence and factors associated with TB disease in children who are household contacts of TB cases.

    METHODS: We used a cross-sectional study with data from the Malaysian TB Information System (TBIS) recorded from 1 January 2014 to 31 December 2017. All children aged 0-14 years who were registered in the TBIS with at least one household contact of TB cases were included in the study. Multiple logistic regression analysis was performed to calculate the adjusted odds ratio (adj. OR) and for adjusting the confounding factors.

    RESULTS: A total of 2793 children were included in the study. The prevalence of active TB was 1.5% (95% confidence interval [CI]: 1.31, 1.77%). Children aged  6 weeks [adj. OR 7.48 (95% CI: 2.88, 19.43), p 

    Matched MeSH terms: Family Characteristics*
  18. The Malaysian community's acceptance and willingness to pay for a National Health Financing Scheme
    Azimatun Noor A, Saperi S, Aljunid SM
    Public Health, 2019 Oct;175:129-137.
    PMID: 31473369 DOI: 10.1016/j.puhe.2019.07.008
    OBJECTIVES: Currently, Malaysia faces great challenges in allocating adequate resources for healthcare services using a tax-based system. Therefore, Malaysia has no choice but to reform its healthcare financing system. The objective of this study is to assess Malaysian household willingness to pay and acceptance levels to the proposed National Health Financing Scheme.

    STUDY DESIGN: This is a cross-sectional study.

    METHODS: In total, 774 households from four states in Malaysia completed face-to-face interviews. A validated structured questionnaire was used, which was composed of a combination of open-ended questions, bidding games and contingent valuation methods regarding the participants' willingness to pay.

    RESULTS: The study found that the majority of households supported the establishment of the National Health Financing Scheme, and half proposed that a government body should manage the scheme. Most (87.5%) of the households were willing to contribute 0.5-1% of their salaries to the scheme through monthly deductions. Over three-quarters (76.6%) were willing to contribute to a higher level scheme (1-2%) to gain access to both public and private healthcare basic services. Willingness to pay for the National Health Financing Scheme was significantly higher among younger persons, females, those located in rural areas, those with a higher income and those with an illness.

    CONCLUSION: There is a high level of acceptance for the National Health Financing Scheme in the Malaysian community, and they are willing to pay for a scheme organised by a government body. However, acceptance and willingness to pay are strongly linked to household socio-economic status. Policymakers should initiate plans to establish the National Health Financing Scheme to provide the necessary financing for a sustainable health system.

    Matched MeSH terms: Family Characteristics
  19. Household Pharmaceutical Waste Disposal in Selangor, Malaysia-Policy, Public Perception, and Current Practices
    Ariffin M, Zakili TST
    Environ Manage, 2019 Oct;64(4):509-519.
    PMID: 31399770 DOI: 10.1007/s00267-019-01199-y
    Although pharmaceuticals treat illnesses and prevent diseases in humans and animals, ironically, they are now among the emerging pollutants in the environment. As individuals continue to consume medicines, households can become a primary source of pharmaceutical pollutants. This paper explains relevant Malaysian law and policy on the issue. Using a questionnaire survey, it also assesses public perception concerning the environmental impact of pharmaceutical waste and the current methods of disposal that are practiced in Selangor. The survey used a convenience sampling and the data collected were analysed using statistical descriptive analysis. Most of the participants were aware that pharmaceutical waste can have an adverse impact on the environment and public health. Half of the participants disposed of their pharmaceutical waste in trash bins. About 2.9% of the respondents poured their household pharmaceutical waste (HPW) directly down the drain, while 8.8% poured them down the sink in the kitchen or toilet. The study also discovered that while 73.8% of the respondents felt that HPW should be separated from other household solid waste, only 25.2% returned their medicinal waste through the medicine return-back programme. The majority of the respondents (82.5%) agreed that information concerning the proper disposal of HPW is insufficient. The study concludes that while the respondents were aware of the adverse impact of HPW, their practices to ensure proper disposal is discouraging. There is a need for effective unwanted medicines return-back programme as a more prudent disposal method of HPW to avoid any risk to the environment or human health.
    Matched MeSH terms: Family Characteristics
  20. Fulltext Contact screening and risk factors for TB among the household contact of children with active TB: a way to find source case and new TB cases
    Laghari M, Sulaiman SAS, Khan AH, Talpur BA, Bhatti Z, Memon N
    BMC Public Health, 2019 Sep 18;19(1):1274.
    PMID: 31533689 DOI: 10.1186/s12889-019-7597-0
    BACKGROUND: Source case investigation, for children with tuberculosis (TB), is conducted to establish the source of infection and to minimize the extent of on-going transmission from infectious persons in the community. The aim of the study was to evaluate the secondary TB cases and to investigate the risk factors in developing TB among the household contacts (HHC) of children with active TB.

    METHODS: A prospective cross-sectional study was conducted where 443 caregivers, of 508 children with active TB receiving treatment, were interviewed using a structured questionnaire. Logistic regression analysis was used to examine the risk factors for TB.

    RESULTS: A total of 2397 family members at the median of 5 persons were recorded. Of these, 223 (9.3%) were screened on symptoms basis and 35 (15.7%) of these contacts were diagnosed with TB. Multivariate analysis revealed HHC with TB (OR = 15.288, 95% CI: 5.378-43.457), HHC with smoking (OR = 7.094, 95% CI: 2.128-23.648), and contact of > 18 h with TB individual (OR = 4.681, 95% CI: 1.198-18.294) as statistically significant risk factors of TB among the HHC.

    CONCLUSION: With the current system of contact screening for TB, only 9.3% of all HHC were screened. The low rates of contacts screened are possibly a repercussion of the passive nature of the program, which mainly depend on distinctive clinical symptoms being experienced by the contacts. Strategies are required to certify adherence with contact screening among children with active TB and to critically consider the factors responsible for TB transmission.

    Matched MeSH terms: Family Characteristics*
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