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Source apportionment and health risk assessment among specific age groups during haze and non-haze episodes in Kuala Lumpur, Malaysia

Sulong NA, Latif MT, Khan MF, Amil N, Ashfold MJ, Wahab MIA, et al.

Sci Total Environ, 2017 Dec 01;601-602:556-570.
PMID: 28575833 DOI: 10.1016/j.scitotenv.2017.05.153

This study aims to determine PM2.5concentrations and their composition during haze and non-haze episodes in Kuala Lumpur. In order to investigate the origin of the measured air masses, the Numerical Atmospheric-dispersion Modelling Environment (NAME) and Global Fire Assimilation System (GFAS) were applied. Source apportionment of PM2.5was determined using Positive Matrix Factorization (PMF). The carcinogenic and non-carcinogenic health risks were estimated using the United State Environmental Protection Agency (USEPA) method. PM2.5samples were collected from the centre of the city using a high-volume air sampler (HVS). The results showed that the mean PM2.5concentrations collected during pre-haze, haze and post-haze periods were 24.5±12.0μgm-3, 72.3±38.0μgm-3and 14.3±3.58μgm-3, respectively. The highest concentration of PM2.5during haze episode was five times higher than World Health Organisation (WHO) guidelines. Inorganic compositions of PM2.5, including trace elements and water soluble ions were determined using inductively coupled plasma-mass spectrometry (ICP-MS) and ion chromatography (IC), respectively. The major trace elements identified were K, Al, Ca, Mg and Fe which accounted for approximately 93%, 91% and 92% of the overall metals' portions recorded during pre-haze, haze and post-haze periods, respectively. For water-soluble ions, secondary inorganic aerosols (SO42-, NO3-and NH4+) contributed around 12%, 43% and 16% of the overall PM2.5mass during pre-haze, haze and post-haze periods, respectively. During haze periods, the predominant source identified using PMF was secondary inorganic aerosol (SIA) and biomass burning where the NAME simulations indicate the importance of fires in Sumatra, Indonesia. The main source during pre-haze and post-haze were mix SIA and road dust as well as mineral dust, respectively. The highest non-carcinogenic health risk during haze episode was estimated among the infant group (HI=1.06) while the highest carcinogenic health risk was estimated among the adult group (2.27×10-5).

Matched MeSH terms: Cities
Assessment on inflow and infiltration in sewerage systems of Kuantan, Pahang

Yap HT, Ngien SK

Water Sci Technol, 2017 Dec;76(11-12):2918-2927.
PMID: 29210679 DOI: 10.2166/wst.2017.463

Inflow and infiltration are important aspects of sewerage systems that need to be considered during the design stage and constantly monitored once the sewerage system is in operation. The aim of this research is to analyse the relationship of rainfall as well as inflow infiltration with sewage flow patterns through data collected from fieldwork. Three sewer pipelines were selected at the residential areas of Taman Lepar Hilir Saujana, Bandar Putra and Kota Sas for data collection. Sewage flow data were collected in terms of flowrate, velocity and depth of flow using flowmeters with ultrasonic sensors that utilize the continuous Doppler effect in the sewer pipelines, while rainfall intensity data were collected using rain gauges installed at the study locations. Based on the result, the average infiltration rates of Qpeak and Qave for the locations were 17% and 21%, which exceeded the respective values of 5% and 10% stated in Hammer and Hammer. The flowrate of wastewater in the sewer pipelines was found to be directly proportional to rainfall. These findings indicate that the sewer pipelines in the study areas may have been affected by capacity reduction, whereas the sewerage treatment plants receiving the wastewater influent may have been overloaded.

Matched MeSH terms: Cities*
Fulltext An Evidence-Based Review of Impacts, Strategies and Tools to Mitigate Urban Heat Islands

Leal Filho W, Echevarria Icaza L, Emanche VO, Quasem Al-Amin A

Int J Environ Res Public Health, 2017 12 19;14(12).
PMID: 29257100 DOI: 10.3390/ijerph14121600

The impacts of climate changes on cities, which are home to over half of the world's population, are already being felt. In many cases, the intensive speed with which urban centres have been growing means that little attention has been paid to the role played by climatic factors in maintaining quality of life. Among the negative consequences of rapid city growth is the expansion of the problems posed by urban heat islands (UHIs), defined as areas in a city that are much warmer than other sites, especially in comparison with rural areas. This paper analyses the consistency of the UHI-related literature in three stages: first it outlines its characteristics and impacts in a wide variety of cities around the world, which poses pressures to public health in many different countries. Then it introduces strategies which may be employed in order to reduce its effects, and finally it analyses available tools to systematize the initial high level assessment of the phenomenon for multidisciplinary teams involved in the urban planning process. The analysis of literature on the characteristics, impacts, strategies and digital tools to assess on the UHI, reveals the wide variety of parameters, methods, tools and strategies analysed and suggested in the different studies, which does not always allow to compare or standardize the diagnosis or solutions.

Matched MeSH terms: Cities
Fulltext Accelerometer-measured physical activity and its relationship with body mass index (BMI) and waist circumference (WC) measurements: a cross-sectional study on Malaysian adults

Lee, Yi Yi, Narimah Samat, Wan Manan Wan Muda

Malays J Nutr, 2017;23(3):397-408.
MyJurnal

Introduction: Physical activity has been shown to be beneficial for the prevention of
obesity and non-communicable diseases. Our contemporary way of life that is technology
dependent has significantly reduced physical activity. This study aimed to determine
accelerometer-measured physical activity (moderate-to-vigorous physical activity (MVPA))
among adults in high and low walkability neighbourhoods in Penang and Kota Bharu,
Malaysia.

Methods: Participants (n=490) were sampled using multistage sampling method
from neighbourhoods with varied levels of walkability using Geographical Information
System (GIS). Physical activity was measured objectively using Actigraph GT3X+
accelerometers, worn by the participants on their waists for a period of 5 to 7 days.

Results:
The participants had a mean of 13.5 min/day of MVPA. Total MVPA was significantly
higher among participants in high walkability neighbourhoods (19.7 min/day vs. 9.1 min/
day). Results from t-test showed that the time spent on MVPA per day was significantly
lower among participants residing in low walkability neighbourhoods. The final model
of the MIXED model statistical tests showed that total MVPA was significantly associated
with BMI, but not with WC measurements, after adjusting for covariates.

Conclusion: Most
of the participants had very low MVPA and did not achieve the current physical activity
recommendations, implying that Malaysian adults residing in these two cities were not
physically active to achieve health benefits. Results are suggestive of the importance of the
walkability concept in neighbourhoods in encouraging physical activity and healthy body
weight among Malaysians.

Matched MeSH terms: Cities
Fulltext The financial status and factors affecting personal well-‐being among urban poor in Kuala Lumpur

Moga Dass T, Sabri MF

Malaysian Journal of Social Sciences and Humanities, 2017;2(1):21-39.
MyJurnal

The main purpose of this study is to understand the financial status of urban poor community in Kuala Lumpur and factors affecting their personal well-being. The sampling size of this research is 1,064 respondents chosen by using systematic sampling method. The data was obtained by using selfadministered questionnaires and the data being analysed by descriptive analysis meanwhile and multi regression analysis. The results shows that the urban poor community in Kuala Lumpur are having a moderate level of financial literacy possess a less effective financial behaviour, experiencing a high financial strain and adapting a moderate level of personal well-being. Besides that, the results also indicates that the financial literacy has no influence on personal well-being of the urban poor community, meanwhile financial behaviour has a positive influence and financial strain has a negative influence on the personal well-being of the urban poor community. The findings of the study suggest the government and non-government organisation such as Economic Planning Unit ((EPU), Kuala Lumpur City Hall (KLCH or DBKL), Central Bank of Malaysia (BNM), Credit Counselling and Debt Management Agency (CCDM or AKPK), Federation of Consumer Association (FOMCA) to make an inclusive effort and approach to improve the personal well-being of the urban poor. By understanding more about the financial status of the urban poor community, it is hoped to help them to become financial prudence and in the long-run could lead them into a good decision making while facing conflicts in financial issues and maintain a good quality of life. It is important to ensure the urban poor consumers have better financial management skills which lead them to make the right decision in order to enhance their personal well-being.

Matched MeSH terms: Cities
Fulltext Awareness on health and safety among municipal workers on solid waste collections: a case study in Malaysia

Sekhon PS, Karthigesu IT

Malaysian Journal of Public Health Medicine, 2017;17 Special(1):19-27.

Solid waste collection has been a major challenge for local council Municipal workers in urban areas where the population is growing rapidly and the need for local councils to ensure they provide service to clear solid waste in a timely manner without disrupting the existing system. This case study is a review of awareness of health and safety among municipal workers on solid waste collection. The study is an examination of such awareness in Malaysia which involves the Petaling Jaya City Council in the state of Selangor. We review the operating system of the Petaling Jaya City Council and the risks which are being exposed to the municipal workers in their daily operations. Health and Safety of municipal workers in the areas of public health, safety, and industrial hygiene has been a concern for a long time. In most cases the majority of municipal workers exposed are from the contractual aspect of outsourced labour. It is important to understand how large the area of a solid waste is and to identify, evaluate, and eliminate or control risks and hazards across the operation zone of the municipal workers which involves environmental and occupational demands. The data we find provides the latest perspectives on topics of widespread concern such contractors management, ergonomic safety, confined space, motor vehicle safety, machinery safety, fall hazard safety, electrical safety and emergency response. Management of legal requirements is also discovered to be important to ensure any organization conducting business is not in violation of any law, and if there is a change of process how is this being addressed. Finally, we look at the control measures needed to support a operation on a large scale where it will not endanger the health and safety of municipal workers when they are involved in solid waste management. The recommendation we have based on the review are to ensure there is a holistic approach and systems in place to address all the concerns that will be faced by the local municipal council in their daily operations and responsibilities at every level of the organization. Conclusion: Research material and data related to this area is limited and we hope future holistic research can be conducted to future enhance the study of health and safety effecting the municipal workers. Health and Safety management system and procedures are the key elements in ensuring a successful organization.

Matched MeSH terms: Cities
Sinks and sources: Assessing microplastic abundance in river sediment and deposit feeders in an Austral temperate urban river system

Nel HA, Dalu T, Wasserman RJ

Sci Total Environ, 2018 Jan 15;612:950-956.
PMID: 28886547 DOI: 10.1016/j.scitotenv.2017.08.298

Microplastics are important novel pollutants in freshwaters but their behaviour in river sediments is poorly understood due to the large amounts of coloured dissolved organic matter that impede sample processing. The present study aimed to 1.) estimate the microplastic pollution dynamics in an urban river system experiencing temporal differences in river flow, and 2.) investigate the potential use of chironomids as indicators of microplastic pollution levels in degraded freshwater environments. Microplastic levels were estimated from sediment and Chironomus spp. larvae collected from various sites along the Bloukrans River system, in the Eastern Cape South Africa during the summer and winter season. River flow, water depth, channel width, substrate embeddedness and sediment organic matter were simultaneously collected from each site. The winter season was characterised by elevated microplastic abundances, likely as a result of lower energy and increased sediment deposition associated with reduced river flow. In addition, results showed that particle distribution may be governed by various other external factors, such as substrate type and sediment organic matter. The study further highlighted that deposit feeders associated with the benthic river habitats, namely Chironomus spp. ingest microplastics and that the seasonal differences in sediment microplastic dynamics were reflected in chironomid microplastic abundance. There was a positive, though weakly significant relationship between deposit feeders and sediment suggesting that deposit feeders such as Chironomus spp. larvae could serve as an important indicator of microplastic loads within freshwater ecosystems.

Matched MeSH terms: Cities
Fulltext Hepatitis C virus treatment as prevention in an extended network of people who inject drugs in the USA: a modelling study

Zelenev A, Li J, Mazhnaya A, Basu S, Altice FL

Lancet Infect Dis, 2018 02;18(2):215-224.
PMID: 29153265 DOI: 10.1016/S1473-3099(17)30676-X

BACKGROUND: Chronic infections with hepatitis C virus (HCV) and HIV are highly prevalent in the USA and concentrated in people who inject drugs. Treatment as prevention with highly effective new direct-acting antivirals is a prospective HCV elimination strategy. We used network-based modelling to analyse the effect of this strategy in HCV-infected people who inject drugs in a US city.
METHODS: Five graph models were fit using data from 1574 people who inject drugs in Hartford, CT, USA. We used a degree-corrected stochastic block model, based on goodness-of-fit, to model networks of injection drug users. We simulated transmission of HCV and HIV through this network with varying levels of HCV treatment coverage (0%, 3%, 6%, 12%, or 24%) and varying baseline HCV prevalence in people who inject drugs (30%, 60%, 75%, or 85%). We compared the effectiveness of seven treatment-as-prevention strategies on reducing HCV prevalence over 10 years and 20 years versus no treatment. The strategies consisted of treatment assigned to either a randomly chosen individual who injects drugs or to an individual with the highest number of injection partners. Additional strategies explored the effects of treating either none, half, or all of the injection partners of the selected individual, as well as a strategy based on respondent-driven recruitment into treatment.
FINDINGS: Our model estimates show that at the highest baseline HCV prevalence in people who inject drugs (85%), expansion of treatment coverage does not substantially reduce HCV prevalence for any treatment-as-prevention strategy. However, when baseline HCV prevalence is 60% or lower, treating more than 120 (12%) individuals per 1000 people who inject drugs per year would probably eliminate HCV within 10 years. On average, assigning treatment randomly to individuals who inject drugs is better than targeting individuals with the most injection partners. Treatment-as-prevention strategies that treat additional network members are among the best performing strategies and can enhance less effective strategies that target the degree (ie, the highest number of injection partners) within the network.
INTERPRETATION: Successful HCV treatment as prevention should incorporate the baseline HCV prevalence and will achieve the greatest benefit when coverage is sufficiently expanded.
FUNDING: National Institute on Drug Abuse.

Matched MeSH terms: Cities/epidemiology
So much for the city: Urban-rural song variation in a widespread Asiatic songbird

Hill SD, Aryal A, Pawley MDM, Ji W

Integr Zool, 2018 Mar;13(2):194-205.
PMID: 29078034 DOI: 10.1111/1749-4877.12284

Song plays a fundamental role in intraspecific communication in songbirds. The temporal and structural components of songs can vary in different habitats. These include urban habitats where anthropogenic sounds and alteration of habitat structure can significantly affect songbird vocal behavior. Urban-rural variations in song complexity, song length and syllable rate are not fully understood. In this study, using the oriental magpie-robin (Copsychus saularis) as a model, we investigated urban-rural variation in song complexity, song length, syllable rate, syllable length and inter-syllable interval. Comparing urban and rural songs from 7 countries across its natural Asiatic range (Bangladesh, India, Malaysia, Nepal, Singapore, Sri Lanka and Thailand), we found no significant differences in oriental magpie-robin song complexity. However, we found significant differences in temporal song variables between urban and rural sites. Longer songs and inter-syllable intervals in addition to slower syllable rates within urban sites contributed the most to this variance. This indicates that the urban environment may have driven production of longer and slower songs to maximize efficient transmission of important song information in urban habitats.

Matched MeSH terms: Cities
Status, source identification, and health risks of potentially toxic element concentrations in road dust in a medium-sized city in a developing country

Praveena SM, Aris AZ

Environ Geochem Health, 2018 Apr;40(2):749-762.
PMID: 28929262 DOI: 10.1007/s10653-017-0021-8

This study aims to determine the status of potentially toxic element concentrations of road dust in a medium-sized city (Rawang, Malaysia). This study adopts source identification via enrichment factor, Pearson correlation analysis, and Fourier spectral analysis to identify sources of potentially toxic element concentrations in road dust in Rawang City, Malaysia. Health risk assessment was conducted to determine potential health risks (carcinogenic and non-carcinogenic risks) among adults and children via multiple pathways (i.e., ingestion, dermal contact, and inhalation). Mean of potentially toxic element concentrations were found in the order of Pb > Zn > Cr(IV) > Cu > Ni > Cd > As > Co. Source identification revealed that Cu, Cd, Pb, Zn, Ni, and Cr(IV) are associated with anthropogenic sources in industrial and highly populated areas in northern and southern Rawang, cement factories in southern Rawang, as well as the rapid development and population growth in northwestern Rawang, which have resulted in high traffic congestion. Cobalt, Fe, and As are related to geological background and lithologies in Rawang. Pathway orders for both carcinogenic and non-carcinogenic risks are ingestion, dermal contact, and inhalation, involving adults and children. Non-carcinogenic health risks in adults were attributed to Cr(IV), Pb, and Cd, whereas Cu, Cd, Cr(IV), Pb, and Zn were found to have non-carcinogenic health risks for children. Cd, Cr(IV), Pb, and As may induce carcinogenic risks in adults and children, and the total lifetime cancer risk values exceeded incremental lifetime.

Matched MeSH terms: Cities
Fulltext The Tsinghua-Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China

Yang J, Siri JG, Remais JV, Cheng Q, Zhang H, Chan KKY, et al.

Lancet, 2018 05 26;391(10135):2140-2184.
PMID: 29678340 DOI: 10.1016/S0140-6736(18)30486-0
Matched MeSH terms: Cities*
Data for in-situ industrial site characterization with the applications of combined subsurface and surface mapping

Arifin MH, Kayode JS, Azahar MA, Jamil H, Sabri SFA

Data Brief, 2018 Jun;18:1864-1868.
PMID: 29904689 DOI: 10.1016/j.dib.2018.04.119

The paper presents the data from the surface and subsurface mapping of this area for the purpose of siting industrial city in the area. The field data collected combine with the borehole data was to successfully apply these to solving geological, environmental and engineering complications posed by the complexity of the subsurface geological structures underlain this area. The Electrical Resistivity, (ER) and Induced Polarization, (IP) data were initially processed using RES2DINV software model to generate the depth to the lithological units together with topographic correction. The 2-D ER and IP data were collected from 23rd April 2017 up until 7th May 2017 covering a total of about 17.6 km along 44 survey lines using ABEM Terrameter SAS4000 for the field measurement. A total of 20 Borehole logs data were recorded to better characterized in-situ, the subsurface geological formations emplaced in the study area. The study area is located at Bagan Datuk, Perak Darul Ridzuan situated on Latitude 2° 44.653'N and Longitudes 104° 28.79' E along the west coast Peninsula Malaysia. The topography of the area is generally flat low-laying and elevation range from about 0 m to 32 m above mean sea level (MSL).

Matched MeSH terms: Cities
Fulltext Physical, Psychological, and Social Health Impact of Temperature Rise Due to Urban Heat Island Phenomenon and Its Associated Factors

Wong LP, Alias H, Aghamohammadi N, Aghazadeh S, Nik Sulaiman NM

Biomed Environ Sci, 2018 Jul;31(7):545-550.
PMID: 30145991 DOI: 10.3967/bes2018.074
Matched MeSH terms: Cities*
Identification of chronic obstructive pulmonary disease subgroups in 13 Asian cities

Kim WJ, Gupta V, Nishimura M, Makita H, Idolor L, Roa C, et al.

Int J Tuberc Lung Dis, 2018 07 01;22(7):820-826.
PMID: 29914609 DOI: 10.5588/ijtld.17.0524

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a heterogeneous condition that can differ in its clinical manifestation, structural changes and response to treatment.
OBJECTIVE: To identify subgroups of COPD with distinct phenotypes, evaluate the distribution of phenotypes in four related regions and calculate the 1-year change in lung function and quality of life according to subgroup.
METHODS: Using clinical characteristics, we performed factor analysis and hierarchical cluster analysis in a cohort of 1676 COPD patients from 13 Asian cities. We compared the 1-year change in forced expiratory volume in one second (FEV1), modified Medical Research Council dyspnoea scale score, St George's Respiratory Questionnaire (SGRQ) score and exacerbations according to subgroup derived from cluster analysis.
RESULTS: Factor analysis revealed that body mass index, Charlson comorbidity index, SGRQ total score and FEV1 were principal factors. Using these four factors, cluster analysis identified three distinct subgroups with differing disease severity and symptoms. Among the three subgroups, patients in subgroup 2 (severe disease and more symptoms) had the most frequent exacerbations, most rapid FEV1 decline and greatest decline in SGRQ total score.
CONCLUSION: Three subgroups with differing severities and symptoms were identified in Asian COPD subjects.

Matched MeSH terms: Cities
Fulltext Community Needs Assessment in Relation to Urban Heat Effects: A Study in Greater Kuala Lumpur, Malaysia

Wong LP, Alias H, Aghamohammadi N, Nik Sulaiman NM

Biomed Environ Sci, 2018 09;31(9):705-711.
PMID: 30369349 DOI: 10.3967/bes2018.095
Matched MeSH terms: Cities
Fulltext Urban coral reefs: Degradation and resilience of hard coral assemblages in coastal cities of East and Southeast Asia

Heery EC, Hoeksema BW, Browne NK, Reimer JD, Ang PO, Huang D, et al.

Mar Pollut Bull, 2018 Oct;135:654-681.
PMID: 30301085 DOI: 10.1016/j.marpolbul.2018.07.041

Given predicted increases in urbanization in tropical and subtropical regions, understanding the processes shaping urban coral reefs may be essential for anticipating future conservation challenges. We used a case study approach to identify unifying patterns of urban coral reefs and clarify the effects of urbanization on hard coral assemblages. Data were compiled from 11 cities throughout East and Southeast Asia, with particular focus on Singapore, Jakarta, Hong Kong, and Naha (Okinawa). Our review highlights several key characteristics of urban coral reefs, including "reef compression" (a decline in bathymetric range with increasing turbidity and decreasing water clarity over time and relative to shore), dominance by domed coral growth forms and low reef complexity, variable city-specific inshore-offshore gradients, early declines in coral cover with recent fluctuating periods of acute impacts and rapid recovery, and colonization of urban infrastructure by hard corals. We present hypotheses for urban reef community dynamics and discuss potential of ecological engineering for corals in urban areas.

Matched MeSH terms: Cities
Heavy metal quantification of classroom dust in school environment and its impacts on children health from Rawang (Malaysia)

Tan SY, Praveena SM, Abidin EZ, Cheema MS

Environ Sci Pollut Res Int, 2018 Dec;25(34):34623-34635.
PMID: 30315534 DOI: 10.1007/s11356-018-3396-x

This study aimed to determine bioavailable heavy metal concentrations (As, Cd, Co, Cu, Cr, Ni, Pb, Zn) and their potential sources in classroom dust collected from children's hand palms in Rawang (Malaysia). This study also aimed to determine the association between bioavailable heavy metal concentration in classroom dust and children's respiratory symptoms. Health risk assessment (HRA) was applied to evaluate health risks (non-carcinogenic and carcinogenic) due to heavy metals in classroom dust. The mean of bioavailable heavy metal concentrations in classroom dust found on children's hand palms was shown in the following order: Zn (1.25E + 01 μg/g) > Cu (9.59E-01 μg/g) > Ni (5.34E-01 μg/g) > Cr (4.72E-02 μg/g) > Co (2.34E-02 μg/g) > As (1.77E-02 μg/g) > Cd (9.60E-03 μg/g) > Pb (5.00E-03 μg/g). Hierarchical cluster analysis has clustered 17 sampling locations into three clusters, whereby cluster 1 (S3, S4, S6, S15) located in residential areas and near to roads exposed to vehicle emissions, cluster 2 (S10, S12, S9, S7) located near Rawang town and cluster 3 (S13, S16, S1, S2, S8, S14, S11, S17, S5) located near industrial, residential and plantation areas. Emissions from vehicles, plantations and industrial activities were found as the main sources of heavy metals in classroom dust in Rawang. There is no association found between bioavailable heavy metal concentrations and respiratory symptoms, except for Cu (OR = 0.03). Health risks (non-carcinogenic and carcinogenic risks) indicated that there are no potential non-carcinogenic and carcinogenic risks of heavy metals in classroom dust toward children health.

Matched MeSH terms: Cities
Fulltext Use of Oral Cleaning Devices and Their Perceived Benefits among Malaysians in Kuala Lumpur and Johor Bahru: An Exploratory Structured Approach

Mitha S, ElNaem MH, Chandran J, Rajah NP, Fam TY, Babar MG, et al.

J Pharm Bioallied Sci, 2018 12 21;10(4):216-225.
PMID: 30568379 DOI: 10.4103/JPBS.JPBS_296_16

Background and Objectives: Various devices have been used to maintain oral hygiene. These include toothbrush and toothpaste, mouthwash, dental floss, miswak, and toothpick. This study attempts to investigate the use of various oral cleaning devices and their perceived benefits among Malaysians.
Methods: A quantitative cross-sectional study conducted in two different cities of Malaysia. A convenience sampling approach was adopted. A total of 787 participants agreed to participate in the current research. A validated questionnaire translated into national language was used for data collection.
Statistical Analysis Used: Data analysis was performed using Statistical Package for Social Sciences version 20.
Results: About 302 respondents were in the age range of 18 - 25 years old (38.4%). There were marginally more females (55.7%) than males (44.3%). Although 99.9% of the participants used a toothbrush, a significant majority (n = 590, 75%) used more than a single device to maintain their oral hygiene. Only 311 respondents knew that toothpicks were inappropriate to use to remove food between teeth and gums, while a majority (n = 592, 75.2%) did not realize that some mouthwashes can stain the teeth. Less than half (42.1%) knew that improper use of miswak might harm the teeth.
Conclusions: Although their oral hygiene behaviors are relatively at a higher level, their perceived oral health benefits did not compare well.

Matched MeSH terms: Cities
Fulltext Urban tinkering

Elmqvist T, Siri J, Andersson E, Anderson P, Bai X, Das PK, et al.

Sustain Sci, 2018;13(6):1549-1564.
PMID: 30546487 DOI: 10.1007/s11625-018-0611-0

Cities are currently experiencing serious, multifaceted impacts from global environmental change, especially climate change, and the degree to which they will need to cope with and adapt to such challenges will continue to increase. A complex systems approach inspired by evolutionary theory can inform strategies for policies and interventions to deal with growing urban vulnerabilities. Such an approach would guide the design of new (and redesign of existing) urban structures, while promoting innovative integration of grey, green and blue infrastructure in service of environmental and health objectives. Moreover, it would contribute to more flexible, effective policies for urban management and the use of urban space. Four decades ago, in a seminal paper in Science, the French evolutionary biologist and philosopher Francois Jacob noted that evolution differs significantly in its characteristic modes of action from processes that are designed and engineered de novo (Jacob in Science 196(4295):1161-1166, 1977). He labeled the evolutionary process "tinkering", recognizing its foundation in the modification and molding of existing traits and forms, with occasional dramatic shifts in function in the context of changing conditions. This contrasts greatly with conventional engineering and design approaches that apply tailor-made materials and tools to achieve well-defined functions that are specified a priori. We here propose that urban tinkering is the application of evolutionary thinking to urban design, engineering, ecological restoration, management and governance. We define urban tinkering as:A mode of operation, encompassing policy, planning and management processes, that seeks to transform the use of existing and design of new urban systems in ways that diversify their functions, anticipate new uses and enhance adaptability, to better meet the social, economic and ecological needs of cities under conditions of deep uncertainty about the future.This approach has the potential to substantially complement and augment conventional urban development, replacing predictability, linearity and monofunctional design with anticipation of uncertainty and non-linearity and design for multiple, potentially shifting functions. Urban tinkering can function by promoting a diversity of small-scale urban experiments that, in aggregate, lead to large-scale often playful innovative solutions to the problems of sustainable development. Moreover, the tinkering approach is naturally suited to exploring multi-functional uses and approaches (e.g., bricolage) for new and existing urban structures and policies through collaborative engagement and analysis. It is thus well worth exploring as a means of delivering co-benefits for environment and human health and wellbeing. Indeed, urban tinkering has close ties to systems approaches, which often are recognized as critical to sustainable development. We believe this concept can help forge much-closer, much-needed ties among engineers, architects, evolutionary ecologists, health specialists, and numerous other urban stakeholders in developing innovative, widely beneficial solutions for society and contribute to successful implementation of SDG11 and the New Urban Agenda.

Matched MeSH terms: Cities
Fulltext Public perception of the role of pharmacists and willingness to pay for pharmacist-provided dispensing services: a cross-sectional pilot study in the state of Sabah, Malaysia

Cheah, Meng Fei

Malaysian Journal of Pharmaceutical Science, 2018;16(1):1-21.
MyJurnal

Pharmacists play an important role in healthcare delivery. Over the years, their role has shifted from product-oriented to patient-oriented. This study aimed to assess the perceptions of the public towards the role of pharmacists and the willingness of the public to pay for pharmacist-provided dispensing services in Sabah. This was a questionnairebased, cross-sectional study conducted from September 2014 to June 2015 in three major cities in Sabah, namely, Kota Kinabalu, Sandakan and Tawau. The respondents were conveniently selected and interviewed based on a questionnaire to assess their perceptions of the role of pharmacists. A contingent valuation interview was then conducted to assess the respondents’ willingness to pay. A total of 647 respondents were interviewed. Of the respondents, 61.4% agreed that pharmacists knew more about their medications and side effects and how to use the medications than their doctors. However, more than half of the respondents (54.4%) perceived that the pharmacists’ role was only to supply medications and 66.6% of the respondents perceived that the pharmacist’s role was to follow doctors’ directions. Of the respondents, 89.0% appreciated and adhered to the counselling points provided by their pharmacists; 85.0% of the respondents hoped that pharmacists could play a greater role in healthcare in the future. Forty percent of the respondents agreed that community pharmacists were simply business people who sold products in their pharmacies. Finally, 55.3% of the respondents were willing to pay for pharmacist-provided dispensing services. The median (interquartile ranges [IQR]) amount that they were willing to pay was RM5.00 (IQR RM5.00). Respondents in this study showed variations in their views of the pharmacy profession. Nevertheless, more than half of the respondents valued pharmacist-provided dispensing services and were willing to pay RM5.00 for the services. To improve pharmacy practice, efforts should be undertaken to address the respondents’ misunderstandings about the pharmacy profession and to promote the roles of pharmacists to the general public.

Matched MeSH terms: Cities

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