Displaying publications 1261 - 1280 of 6722 in total

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  1. Tin Tin Aye, Yusolf Ibrahim, Daw Khin Saw Naing, Than Myint, Muhammad Hj. Jical
    MyJurnal
    Antenatal (AN) care is vital for all pregnant women and for reduction of maternal mortality and morbidity. AN care knowledge and specific AN care practices are some of the crucial components of what determines effective AN care. In developing nations, the health of pregnant women can be even more sensitive to these factors. Objectives of this study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience ,residing in kampongs of Sikuati area, Kudat between March to December 2015. Cross–sectional descriptive study, non-probability convenient sampling method was used and 150 eligible participants were interviewed through face to face by trained interviewers using a semi-structured questionnaire and their knowledge of AN care, their AN care practices and outcomes and complications of their pregnancies were recorded. 99% of all the women received AN care, and 64% of the women received essential AN care practice (AN visit of minimum 4 times). The study revealed that overall knowledge amongst the women with good knowledge was 48% and low knowledge was 52%. Despite this, it was found that low knowledge of AN care was associated with essential AN care practice. Additionally, AN care practices, assessed through timing of first AN care visit and frequency of visits, was not significantly associated with pregnancy complications. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current programs in place promoting importance of AN care and delivery practices. Maintenance of current programs with targeted interventions to address low knowledge level and the low level of compliance with essential AN care completed are recommended..
  2. Mahdy, Z.A., Rahana, A.R., Zaleha, M.I., Muhammad Za’im, S.H., Mukudan, K., Jumaida, A.B.
    Medicine & Health, 2017;12(1):27-33.
    MyJurnal
    Iron deficiency anemia is the most common form of anemia in pregnancy. The present study was carried out to determine the prevalence of antenatal anemia and iron deficiency in the Malaysian population and its correlation with sociodemographic and obstetric profile. It was a cross-sectional study conducted at an urban health clinic over a period of six months. A single blood sample was drawn from apparently healthy pregnant mothers at antenatal booking and sent for laboratory assessment of full blood count and serum ferritin as screening tools for anemia and iron status. SPSS version 19.0 was used for statistical analyses. The results showed that out of 250 subjects, 43.6% had anemia and 31.6% had iron deficiency. Whilst 47.7% of subjects with anemia were iron deficient, 19.1% of subjects without anemia were also iron deficient. Serum ferritin correlated negatively with period of gestation at booking (p<0.001), with 77.6% of these women not having prior iron supplements. Serum ferritin was also significantly lower among grandmultiparae (p=0.01). Iron deficiency was significantly (p=0.024) more common among Indians (42.5%) compared to Malays (33.5%) and Chinese (13.0%). In conclusion, continuation of the current practice of routine antenatal iron supplementation is still warranted and justifiable in Malaysia as there is high prevalence of iron deficiency in pregnancy not only in the presence of anemia but also in the presence of normal hemoglobin values. Keywords: anaemia, ferritn, pregnancy
  3. Mohd Hafiidz Jaafar, Kadir Arifin, Kadaruddin Aiyub, Muhammad Rizal Razman, Mark Harris Zuknik
    MyJurnal
    Construction industry is one of the major contributors towards Malaysian economy and socio-economy. It is an important
    industry gearing Malaysia towards developed nation status. However, fatalities in this industry are a crucial problem. Number of
    fatalities in this industry is the highest compare to other industries registered in Malaysia. The contributing factors can be separated
    into immediate (human and worksite elements) and underlying (management and external). Occupational safety and health (OSH)
    management is a challenge in the construction industry due to its hazardous nature. A framework of construction OSH management
    consisting of policy, process, personnel and incentive elements were tested. 13 respondents from 13 residential projects comprising of
    high-rise and low-rise in Pulau Pinang were interviewed. It was found that the immediate factors are being more recognized by the
    respondents compare to the underlying factors. Human element is perceived as the most significant contributor, while the external
    element is the least significant. In terms of construction OSH management, process and personnel elements are the most significant in
    developing an effective OSH management programme.
  4. Abdul Hamid Nor Faharina, Ishak Hayati, Salleh Muhammad Firdaus, Ahmad Amirul Qayyum
    Malaysian Dental Journal, 2017;2017(1):1-16.
    MyJurnal
    Aim: The Shortened Dental Arch (SDA) concept, proposed as a strategy to prevent prosthodontics overtreatment, is defined as a specific type of dentition with an intact anterior region and a reduction in the occluding pairs of posterior teeth. While this concept has been accepted worldwide, little is known about such a situation in Malaysia. This study was undertaken to determine the attitudes, awareness and opinion of dentists working at the Faculty of Dentistry, Universiti Teknologi MARA Malaysia (UiTM) towards the SDA concept. Methods and Methods: All dentists (n=71) working at the Faculty of Dentistry, UiTM were invited to participate in a paper-based questionnaire survey to assess their attitudes, awareness and perception towards the SDA concept. Results: The response rate was 59% (n=42). Overall, 85.7% of respondents were aware of the Kayser’s SDA concept. A majority of them (61.1%) learnt about it through undergraduate studies. Only some respondents reported patients’ dissatisfaction in chewing (29.4%), appearance (8.8%) and comfort (6.3%) following application of the concept. Most participants disagreed that missing molar teeth should be replaced in all patients (52.4%), and supported the application of SDA concept in clinical practice (88.1%). However, some would choose to replace missing molars for older patients in order to provide posterior support (90.5%), prevent anterior wear (52.4%) and improve masticatory function (83.3%). Conclusion: Respondents’ awareness and support for the SDA concept suggested its acceptance as a possible strategy in patient care.
  5. Nazri Omar, Maimunah Abdul Muna’aim, Rafidah Md. Saleh, Zaidah Mohd. Kasim, Muhammad Mohd. Isa
    MyJurnal
    Introduction: Microbial keratitis (MK) is an important cause for corneal blindness and understanding its risk factors enable us to improve management and minimise its complications. Methods: In this retrospective case review, medical records of all patients treated for MK from 2006 to 2013 was analysed to know the socio-demography, preceding risk factors, clinical characteristics, causative organisms and final visual outcome. Results: A total of 174 patients (180 eyes) were included in this study. Identifiable ocular risk factors included contact lens (CL) usage (85, 47.2%), ocular trauma (50, 27.8%), ocular surface disease (21, 11.6%), steroid use (6, 3.3%) and immuno-compromy (19, 10.5%). Association factors for presenting uncorrected visual acuity (UCVA) were age group (p=0.013), size (p
  6. Latif A, Hussain K, Shehzadi N, Islam M, Khan MT, Anwar R, et al.
    Pharm Biol, 2017 Dec;55(1):547-553.
    PMID: 27951746
    CONTEXT: Kanji, a liquid preparation of roots of Daucus carota L. ssp. sativus (Hoffm.) Arcang. var. vavilovii Mazk. (Apiaceae), may inhibit glutathione sulfotransferase (GST) activity due to ferulic acid content.

    OBJECTIVES: GST inhibition activity and characterization of Kanji and methanol extract of D. carota roots, and oral absorption pattern of ferulic acid from Kanji in rats.

    MATERIALS AND METHODS: GST inhibition activity of Kanji and methanol extract of D. carota roots in concentration range 0.001-100.00 mg/mL was determined using Sprague Dawley rat liver cytosolic fraction. Methanol extract upon column chromatography gave ferulic acid, which was used to characterize Kanji and determine its oral absorption pattern in Wistar rats.

    RESULTS: The GST inhibition activity of Kanji (100.00 μg/mL), methanol extract of D. carota roots (100.00 μg/mL) and tannic acid (10.00 μg/mL, positive control) was found to be 0.162 ± 0.016, 0.106 ± 0.013 and 0.073 ± 0.004 μM/min/mg, respectively. Different Kanji samples and methanol extract contained ferulic acid (0.222-0.316 mg/g) and 0.77 mg/g, respectively. Ferulic acid did not appear in plasma after oral administration of Kanji.

    DISCUSSION: Kanji having solid contents 80.0 μg/mL, equivalent to 0.0025 μg/mL ferulic acid, does not inhibit the activity of GST. The oral administration of Kanji, in human equivalent dose (528 mg/kg, 16.67 μg ferulic acid), to rats indicated poor absorption of ferulic acid.

    CONCLUSION: Kanji having solid contents 14-36 mg/mL does not inhibit GST activity, hence may not interfere with drugs that are the substrates of GST, if taken concomitantly.

  7. Ahmed QU, Alhassan AM, Khatib A, Shah SAA, Hasan MM, Sarian MN
    Antioxidants (Basel), 2018 Oct 08;7(10).
    PMID: 30297618 DOI: 10.3390/antiox7100137
    The objective of the present study was to investigate the antiradical and xanthine oxidase inhibitory effects of Averrhoa bilimbi leaves. Hence, crude methanolic leaves extract and its resultant fractions, namely hexane, chloroform, and n-butanol were evaluated for 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging effect and xanthine oxidase inhibitory activity. The active constituents were tentatively identified through LC-QTOF-MS/MS and molecular docking approaches. The n-butanol fraction of A. bilimbi crude methanolic leaves extract displayed significant DPPH radical scavenging effect with IC50 (4.14 ± 0.21 μg/mL) (p < 0.05), as well as xanthine oxidase inhibitory activity with IC50 (64.84 ± 3.93 μg/mL) (p < 0.05). Afzelechin 3-O-alpha-l-rhamnopyranoside and cucumerin A were tentatively identified as possible metabolites that contribute to the antioxidant activity of the n-butanol fraction.
  8. Noorul Aini Sulaiman, Nur Zazarina Ramly, Shuhaila Mat-Sharani, Nor Muhammad Mahadi
    MyJurnal
    Protease is an enzyme that catalysed the hydrolysis of protein into peptide. Application of protease in industry has been linked with cost effective substrates and complex of enzyme-substrate stability. Molecular docking approach has identified casein as a preference substrates. However, lack of data on casein mode of binding to protease and enzyme stability represents a limitation for its production and structural optimization. In this study, we have used a molecular dynamic (MD) to examine the stability of complex enzyme-substrate of protease from Bacillus lehensis G1. The 3D structure of protease (BleG1_1979) was docked with substrate casein using AutoDock Vina. Structural analysis of the substrate-binding cleft revealed a binding site of casein was predominantly at the hydrophobic region of BleG1_1979. The MD of complex BleG1_1979-casein was tested with two temperatures; 298 K and 310 K using GROMACS v5.1.4. MD simulation showed a stable behaviour of BleG1_1979 over the 20 ns simulation period. The molecular docking and MD simulation suggested that the production of protease from B. lehensis G1 by utilization of casein and the stability of complex protease-casein could be a potential application to generate a cost effective enzyme to be develop for industrial use.
  9. Jahan N, Abd Manan F, Mansoor A, Zaidi MA, Shahwani MN, Javed MA
    ScientificWorldJournal, 2018;2018:8180174.
    PMID: 30356418 DOI: 10.1155/2018/8180174
    Rice production is decreasing by abiotic stresses like heavy metals. In such circumstances, producing food for growing human population is a challenge for plant breeders. Excess of Al3+ in soil has become threat for high yield of rice. Improvement of crop is one of potential solution for high production. The aim of this study was to develop the new method for optimization of Al3+ toxicity tolerance in indica rice at germination stag using two-way ANOVA and Duncan's multiple-range test (DMRT). Seeds of two indica rice cultivars (Pokkali and Pak Basmati) were exposed in different concentrations (control, 5 mM, 15 mM, and 20 mM) of Al3+ toxicity at pH 4 ±0.2 for two weeks. Germination traits such as final germination percentage (FG%), germination energy (GE), germination speed (GS), germination index (GI), mean time of germination (MGT), germination value (GV), germination velocity (GVe), peak value of germination (GPV), and germination capacity (GC) and growth traits such as root length (RL), shoot length (SL), total dry biomass (TDB), and germination vigour index (GVI) were measured. To obtain the maximum number of significance (≤ 0.01%) parameters in each concentration of Al3+ toxicity with control, two-way ANOVA was established and comparison of mean was done using DMRT. The results showed that 5 mM, 10 mM, and 15 mM have less significant effects on the above-mentioned parameters. However, 20 mM concentration of Al3+ produced significant effects (≤ 0.01%). Therefore, 20 mM of Al3+ is considered optimized limit for indica cultivars (Pokkali and Pak Basmati).
  10. Anwar A, Minhaz A, Hussain SS, Anwar A, Simjee SU, Ishaq M, et al.
    Spectrochim Acta A Mol Biomol Spectrosc, 2019 Jan 05;206:135-140.
    PMID: 30096697 DOI: 10.1016/j.saa.2018.07.099
    Gold nanoparticles (AuNPs) stabilized by new cationic 1‑(3‑(acetylthio)propyl)pyrazin‑1‑ium ligand (PPTA) were synthesized. AuNPs stabilized by PPTA (PPTA-AuNPs) were found to be spherical and polydispersed with the average size of 60 nm. Human neuroblastoma (SHSY-5Y) cells permeability of PPTA-AuNPs was found to be a key feature to study the intracellular quenching of Fe(III) proliferative activity. In vitro MTT assay revealed non-cytotoxicity of PPTA and PPTA-AuNPs at 100 μM concentration, while treatment of 100 μM of Fe(III) with SHSY-5Y cells resulted into higher cells viability. Contrary, a mixture of 1:1 Fe(III) with PPTA-AuNPs showed no change in the viability of cells at same concentration which suggests the intracellular complexation and recognition of Fe(III) by PPTA-AuNPs. AFM morphological analysis of SHSY-5Y cells also supported the MTT assay results, and it is safe to conclude that PPTA-AuNPs can be used as Fe(III) probes in living cells. In addition, Fe(III) caused a significant decrease in the absorbance of surface plasmon resonance (SPR) band of PPTA-AuNPs in a wide range of concentration and pH, with limit of detection 4.3 μM. Moreover, the specific response of PPTA-AuNPs towards Fe(III) was unaffected by the interference of other metals and components of real samples of tap water.
  11. Irniza Rasdi, Nadia Farhana Ismail, Andy, Shin Shyen Kong, Suhainizam Muhammad Saliluddin
    MyJurnal
    Introduction: The prevalence of stress among Malaysian police is high in which 38.8% polices have severe stress related to work resources and workplace environment. Psychosocial safety climate is one of the indicators that can be used to avoid psychosocial health problems. Objective: This study was conducted to determine the risk factors of psychosocial safety climate and to measure the effectiveness of a customised safety website in improving the safety climate. Methodology: This study involved 105 police officers who were randomly selected from nine different departments in PDRM Bukit Aman. A survey adapted from previous study was used to determine the psychosocial safety climate levels among respondents. Then, occupational safety website was introduced to the respondents and being used for two weeks. Lastly, post survey was done to see the difference of psychosocial safety climate before and after the use of the website. Results and Discussion: Findings showed that team psychological safety (r=0.381, p= , p=
  12. Khor, Chun Siang, Nasuha Lee Abdullah, Rosnah Idrus, Nura Muhammad Baba
    Scientific Research Journal, 2017;14(2):73-87.
    MyJurnal
    This study aimed to understand the problems faced by self-planning
    travellers when they plan for a trip by searching travel information from
    the Internet and propose a system to facilitate the self-planning travellers
    to obtain useful travel information. An online survey was conducted via
    social media to understand the problems, the search criteria and types of
    content of travel itinerary needed in facilitating the planning. A total of
    65 responses were collected. The results showed that there were too many
    unrelated information on the Web and travellers were unsure of where to
    start the search. Also, the result revealed that the search criteria needed to
    generate travel itinerary were travel date, travel duration, travel country
    and travel budget. Finally, flight schedule, hotel accommodation, sightseeing
    places, travelling route and things to do were the information required by
    travellers for their travel itineraries. Based on the results, a travel itinerary
    recommendation system named eTravelPlanner is proposed.
  13. Talha Ahmed Khan, Muhammad Alam, Kushsairy Kadir, Mazliham, M.S., Zeeshan Shahid
    MyJurnal
    Designing of autonomous navigation is very complex and challenging. The main motive
    of the proposed research was to construct an autonomous robot which has a
    proficiency to move in unpredictable and dynamic environments, and for that reason
    the robot has to sense the environment and lug out the required tasks irrespective of
    any hindrances in its working area. Applications of autonomous mobile robots can
    include espionage, underground mining, military operations, driverless transportation,
    identification of intrusion and protect missions, etc. Several various approaches have
    been critiqued to perform such operability of robot but results proved that the Fuzzy
    logic found to be the best for this kind of robotics operations because it has the
    capability to respond meritoriously to the complex inputs. To refrain and bypass the
    obstacles accurately and to attain the destination under various contour of obstruction
    in surroundings, a fuzzy logic approach has been studied and carried out to advance
    the motion of robot vigorously with less false alarm rate using ‘If-Then’ basic principle
    fuzzy inference norms and defuzzification procedure for the accurate and precise path
    planning and navigation of autonomous robot. The unmanned robot was furnished
    with sensors (ultrasonic HC-SR04) which has the aptitude to detect the scope of
    hindrances on the premise of how close or far the impediment is. To achieve this a
    solitary board PC was utilized, to be specific Raspberry-Pi 2 model b which takes the
    inputs from the sensors and maintain a strategic distance from the snags set in their
    way lastly proceeds onward. Results proved that our designed robot is a cost-effective
    solution performed better than the other techniques.
  14. Tahir, M.M., Haron, N.A., Alias, A.H., Harun, A.N., Muhammad, I.B., Baba, D.L.
    MyJurnal
    The control of cost and time in construction projects is one of the most important issues in construction since the emergence of the construction industry. A successful project should meet not only quality output standards, but also time and budget objectives. The management and control of cost and time in construction is fundamental in every project. An effective cost and time management and control technique for construction projects is important in managing risk of cost overrun and delay in completion of projects. Construction projects are becoming more complex as they now involve many stakeholders from different disciplines. The emergence of Building Information Model (BIM), an alternative technology is believed to solve issues related to project cost and time control as it efficiently increases collaboration between stakeholders. The aim of this paper is to review and summarise the causes of delay and cost overrun in construction industries, which are the main causes of disputes and abandonment of projects in the industry. It was found that delays and cost overrun eat deep into the industry and leave the construction industry with a bad image for decades even with rapid advancement in technology. The review of the applications of BIM showed that most of the applications are geared towards minimising construction cost and time spent on projects. This means that the use of BIM in the management of construction projects has great impact on project cost and time.
  15. Muhammad Hamdan, Hosni Hasan, Shariman Ismadi Ismail, Hashbullah Ismail, Raja Mohammed Firhad Raja Azidin
    Movement Health & Exercise, 2018;7(1):59-72.
    MyJurnal
    Knee and hip extension are two proposed mechanisms of non-traumatic
    anterior cruciate ligament (ACL) injury. This study aimed to investigate the
    changes of the hip extension angles following exertion induced by an
    overground simulated soccer match-play. Fifteen male recreational players
    consented to this study and were required to complete a 90 minutes of
    simulated soccer match-play. Knee and hip angles were measured at initial
    contact during 45° anticipated side-cutting tasks performed prior to the
    simulation (time 0 min), at the end of the first half (time 45 min) prior to the
    second half (time 60 min) and at the end of the soccer match simulation (time
    105 min). A two (group: dominant, nondominant) × four (time: 0 min, 45
    min, 60 min and 105 min) mixed between- and within- subjects ANOVA was
    utilized. Results revealed that both knee and hip extension angles were
    significantly altered over time (knee: F3,102 = 4.464, p = 0.005, η2 = 0.116;
    hip: F3,102 = 9.998, p = 0.000, η2 = 0.227), however no significant differences
    were observed between dominant and nondominant sides (knee: F1,34 =
    0.026, p = 0.872, η2 = 0.001; hip: F1,34 = 0.225, p = 0.638, η2 = 0.007).
    Pairwise comparisons indicated that the knee and hip is more during the
    second half of the simulation (time 60 min and time 105 min), compared to
    pre-exertion (time 0 min) (p < 0.05). The more erect knee and hip landing
    postures observed suggested a greater risk of ACL injury during the latter
    stage of each halves of match-play, supporting epidemiological observations.
    Further interrogations of the kinematic differences in the knees and hips
    across limb dominance are warranted for a more comprehensive
    understanding of the changes in a multiplanar perspective following soccer
    specific fatigue development.
  16. Zahari Taha, Wong, Yashim, Muhammad Amirul Abdullah, Yap, Hwa Jen, Wee, Kian Yeo
    Movement Health & Exercise, 2018;7(1):201-209.
    MyJurnal
    Immersion is one of the most important aspects in ensuring the applicability
    of Virtual Reality systems to training regimes aiming to improve
    performance. To ensure that this key aspect is met, the registration of motion
    between the real world and virtual environment must be made as accurate and
    as low latency as possible. Thus, an in-house developed Inertial Measurement
    Unit (IMU) system is developed for use in tracking the movement of the
    player’s racquet. This IMU tracks 6 DOF motion data and transmits it to the
    mobile training system for processing. Physically, the custom motion is built
    into the shape of a racquet grip to give a more natural sensation when
    swinging the racquet. In addition to that, an adaptive filter framework is also
    established to cope with different racquet movements automatically, enabling
    real-time 6 DOF tracking by balancing the jitter and latency. Experiments are
    performed to compare the efficacy of our approach with other conventional
    tracking methods such as the using Microsoft Kinect. The results obtained
    demonstrated noticeable accuracy and lower latency when compared with the
    aforementioned methods.
  17. Raza Kazmi SM, Iqbal Z, Muneer MU, Riaz S, Zafar MS
    Eur J Dent, 2018 8 28;12(3):375-379.
    PMID: 30147402 DOI: 10.4103/ejd.ejd_232_18
    Objective: The current study aimed to assess the knowledge and practice of pontic design selection by the general dental practitioners (GDPs) in the light of contemporary guidelines.

    Materials and Methods: This cross-sectional study was conducted among the GDPs of Karachi. A questionnaire was designed to collect data from 100 GDPs. The questionnaire included general/demographic information (practitioner's education, experience, and place of practice) and an average number of fixed prosthesis constructed by the GDP. The questionnaire was further categorized to evaluate the knowledge/practice of pontic design selection and latest recommendations.

    Results: For the maxillary anterior segment, the ridge lap pontic was the most common (32%) followed by the modified ridge lap (28%). In the maxillary posterior segment, the ridge lap pontic was the most common (37%) followed by sanitary design (34%). For the mandibular anterior segment, the modified ridge lap (50%) was the most common followed by ridge lap pontic (17%). In case of the mandibular posterior segment, the sanitary design (34%) was the most common followed by ridge lap pontic (30%).

    Conclusions: The pontic design selection for the fixed prosthesis is a neglected domain. The contemporary guidelines are not followed with full spirit by the GDPs leading to wide variations in the pontic design selection.

  18. Muhammad Lokman Md Isa, Anis Amira Aznan, Afzan Mat Yusof, Nakisah Mat Amin
    MyJurnal
    Objective: The present study is designed to investigate the occurrence of Acanthamoeba in air ventilation and air-conditioning systems in selected buildings in Kuantan.

    Methods: Acanthamoeba was isolated from dust samples taken from filters of air ventilation systems in selected buildings in Kuantan. The dusts were collected by using sterile cotton swabs, cultured in a xenic culture medium on non-nutrient agar (NNA) plates and incubated at 37º C. The plates were examined daily for any presence of Acanthamoeba cysts up to 7 days of incubation.

    Results: Based on the results obtained, there were no cysts or trophozoites of Acanthamoeba successfully isolated from all 75 dust samples. After three days of incubation, all culture plates examined show negative findings.

    Conclusions: The negative findings of this study were probably due to the limitations of the sampling method. It is recommended that future studies use the method proposed by National Institute of Occupational Safety and Health (NIOSH) for indoor air quality monitoring.
  19. Abdur Rahman Muhammad Abdul Majid, Nor Asilah Wati Abdul Hamid, Amir Rizaan Rahiman, Basim Zafar
    MyJurnal
    Tawaf ritual performed during Hajj and Umrah is one of the most unique, large-scale multi-cultural events in this modern day and age. Pilgrims from all over the world circumambulate around a stone cube structure called Ka’aba. Disasters at these types of events are inevitable due to erratic behaviours of pilgrims. This has prompted researchers to present several solutions to avoid such incidents. Agentbased simulations of a large number of pilgrims performing different the ritual can provide the solution to obviate such disasters that are either caused by mismanagement or because of irregular event plans. However, the problem arises due to limited parallelisation capabilities in existing models for concurrent execution of the agent-based simulation. This limitation decreases the efficiency by producing insufficient frames for simulating a large number of autonomous agents during Tawaf ritual. Therefore, it has become very necessary to provide a parallel simulation model that will improve the performance of pilgrims performing the crucial ritual of Tawaf in large numbers. To fill in this gap between large-scale agentbased simulation and navigational behaviours for pilgrim movement, an optimised parallel simulation software of agent-based crowd movement during the ritual of Tawaf is proposed here. The software comprises parallel behaviours for autonomous agents that utilise the inherent parallelism of Graphics Processing Units (GPU). In order to implement the simulation software, an optimized parallel model is proposed. This model is based on the agent-based architecture which comprises agents having a reactive design that responds to a fixed set of stimuli. An advantage of using agents is to provide artificial anomaly to generate heterogeneous movement of the crowd as opposed to a singular movement which is unrealistic. The purpose is to decrease the execution time of complex behaviour computation for each agent while simulating a large crowd of pilgrims at increased frames per second (fps). The implementation utilises CUDA (Compute Unified Device Architecture) platform for general purpose computing over GPU. It exploits the underlying data parallel capability of an existing library for steering behaviours, called OpenSteer. It has simpler behaviours that when combined together, produces more complex realistic behaviours. The data-independent nature of these agent-based behaviours makes it a very suitable candidate to be parallelised. After an in-depth review of previous studies on the simulation of Tawaf ritual, two key behaviours associated with pilgrim movement are considered for the new model. The parallel simulation is executed on three different high-performance configurations to determine the variation in different performance metrics. The parallel implementation achieved a considerable speedup in comparison to its sequential counterpart running on a single-threaded CPU. With the use of parallel behaviours, 100,000 pilgrims at 10 fps were simulated.
  20. Norhuzaimah, J., Liu, C. Y., Muhammad, M., Joanna Ooi ,S. M.
    MyJurnal
    During induction of general anaesthesia, the act of laryngoscopy and tracheal intubation stimulates the sympathetic
    nervous system resulting in an increase in blood pressure and heart rate which may be harmful especially in elderly
    patients with pre-existing ischaemic heart disease. Several drugs have therefore been used to obtund this increase
    including esmolol, nicardipine, magnesium sulphate and lignocaine. This prospective, double blind randomised
    clinical trial compared the efficacy of magnesium sulphate and esmolol in attenuating haemodynamic responses to
    laryngoscopy and tracheal intubation. One hundred and twenty six ASA I-II patients scheduled for elective surgery
    requiring general anaesthesia with tracheal intubation were enrolled and randomised into two groups: Group 1 (n =
    67) received MgSO4 40 mg/kg diluted in 100 ml normal saline administered over ten minutes, whereas Group 2 (n =
    59) received a bolus of esmolol 1.0 mg/kg diluted to 10 ml. Systolic and diastolic blood pressures and heart rate were
    recorded every minute for subsequent 10 minutes following laryngoscopy and tracheal intubation. Attenuation of the
    mean systolic and diastolic blood pressures following laryngoscopy and tracheal intubation was significantly larger
    in Group 2 compared to Group 1. Patients in Group 2 had significantly better suppression of heart rate response
    compared to Group 1 during the first four minutes after laryngoscopy and tracheal intubation (p
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