Kajian kes ini dilakukan untuk mengenal pasti tahap kebersihan diri pengendali makanan dan kebersihan kafetaria di kolej kediaman Universiti Kebangsaan Malaysia (UKM). Seramai 75 responden telah terlibat. Data demografi menunjukkan terdapat responden yang tidak mendapat suntikan demam kepialu (32%) dan tidak mempuyai sijil kursus pengendali makanan (49.3%). Selain itu, lebih separuh bilangan responden adalah bukan warganegara (50.73%). Dapatan berkaitan amalan kebersihan diri menunjukkan 7 item mempunyai peratusan yang agak baik (70.3% – 87.5%) manakala 7 item yang lain mempunyai peratusan kurang baik (26.4% – 68%). Kajian juga menunjukkan terdapat 12 item berkaitan kebersihan kafetaria yang dipatuhi dan 9 item yang tidak dipatuhi daripada 21 item yang dinilai. Ujian statistik menunjukkan wujud perbezaan yang signifikan (U = 472, p = 0.01) antara pengendali makanan yang warganegara dan bukan warganegara di mana warganegara mempunyai amalan kebersihan diri yang lebih baik berbanding bukan warganegara. Dapatan kajian juga menunjukkan wujud hubungan yang positif dan signifikan di antara kebersihan diri dan kebersihan kafetaria (χ2 = 6.432, p = 0.011). Walau bagaimanapun, kekuatan hubungannya adalah sederhana (Φ = 0.29). Kesimpulannya, pengendali makanan yang warganegara mempunyai amalan kebersihan diri yang baik dan akan menjana suasana persekitaran kafetaria yang bersih.
The aim of this study was to describe the sociodemographic aspect, clinical presentation and laboratory support, behaviour factor and vector situation of dengue outbreak. Data was obtained from standard investigation format of 84 cases of suspected dengue fever in two main outbreaks localities in Temerloh District from December 2001 to January 2002. The result showed that most of the cases occurred among 11 years old and above, especially in the age group of 11 to 20 years old. Students and female were the most high risk groups. Rashes and petechiae were more prevalent in Taman Sri Semantan which reflect the case incidence there. Serological result showed that seroprevalence for IgM was 66.1 %. Based on dengue rapid test, secondary infection was more prevalent in Taman Sri Kemuning whereas those in Taman Sri Semantan had more primary infection. About 25% of the cases came late to hospital for treatment. Both localities had different mosquito breeding areas. Further studies are needed to identify behaviour aspect of the population with regard to dengue fever in previous main outbreak localities. A more valid and rapid serological test is required for better case identification.
Keywords: Dengue outbreak, risk factors, patient factor, clinical finding, serological test
The critical review paper is a component of the theory examination for postgraduate psychiatry in Malaysia. Majority of students find this paper difficult, thus this article is intended to help the students understand the critical review paper better. The paper discussed below aimed to determine the knowledge, attitude and practice towards sleep among medical students of International Islamic University Malaysia (IIUM). Model answers were provided at the end of each question, as marked in italic font.
The pursuit for higher degrees is accelerating in the country. With mushrooming foreign and local graduates from non-university and university status institutions, it is critical to explore the types of qualification awarded and the existing platform for recognition and accreditation purposes. The objectives of this study are: (i) to gather information with regard to current policies and practices pertaining to recognition and accreditation systems of the higher education sector, with specific reference to Malaysia and china (ii) to review the existing policy between accreditation and recognition agencies/providers and (iii) to recommend best practices, guidelines and strategies for practical implementation in Malaysia. The methodology pursuit in Malaysia and china involved inspection of documents and purposive interviews. The research was implemented from May 2009 to november 2009. The results of the research revealed that though the worldview of mutual recognition agreement is to liberalise the education sector, the authentic situations prevailing in the country requires the purposive liberalization of the education sector, with periodic reviews for its appropriateness and relevance for the needs of the country (provisional and conditional), thereby ensuring regulatory, review and quality sustainability. The customized regulatory framework would be a prerequisite (conditional), with due attention be given to either implicit or explicit conditions in the recognition of academic degrees. In deliberating the mutual recognition agreement with jurisdiction including those which are more educationally advanced, selective emerging 'niche' areas and/or supportive (conditional) have been proposed. Finally, to strengthen the existing regulatory frame work, innovative provision in this legal framework is recommended.
Kesatuan Ekonomi ASEAN (AEC) merupakan realisasi matlamat akhir integrasi ekonomi yang diasaskan pada pemusatan keinginan negaranegara ASEAN untuk meluaskan intergrasi ekonomi melalui inisiatif baru dan sedia ada dalam kerangka masa yang telah ditetapkan. Dalam merealisasikan salah satu tindakan AEC yang telah dikenal pasti iaitu memperkasakan perlindungan pengguna ASEAN, pengharmonian undang-undang kontrak pengguna dilihat sebagai salah satu agenda penting ASEAN. Dengan berobjektifkan pengharmonian undang-undang kontrak ASEAN yang mengkhusus kepada penggunaan terma tidak adil dalam pasaran pengguna seterusnya mencadangkan ASEAN Model Law on Unfair Terms in Consumer Contracts, makalah ini mengadoptasi metodologi analisis kandungan berteraskan literatur undang-undang primer dan sekunder. Mengguna pakai undang-undang kes dan perundangan di enam negara ASEAN terpilih iaitu Malaysia, Singapura, Indonesia, Thailand, Filipina dan Brunei, penyelidikan ini mendapati wujud persamaan dalam mekanisme yang digunakan di negara-negara ASEAN ini dalam menangani permasalahan penggunaan terma tidak adil dalam kontrak pengguna. Namun walaupun perundangan dilihat sebagai mekanisme yang mampu menangani permasalahan ini, wujud perbezaan pendekatan dalam perundangan yang diadaptasi oleh negara-negara ASEAN tersebut. Penggunaan perundangan berorientasikan perlindungan pengguna bagi mengawal penggunaan terma tidak adil dalam kontrak pengguna jelas kelihatan di Malaysia, Singapura, Indonesia, Thailand dan Filipina. Penggunaan perundangan kontrak yang mengkhusus kepada terma tidak adil sebagai instrumen kawalan pula kelihatan di Singapura, Thailand dan Brunei. Dalam aspek ini, keunikan Singapura dan Thailand yang menangani permasalahan terma tidak adil dalam kontrak pengguna dengan mengadakan perlindungan melalui dua jenis perundangan yang berbeza menampakkan korpus perlindungan pengguna yang lebih mapan. Pendekatan yang berbeza yang diamalkan di beberapa negara ASEAN terpilih ini memperlihatkan satu korpus perlindungan pengguna yang unik dalam aspek kontrak pengguna tidak adil.
Selaras dengan ledakan pengetahuan berasaskan komputer dan teknologi pada abad ke-21, kaedah Pembelajaran Berasaskan Projek (PBP) atau Project Based Learning (PBL) telah diperkenalkan oleh Kementerian Pelajaran Malaysia (KPM) pada tahun 2006. Pada awalnya, implementasi kaedah PBP telah dimulakan di sekolah-sekolah bestari perdana. Ini merupakan tinjauan literatur yang membincangkan takrifan dan teori yang digunapakai dalam kaedah PBP. Selain itu, perbandingan kaedah PBP dengan kaedah Pembelajaran Berasaskan Masalah (PBM) atau Problem Based Learning (PBL) turut dibincangkan memandangkan kedua-dua kaedah ini menggunakan akronim yang sama dalam bahasa Inggeris. Berdasarkan tinjauan literatur ini, didapati bahawa kaedah PBP mempunyai kelebihan dan kelemahan yang tersendiri, maka terpulang kepada budi bicara guru yang mengajar untuk mengaplikasikan kaedah ini dalam pengajaran dan pembelajaran (P dan P) bersesuaian dengan kebolehan murid.
The application of computer and machines for agricultural production has been one of the outstanding
developments in Malaysian agriculture, especially in overcoming labour shortages in Oil Palm plantations. The on-line automated weedicide sprayer system was developed at Universiti Putra
Malaysia to locate the existence and intensity of weeds in real-time environment and to spray the
weedicides automatically and precisely. During the start of the spraying operation, the web camera
will initially capture the image of weeds. The computer programme will compute the red, green, blue (RGB) values in the form of computer pixel. These values will be used as reference RGB values to be compared with the RGB values of the weeds captured real-time during the spraying operation. The sprayer nozzle will be turned ‘on’ or ‘off’, depending on the percentage or intensity of the green colour pixel value of weeds. The sprayer valve will open the nozzle/s when the camera detected the presence of weeds. The purpose is to reduce wastage, reduce labour, reduce cost, and control environment hazard.
Most investigations on heavy metals content in fish were either conducted on single markets, ports, seaside markets or direct sampling from natural habitat, and there were very few studies done on fish samples from both wet markets and supermarkets. This paper presents the assessment outcome of Cd and Pb levels in commercial fish sold between wet markets and supermarkets in Klang Valley, Malaysia. In this study, the organs of four commercial fish species (Rastrellinger kanagurta, Epinephelus sexfasciatus, Lates calcarifer, and Decapterus maruadsi) sampled from different markets within the sampling area were assessed using dry ashing-acid digestion method and Flame AAS. Results obtained concluded that Cd and Pb in fishes sampled from supermarkets are generally higher compared to wet markets, while both metals content in the edible organs fall well within the permissible limits for human consumption when compared to the Fourteenth Schedule of the Malaysian Food Regulations 1985.
The advantage of cooking cannot be summarized just as the better food digestion. Some investigations showed the effect of cooking on reduction of food anti-nutrients such as oxalate. This study was aimed to determine the effect of cooking on oxalate content and its negative effects on calcium availability in eight Malaysian soy-based dishes. Since there is few data which examined the effects of cooking on food oxalate content globally, thus this study was designed as the first in Malaysia. Oxalate in this research was analyzed by using enzymatic methods, while calcium content was determined by using Atomic Absorption Spectrophotometer. The oxalate concentration was in the range of 6.43-19.40 mg/100 g for whole cooked samples, 9.03-11.90 mg/100 g for raw soy products, and 4.36-7.99 mg/100 g for cooked ones. There were 5 out of 12 samples containing oxalate, which was significantly lower (p < 0.05) in cooked products compared to the raw ones. The rest of the samples were also lower in oxalate but not significantly different (p > 0.05). Oxalate in raw/cooked fermented soy products (tempeh) was slightly lower compared to the non-fermented ones. However, there was no significant difference (p > 0.05) in oxalate amount between fermented and non-fermented soy products. As Oxalate/Calcium ratio was below 1, oxalate did not have an effect on availability of calcium in the studied samples. Optimal cooking and food processing might be effective in reducing oxalate content in soy products. There is a need for more investigations about the effect of cooking on soy products to confirm the present results.
Patient’s belief towards pain management may affect pain management outcomes and quality of life. The main aim of the present study was to determine the impact of a pre-operative pain education package towards pain belief among patients undergoing orthopaedic surgery in a tertiary hospital. A one-group pre-test post-test design study was conducted on orthopaedic surgery patients. Thirty respondents were recruited and pre-operative pain education was administered individually before surgery. Pre-operative and post-operative pain belief, management scores and side effects were measured using the Barrier Questionnaire (BQ-13). The results reported significant differences between pre-test scores (Mean = 41.87, Standard Deviation = 11.467) and post-test scores (Mean=34.80, Standard Deviation=13.026) of pain belief (t = 2.84, p = 0.004). There were also significant differences between pre-test scores (Mean = 37.10, Standard Deviation = 10.610) and post-test scores (Mean=30.80, Standard Deviation = 11.424) of pain management (t = 3.856, p = 0.0005). Respondent’s gender (t = -2.403, p = 0.023) and ethnicity (F = 5.038, p=0.014) reported significant differences with p value < 0.05, respectively. However, there were no significant differences between educational level, ethnicity, prior surgical history with pain belief (p> 0.05). There was positive impact of the pain education package towards pain belief and painmanagement among respondents who underwent orthopaedics surgery in a tertiary hospital. Reinforcement of pain educational program is pivotal in order to achieve optimal post-operative pain management.
Keywords: pain, education, orthopaedics, patient, surgery
Kebelakangan ini, tanda-tanda kemurungan dalam kalangan remaja semakin meningkat. Kajian ini dijalankan untuk menentukan prevalens kemurungan dan faktor-faktor ramalan. Satu kajian keratan rentas telah dijalankan 191 remaja yang terpilih secara rawak dan terdiri daripada pelajar tingkatan empat dari lima buah sekolah menengah di negeri Selangor, Malaysia. Satu soal selidik yang terdiri daripada enam bahagian (A) demografi, (B) tahap kemurungan, (C) hubungan keluarga, (D) tahap sokongan rakan sebaya, (E) harga diri, dan (F) pencapaian akademik telah diedarkan. Prevalen kemurungan adalah 50.3%. Analisis regresi logistik mendapati, remaja yang mempunyai masalah dengan rakan-rakan adalah lebih cenderung untuk mengalami kemurungan berbanding dengan mereka yang tidak mempunyai masalah dengan rakan-rakan mereka (aOR 2.84, 95% CI 1.50, 5.36). Kajian selanjutnya perlu meneliti faktor-faktor lain seperti tekanan daripada guru-guru untuk mengukuhkan pemahaman kita mengenai kemurungan di kalangan remaja. Diharapkan hasil kajian ini berguna kepada pelbagai pihak yang mengambil berat tentang masalah ini.
Madu adalah bahan semulajadi yang dihasilkan oleh lebah madu, Apis mellifera, berpunca daripada madu yang diambil dari bunga yang berkembang atau cecair dari pokok dan tumbuhan yang dikenali sebagai madu nektar dan madu serangga masing-masing. Ia adalah larutan tepu gula, yang kaya dengan protein, mineral, vitamin, asid organik dan polifenol. Madu mempunyai pelbagai khasiat, sifat penyembuhan dan profilaktik disebabkan oleh komponen-komponen yang terkandung di dalamnya. Madu mempunyai beberapa khasiat kesihatan seperti penyembuhan luka, antimikrob, antioksidan dan potensi anti-radang. Ulasan ini adalah berkaitan komposisi nutrien, antioksidan dan kesan terapeutik madu dengan penekanan kepada madu di Malaysia.
Kajian garis pangkal pengimejan resonans magnet kefungsian (fMRI) telah dijalankan di Jabatan Radiologi, Hospital Universiti Kebangsaan Malaysia ke atas seorang subjek lelaki sihat berumur 25 tahun menggunakan sistem pengimejan resonans magnet (MRI) 1.5 T. Kajian ini menggunakan gerakan jari tangan kanan dan kiri untuk merangsang aktiviti neuron di dalam korteks serebrum. Subjek diarahkan supaya menekan jari-jari pada ibu jari secara bergilir-gilir semasa imbasan kefungsian dilakukan. Paradigma 5 kitar aktifrehat digunakan dengan setiap kitar masing-masing mengandungi 20 siri pengukuran. Keputusan menunjukkan bahawa rantau otak yang aktif akibat gerakan jari adalah girus presentral merangkumi kawasan motor primer. Pengaktifan otak adalah secara kontralateral terhadap gerakan jari tangan kanan dan kiri. Keamatan isyarat keadaan aktif didapati lebih tinggi daripada keamatan isyarat keadaan rehat. Analisis yang dilakukan ke atas beberapa rantau pengaktifan yang diminati (ROI) pada beberapa hirisan menunjukkan perbezaan yang bererti (p < 0.05) antara keamatan keadaan aktif dan rehat untuk nilai ambang statistik (Z) = 1.0 dan 1.5. Perbezaan purata antara kedua-dua purata keamatan isyarat keadaan aktif dan rehat pada manamana hirisan untuk kedua-dua nilai Z menunjukkan magnitud pengaktifan yang lebih tinggi pada hemisfera kanan otak iaitu apabila subjek menggerakkan tangan kirinya. Bilangan voksel yang aktif juga didapati lebih tinggi pada hemisfera kanan berbanding pada hemisfera kiri otak. Keputusan ini menyokong fakta bahawa bagi subjek yang tidak kidal, kawasan pengaktifan motor pada hemisfera kanan otak semasa gerakan jari tangan kiri mengalami rangsangan hemodinamik yang lebih tinggi berbanding dengan hemisfera kiri otak semasa gerakan jari tangan kanan. Fenomena rangsangan hemodinamik yang diperhatikan dalam kajian ini dibincangkan berdasarkan kepada kebergantungan kontras isyarat kepada aras oksigen darah (BOLD).
Kajian garis pangkal pengimejan resonans magnet kefungsian (fMRI) telah dijalankan ke atas 2 orang subjek lelaki sihat (kidal dan tidak kidal) masing-masing berumur 22 dan 25 tahun. Imbasan fMRI dijalankan menggunakan sistem pengimejan resonans magnet (MRI) 1.5 T di Jabatan Radiologi, Hospital Universiti Kebangsaan Malaysia. Kajian ini menggunakan gerakanjari tangan kanan dan kiri untuk merangsang aktiviti neuron di dalam korteks serebrum. Paradigma 5 kitar aktifIrehat digunakan dengan setiap kitar mengandungi satu blok aktif dan satu blok rehat yang masing-masing mengandungi 10 siri pengukuran. Imej fMRI dianalisis menggunakan pekej perisian MatLab dan pemetaan statistik berparameter 2 (sPM2). Proses pendaftaran jasad tegar menggunakan penjelmaan afin 6 parameter dilakukan ke atas kesemua imej kefungsian berwajaran T2*. Keputusan menunjukkan bahawa pergerakan subjek adalah minimum sama ada dalam arah translasi (< 1 mm) atau putaran (< 1 ). Kesemua imej dinormalkan melalui proses peledingan tak linear menggunakan penjelmaan afin 12 parameter dan didapati sepadan dengan pencontoh yang telahpun mematuhi ruang anatomi piawai. Walau bagaimanapun, bentuk, resolusi dan kontras imej kefungsian telah berubah sedikit berbanding dengan imej asal. Pelicinan imej menggunakan kernel Gaussian isotropik 6 mm menyebabkan data imej lebih bersifat parametrik dengan kehilangan yang ketara dalam resolusi dan kontras. Pengasingan struktur yang dilakukan ke atas imej berwajaran T1 mengklaskan tisu otak kepadajirim kelabu, jirim putih dan bendalir serebrospina. Pasca pemprosesan ruang bagi imej kefungsian dan struktur menjadikan data imej bersifat parametrik dengan taburan jenis Gaussian dan sedia untuk dianalisis menggunakan model linear am dan teori medan rawak Gaussian.
Hydraulics simulation can be used as a supporting tool for planning and developing a framework, such as Integrated Flood Management for river management. To demonstrate this, a hydraulics model for the Sarawak River Basin was run using InfoWorks RS software by Wallingford Software, UK. InfoWorks River Simulation (RS) was chosen because its applicability has been proven and widely used to model Malaysian rivers. The extraction of computed floodwater level and flood maps for different time intervals would produce the rate of floodplain submergence from river bank level. This information could be incorporated into a logical framework to support decisions on flood management measures. Thus, hydraulics models can be used as tools to provide the necessary decision parameters for developing logical frameworks which would act as to guide the planning when it involved various stakeholders’ participation.
This study was designed to examine the role of parents and family in motorcycle riding practices among teenagers and motorcycle accident in FELDA Trolak Utara, Perak. This was a cross sectional study using universal sampling that involved 309 teenage riders aging from 11 to 19 years old. Only 6.1% respondents that rode motorcycle had a valid driving licenses. Mean age of starting to ride was 11.46 ± 1.75 years old. Mean years of riding motorcycle was 3.66 ± 1.95 years. The major buyer of motorcycles for the teenagers were father (78.3%) and other family members (13.7%). About 42.7% of teenagers learnt riding by themselves and in 51.8%, family members taught teenagers to ride motorcycle. The main purpose for riding motorcycle were to go to shop (37.2%), to school (32.7%) and for recreation (25.2%). From the perception of teenagers, about 82.2% parents encouraged them to ride. Mean usual riding speed (n = 296) was 58.72 ± 23.97 km/h. The mean maximum riding speed (n = 290) was 89.81 ± 30.70 km/h. There were positive correlation between years of motorcycle riding and usual motorcycle riding speed (r = 0.292, p < 0.05) and maximum motorcycle riding speed (r = 0.371, p < 0.05). The usual motorcycle riding speed was predictor factor for motorcycle accident. Parents, families and communities should play their role to make sure that their teenage children do not ride at a very young age and ride without a valid license. Reducing years of motorcycle riding among teenagers may reduce usual riding speed and consecutively reducing teenagers’ involvement in motorcycle accidents.
Key words : role of parents, teenagers’ riding practice, motorcycle
Healthcare costs are rising in Malaysia for various reasons. Thus, some people have responded by purchasing private health insurance to protect against catastrophic illnesses and huge medical bills. In this paper, a comparative analysis of private health insurance plans of dyferent types is done to determine Q' they do provide adequate coverage and adequate protection against heavy financial loss. The results indicate that all of the eight private health insurance plans in this study do not provide adequate coverage and adequate financial protection because of various restrictive terms and conditions.
The aim of this study was to identify the problems of stress and health effect among the office computer users. A total of 41 office workers whose job required the use of computers. A set of constructed questionnaire were use to measure the work stress and health problems among workers. The data was analyzed by using of descriptive and inference statistic. The result showed that subjects who use computer for more than 2 hours would experienced work stress such as fatigue 29(70.7%), eye and visual symptoms such as blurring of vision 27(65.9%) and musculoskeletal pain at neck 32( 78.6%). However most of symptoms were moderate. There were a significant relationship between the time spent of using computer with problem of stress (r= 0.440, p<0.05) and eyes and visual problem (r=0.319, p<0.05). However there was no significant relationship between the work station design with stress, musculoskeletal, eye and visual problems. Therefore the longer time spent using computer will lead to health problems. Using the safety operating procedure will reduce the work stress problems.
Keys word: Work stress, health problems, computer users
Objective: This study was aimed to explore the perceptions and opinions of happiness among university students. Methods: This qualitative study was conducted in January for the academic year 2010 among 33 Medical Science Students from Management and Science University (MSU), Shah Alam, Malaysia. The facilitator wrote down the conversation during the discussion. The data obtained was classified into various categories. Due to the small sample size, the data was analyzed manually. Results: All participants mentioned that the main source of happiness is money. Good relationship with friends and family is the second source of happiness among university students. Some of the students mentioned that the stability of life and good health are causes of happiness. Few participants mentioned that success in life is one of the causes of the happiness.
This paper discusses the evolution of PSR development for people with severe mental illness since the early 20th century in Malaysia. The various aspects of PSR include the activities, service target, the treatment settings, factors contributed to the development and the challenges that have been faced are also described along with the evolution, comparing the past and
present. It is learned that despite of many challenges, PSR in Malaysia has now continued to progress with increasing supports from the stakeholders and is in keeping with the current PSR concept.