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  1. Wan MJ, Phuang ZX, Hoy ZX, Dahlan NY, Azmi AM, Woon KS
    Sci Total Environ, 2024 Feb 20;912:168779.
    PMID: 38016556 DOI: 10.1016/j.scitotenv.2023.168779
    Although large-scale solar (LSS) is a promising renewable energy technology, it causes adverse impacts on the ecosystem, human health, and resource depletion throughout its upstream (i.e., raw material extraction to solar panel production) and downstream (i.e., plant demolition and waste management) processes. The LSS operational performance also fluctuates due to meteorological conditions, leading to uncertainty in electricity generation and raising concerns about its overall environmental performance. Hitherto, there has been no evidence-backed study that evaluates the ecological sustainability of LSS with the consideration of meteorological uncertainties. In this study, a novel integrated Life Cycle Assessment (LCA) and Artificial Neural Network (ANN) framework is developed to forecast the meteorological impacts on LSS's electricity generation and its life cycle environmental sustainability. For LCA, 18 impact categories and three damage categories are characterised and assessed by ReCiPe 2016 via SimaPro v. 9.1. For ANN, a feedforward neural network is applied via Neural Designer 5.9.3. Taking an LSS plant in Malaysia as a case study, the photovoltaic panel production stage contributes the highest environmental impact in LSS (30 % of human health, 30 % of ecosystem quality, and 34 % of resource scarcity). Aluminium recycling reduces by 10 % for human health, 10 % for ecosystem quality, and 9 % for resource scarcity. The emissions avoided by the forecasted LSS-generated electricity offset the environmental burden for human health, ecosystem quality, and resource scarcity 12-68 times, 13-73 times, and 18-98 times, respectively. The developed ANN-LCA framework can provide LSS stakeholders with data-backed insights to effectively design an environmentally conscious LSS facility, considering meteorological influences.
  2. Liyana AZ, Appannah G, Sham SYZ, Fazliana M, Nor NSM, Ambak R, et al.
    BMC Womens Health, 2018 07 19;18(Suppl 1):126.
    PMID: 30066628 DOI: 10.1186/s12905-018-0593-1
    BACKGROUND: The effectiveness of lifestyle intervention for weight loss on cardiometabolic risk factors among overweight and obese individuals in the community setting remains inconclusive. This study aimed to evaluate the effect of a 6-month weight loss lifestyle intervention on cardiometabolic risk factors among overweight and obese women and the sustainability of the changes in those markers at 12-month follow-up, comparing an intervention group with a control group.

    METHODS: A total of 243 participants from MyBFF@home were included in this study. Fasting blood samples at baseline, 6- and 12-month were assessed for fasting plasma glucose (FPG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and triglycerides. The effect of the intervention on cardiometabolic risk markers were investigated within and between study groups using t-test and general linear model (GLM) repeated measure ANOVA.

    RESULTS: Results from repeated measures ANOVA showed intervention effect only in TC where significant reduction was found in the intervention group (- 0.26 mmol/L [95% CI: - 0.47 to - 0.06], p 

  3. Harith AA, Mohamed Z, Mohammad A, Lim KK, Reffin N, Mohd Fadzil M, et al.
    Med J Malaysia, 2023 Sep;78(5):653-660.
    PMID: 37775494
    INTRODUCTION: Healthcare drivers, including ambulance drivers, were less concerned about health and safety during the COVID-19 pandemic, with not only the risk of COVID-19 infection but also a higher risk of prolonged states of alertness, stress, burnout, fatigue and road traffic accident. This study aimed to determine the prevalence of stress and its associated factors among healthcare drivers, especially during the COVID-19 pandemic.

    MATERIALS AND METHODS: This study employs a crosssectional study design and utilises self-reported data obtained from locally validated personal stress inventory questionnaires. The data collection period spanned from August 1 to 31, 2020. The study sample consisted of 163 healthcare drivers affiliated with the Negeri Sembilan State Health Department. The Chi-square test and Fisher's exact test were the first used to determine the association between variables prior to conducting multiple logistic regression to predict the relationship between dependent and independent variables.

    RESULTS: In COVID-19's first year, 7.4% (n = 12) of healthcare drivers reported perceived stress with ambulance drivers reporting more stress (10.6%; n = 5) than non-ambulance drivers (6.0%; n = 7). Simple statistical analysis identified perceived stress significantly associated with household income, smoking status and performing on-call. Further analysis by multiple logistic regression found that perceived stress was significantly related to smoking (aOR 19.9, 95% CI: 1.86-213.90), and performing on-call (aOR 8.69, 95% CI 1.21-62.28). Nevertheless, no association was found between perceived stress and age, ethnicity, marital status, education, household income, co-morbidities, driving assignment, employment duration, needing a part-time job or motor vehicle accident history.

    CONCLUSION: The study found that the perceived stress amongst Malaysian healthcare drivers during the COVID-19 pandemic was relatively low. This could be due to fewer lifethreatening tasks, emergencies, assigned tasks and increase income due to overtime during the COVD-19 pandemic. The OSH team's efforts to provide consistent safety and health training, including stress management, may have contributed to the healthcare driver's ability to effectively manage the stressful circumstances encountered during the pandemic. In order to enhance salary competitiveness, employers should provide financial management education alongside subsidised housing and childcare provisions. Healthcare drivers who smoke should be taught different stress reduction techniques so that they can handle their stress in a healthy way.

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