MyMedR

Displaying all 15 publications

Abstract:

Sort:

Risk mapping of dengue in Selangor and Kuala Lumpur, Malaysia

Hassan H, Shohaimi S, Hashim NR

Geospat Health, 2012 Nov;7(1):21-5.
PMID: 23242677

Dengue fever is a recurring public health problem afflicting thousands of Malaysians annually. In this paper, the risk map for dengue fever in the peninsular Malaysian states of Selangor and Kuala Lumpur was modelled based on co-kriging and geographical information systems. Using population density and rainfall as the model's only input factors, the area with the highest risk for dengue infection was given as Gombak and Petaling, two districts located on opposite sides of Kuala Lumpur city that was also included in the risk assessment. Comparison of the modelled risk map with the dengue case dataset of 2010, obtained from the Ministry of Health of Malaysia, confirmed that the highest number of cases had been found in an area centred on Kuala Lumpur as predicted our risk profiling.
A climate distribution model of malaria transmission in Sudan

Musa MI, Shohaimi S, Hashim NR, Krishnarajah I

Geospat Health, 2012 Nov;7(1):27-36.
PMID: 23242678

Malaria remains a major health problem in Sudan. With a population exceeding 39 million, there are around 7.5 million cases and 35,000 deaths every year. The predicted distribution of malaria derived from climate factors such as maximum and minimum temperatures, rainfall and relative humidity was compared with the actual number of malaria cases in Sudan for the period 2004 to 2010. The predictive calculations were done by fuzzy logic suitability (FLS) applied to the numerical distribution of malaria transmission based on the life cycle characteristics of the Anopheles mosquito accounting for the impact of climate factors on malaria transmission. This information is visualized as a series of maps (presented in video format) using a geographical information systems (GIS) approach. The climate factors were found to be suitable for malaria transmission in the period of May to October, whereas the actual case rates of malaria were high from June to November indicating a positive correlation. While comparisons between the prediction model for June and the case rate model for July did not show a high degree of association (18%), the results later in the year were better, reaching the highest level (55%) for October prediction and November case rate.
Randomised controlled trial: Shoulder-umbilicus length versus body weight measurement for optimal endotracheal tube depth estimation in ventilated infants

Mat Ali AAB, Nasir A, Ramli N, Ibrahim NR, Van Rostenberghe H

J Paediatr Child Health, 2020 05;56(5):704-709.
PMID: 31821664 DOI: 10.1111/jpc.14705

AIM: The optimal placement of the endotracheal tube (ETT) in ventilated infants is essential, but birthweight may be not the best parameter to predict it. The aim of this study was a direct comparison of shoulder-umbilical length (experimental group) versus birthweight (control group) as predictor of optimal ETT placement in Malaysian ventilated infants.
METHODS: All infants requiring ventilation in the neonatal intensive care unit of a tertiary hospital in Malaysia during the 4-month study period were eligible to enter this randomised controlled trial. All participants were randomised into two groups: experimental and control group. The main outcome measure was malposition of the ETT (requiring adjustment), as seen on the chest X-ray performed within 1 h after intubation. Tube placement was assessed by two neonatologists, blinded to the allocation.
RESULTS: One hundred and ten infants were randomised, 55 in each group. The ETT was malpositioned in 13 of 55 infants (23%) for the experimental group and 22 of 55 infants (40%) in the control group (P = 0.06).
CONCLUSION: In the experimental group, fewer infants showed a need for tube adjustment than in the control group. While a larger study may be necessary to show statistical significance, the difference shown in this study may be large enough to be of clinical significance.
Fulltext Prediction of conductivity by adaptive neuro-fuzzy model

Akbarzadeh S, Arof AK, Ramesh S, Khanmirzaei MH, Nor RM

PLoS One, 2014;9(3):e92241.
PMID: 24658582 DOI: 10.1371/journal.pone.0092241

Electrochemical impedance spectroscopy (EIS) is a key method for the characterizing the ionic and electronic conductivity of materials. One of the requirements of this technique is a model to forecast conductivity in preliminary experiments. The aim of this paper is to examine the prediction of conductivity by neuro-fuzzy inference with basic experimental factors such as temperature, frequency, thickness of the film and weight percentage of salt. In order to provide the optimal sets of fuzzy logic rule bases, the grid partition fuzzy inference method was applied. The validation of the model was tested by four random data sets. To evaluate the validity of the model, eleven statistical features were examined. Statistical analysis of the results clearly shows that modeling with an adaptive neuro-fuzzy is powerful enough for the prediction of conductivity.
Fulltext Effectiveness of a 3-month antifalling program in the mobility, balance confidence, and muscle performance of older adults

Nor R, Justine M, Joanny A, Zolkafli AA

J Exerc Rehabil, 2021 Aug;17(4):247-255.
PMID: 34527636 DOI: 10.12965/jer.2142412.206

This study determined the effectiveness of a 3-month group-based multicomponent exercise program in the mobility, balance confidence, and muscle performance of older adults. A total of 40 participants (mean age=70.60±6.25 years completed pre- and posttest clinical intervention measures of mobility using the Timed Up and Go (TUG) test, balance confidence using the Activities-specific Balance Confidence scale, upper limb strength (handgrip dynamometer), and lower limb function (30-sec chair rise test). Data were analyzed using paired t-test and based on TUG criteria for risk of fall (low- and high-risk groups). Significant improvements were found in all measures (All P<0.05) following the 3-month program. Measures according to the risk of fall categories were also significantly improved (P<0.01), except the left handgrip strength (P>0.05). The low-risk group showed a higher improvement in mobility (14.87% vs. 11.74%), balance confidence (34.21% vs. 26.08%), and lower limb function (96.87% vs. 21.20%) but was not significantly different from the high-risk group (P>0.05). A group-based multicomponent exercise program benefited the physical functions of older adults at low- or high risk of falls.
Molecular epidemiology of tuberculosis in Malaysia

Dale JW, Nor RM, Ramayah S, Tang TH, Zainuddin ZF

J Clin Microbiol, 1999 May;37(5):1265-8.
PMID: 10203468

Molecular typing with IS6110 was applied to Mycobacterium tuberculosis isolates from all parts of Malaysia. The degree of clustering increased with patient age, suggesting that reactivation may contribute to clustering. Identical banding patterns were also obtained for isolates from widely separate regions. Therefore, the use of clustering as a measure of recent transmission must be treated with caution. Strains related to the Beijing family were common in Peninsular Malaysia but were less common in Sabah and Sarawak, while a distinct group of strains comprised nearly 40% of isolates from East Malaysia but such strains were rare in Peninsular Malaysia. Single-copy strains, common in South and Southeastern Asia, constituted nearly 20% of isolates from the peninsula but were virtually absent in East Malaysia. The marked geographical difference in the prevailing strains indicates not only a restricted dissemination of M. tuberculosis but also a considerable degree of stability in the banding patterns.
Soil-to-root vegetable transfer factors for (226)Ra, (232)Th, (40)K, and (88)Y in Malaysia

Asaduzzaman Kh, Khandaker MU, Amin YM, Bradley DA, Mahat RH, Nor RM

J Environ Radioact, 2014 Sep;135:120-7.
PMID: 24814722 DOI: 10.1016/j.jenvrad.2014.04.009

Soil-to-plant transfer factors (TFs) are of fundamental importance in assessing the environmental impact due to the presence of radioactivity in soil and agricultural crops. Tapioca and sweet potato, both root crops, are popular foodstuffs for a significant fraction of the Malaysian population, and result in intake of radionuclides. For the natural field conditions experienced in production of these foodstuffs, TFs and the annual effective dose were evaluated for the natural radionuclides (226)Ra, (232)Th, (40)K, and for the anthropogenic radionuclide (88)Y, the latter being a component of fallout. An experimental tapioca field was developed for study of the time dependence of plant uptake. For soil samples from all study locations other than the experimental field, it has been shown that these contain the artificial radionuclide (88)Y, although the uptake of (88)Y has only been observed in the roots of the plant Manihot esculenta (from which tapioca is derived) grown in mining soil. The estimated TFs for (226)Ra and (232)Th for tapioca and sweet potato are very much higher than that reported by the IAEA. For all study areas, the annual effective dose from ingestion of tapioca and sweet potato are estimated to be lower than the world average (290 μSv y(-1)).
A search for novel thermoluminescent radiation dosimeter media

Al-Hinai KH, Benkara Mohd N, Rozullyah Zulkepely N, Md Nor R, Mohd Amin Y, Bradley DA

Appl Radiat Isot, 2013 Dec;82:126-9.
PMID: 23978507 DOI: 10.1016/j.apradiso.2013.07.013

We describe two example pilot efforts to help define new thermoluminescent dosimeter media. The first concerns ZnS:Mn nanophosphors, prepared by chemical precipitation using zinc and sodium sulfate, doped with manganese sulfate at concentrations varying from 1 to 3mol. The second concerns chemical vapor deposited diamond, produced as a thin film or as amorphous carbon on a single-crystal silicon substrate, each deposited under the same conditions, use being made of the hot filament-chemical vapor deposition (HFCVD) technique. The gas concentrations used were 1% CH4 in 99% H2 and 25% CH4 in 75% H2. Characterization of formations used FESEM, XRD and EDX. The nanophosphors consisted of particles of sizes in the range 85-150nm, the thermoluminescence (TL)-based radiation detection medium giving rise to a single peaked glow curve of maximum yield at a temperature of 250°C at a heating rate of 5°C/s. The TL response increased linearly with radiation dose, ZnS doped to 2mol of Mn being found the most sensitive. Regarding chemical vapor deposited (CVD) carbon, inappreciable TL was found for the resultant ball-like amorphous carbon films, graphite, and the silicon substrate, whereas CVD diamond films showed a promising degree of linearity with dose. For both the ZnS and diamond samples, TL signal fading was appreciable, being some 40% per day for ZnS and>50% per day for CVD films even under storage in the dark at room temperature, making it apparent that there is need to adjust parameters such as the size of nanoparticles.
Radionuclide emissions from a coal-fired power plant

Amin YM, Khandaker MU, Shyen AK, Mahat RH, Nor RM, Bradley DA

Appl Radiat Isot, 2013 Oct;80:109-16.
PMID: 23891979 DOI: 10.1016/j.apradiso.2013.06.014

Current study concerns measurement of radioactivity levels in areas surrounding a 2420 MW thermal power plant fueled predominantly by bituminous coal. The concentrations of (226)Ra, (232)Th and (40)K in onsite bottom-ash were found to be 139 Bq/kg, 108 Bq/kg and 291 Bq/kg, respectively, the levels for these radiolnuclides in soil decreasing with distance from the power plant. At the plant perimeter the respective radionuclide concentrations were 87 Bq/kg, 74 Bq/kg and 297 Bq/kg. In a nearby town, the corresponding concentrations were 104 Bq/kg, 52 Bq/kg and 358 Bq/kg, suggestive of use of TENORM affected soils. The mean radium equivalent activities (Raeq) in soil and ash sample in the town were 205 Bq/kg and 316 Bq/kg, respectively. The Kapar plant ash/slag appears to contain a higher level of TENORM than the world average. The degree of contamination is much higher inside the town where slag has been mixed with topsoil as landfill or as simple domestic waste. For the prevailing levels of exposure and a worst case senario, the predicted committed effective dose due to ingestion and inhalation for intake durations of 1- and 30 years would be 4.2 μSv and 220 μSv, respectively.
Fulltext Combined laparoscopic cholecystectomy and drainage of pancreatic pseudocyst: a case report and review of current management

Che Jusoh MA, Hassan J, Mohd Nor R, Kong CF, Zahirah Awang NF

Med J Malaysia, 2013 Jun;68(3):273-4.
PMID: 23749024 MyJurnal

Pancreatic pseudocyst is a well recognized complication of acute or chronic pancreatitis. Active treatment (surgical or endoscopic) has been recommended if the pseudocyst persists for more than 6 weeks after the diagnosis. Open trans-abdominal drainage was initially the mainstay treatment for it. However, over the past decade, laparoscopic techniques have been developed to provide patient with minimal access alternative. We report a case of a large symptomatic pseudocyst which developed following attack of severe gallstone pancreatitis. Laparoscopic cholecystectomy and cysto-gastrostomy were done at the same sitting. The operative technique is briefly explained.
The presence of natural radioactivity and 137Cs in the South China Sea bordering peninsular Malaysia

Amin YM, Mahat RH, Nor RM, Khandaker MU, Takleef GH, Bradley DA

Radiat Prot Dosimetry, 2013 Oct;156(4):475-80.
PMID: 23584496 DOI: 10.1093/rpd/nct097

The presence of natural radioactivity and (137)Cs has been investigated in fresh media obtained from South China Sea locations off the coast of peninsular Malaysia. The media include seafood, sea water and sediment. The samples were collected some weeks prior to the devastating 2011 Tōhoku earthquake and associated tsunami, the occurrence of which precipitated the Fukushima incident. All samples showed the presence of naturally occurring (226)Ra, (228)Ra and primordial (40)K, all at typically prevailing levels. The concentrations of natural radioactivity in molluscs were found to be greater than that of other marine life studied herein, the total activity ranging from 337 to 393 Bq kg(-1) dry weight. The total activity in sea water ranged from 15 to 88 Bq l(-1). Sediment samples obtained at deep sea locations more than 20 km offshore further revealed the presence of (137)Cs. The activity of (137)Cs varied from ND to 0.5 Bq kg(-1) dry weight, the activity increasing with offshore distance and depth. The activity concentrations presented herein should be considered useful in assessing the impact of any future radiological contamination to the marine environment.
Fulltext Enhanced photoluminescence and Raman properties of Al-Doped ZnO nanostructures prepared using thermal chemical vapor deposition of methanol assisted with heated brass

Thandavan TM, Gani SM, San Wong C, Md Nor R

PLoS One, 2015;10(3):e0121756.
PMID: 25756598 DOI: 10.1371/journal.pone.0121756

Vapor phase transport (VPT) assisted by mixture of methanol and acetone via thermal evaporation of brass (CuZn) was used to prepare un-doped and Al-doped zinc oxide (ZnO) nanostructures (NSs). The structure and morphology were characterized by field emission scanning electron microscopy (FESEM) and x-ray diffraction (XRD). Photoluminescence (PL) properties of un-doped and Al-doped ZnO showed significant changes in the optical properties providing evidence for several types of defects such as zinc interstitials (Zni), oxygen interstitials (Oi), zinc vacancy (Vzn), singly charged zinc vacancy (VZn-), oxygen vacancy (Vo), singly charged oxygen vacancy (Vo+) and oxygen anti-site defects (OZn) in the grown NSs. The Al-doped ZnO NSs have exhibited shifted PL peaks at near band edge (NBE) and red luminescence compared to the un-doped ZnO. The Raman scattering results provided evidence of Al doping into the ZnO NSs due to peak shift from 145 cm-1 to an anomalous peak at 138 cm-1. Presence of enhanced Raman signal at around 274 and 743 cm-1 further confirmed Al in ZnO NSs. The enhanced D and G band in all Al-doped ZnO NSs shows possible functionalization and doping process in ZnO NSs.
Antinociceptive, anti-inflammatory and antipyretic properties of Melastoma malabathricum leaves aqueous extract in experimental animals

Zakaria ZA, Raden Mohd Nor RN, Hanan Kumar G, Abdul Ghani ZD, Sulaiman MR, Rathna Devi G, et al.

Can J Physiol Pharmacol, 2006 Dec;84(12):1291-9.
PMID: 17487238

The present study was carried out to establish the antinociceptive, anti-inflammatory, and antipyretic properties of the aqueous extract of Melastoma malabathricum leaves in experimental animals. The antinociceptive activity was measured using abdominal constriction, hot-plate, and formalin tests, whereas the anti-inflammatory and antipyretic activities were measured using carrageenan-induced paw edema and brewer's yeast-induced pyrexia tests, respectively. The extract, which was obtained after soaking the air-dried leaves in distilled water for 72 h and then preparing in concentrations of 10%, 50%, and 100% (v/v), was administered subcutaneously 30 min prior to subjection to the above mentioned assays. At all concentrations tested, the extract was found to exhibit significant (P < 0.05) antinociceptive, anti-inflammatory, and antipyretic activities in a concentration-independent manner. Our findings that the aqueous extract of M. malabathricum possesses antinociceptive, anti-inflammatory, and antipyretic activities supports previous claims on its traditional uses to treat various ailments.
Fulltext The PREDICTS database: a global database of how local terrestrial biodiversity responds to human impacts

Hudson LN, Newbold T, Contu S, Hill SL, Lysenko I, De Palma A, et al.

Ecol Evol, 2014 Dec;4(24):4701-35.
PMID: 25558364 DOI: 10.1002/ece3.1303

Biodiversity continues to decline in the face of increasing anthropogenic pressures such as habitat destruction, exploitation, pollution and introduction of alien species. Existing global databases of species' threat status or population time series are dominated by charismatic species. The collation of datasets with broad taxonomic and biogeographic extents, and that support computation of a range of biodiversity indicators, is necessary to enable better understanding of historical declines and to project - and avert - future declines. We describe and assess a new database of more than 1.6 million samples from 78 countries representing over 28,000 species, collated from existing spatial comparisons of local-scale biodiversity exposed to different intensities and types of anthropogenic pressures, from terrestrial sites around the world. The database contains measurements taken in 208 (of 814) ecoregions, 13 (of 14) biomes, 25 (of 35) biodiversity hotspots and 16 (of 17) megadiverse countries. The database contains more than 1% of the total number of all species described, and more than 1% of the described species within many taxonomic groups - including flowering plants, gymnosperms, birds, mammals, reptiles, amphibians, beetles, lepidopterans and hymenopterans. The dataset, which is still being added to, is therefore already considerably larger and more representative than those used by previous quantitative models of biodiversity trends and responses. The database is being assembled as part of the PREDICTS project (Projecting Responses of Ecological Diversity In Changing Terrestrial Systems - http://www.predicts.org.uk). We make site-level summary data available alongside this article. The full database will be publicly available in 2015.
Fulltext The database of the PREDICTS (Projecting Responses of Ecological Diversity In Changing Terrestrial Systems) project

Hudson LN, Newbold T, Contu S, Hill SL, Lysenko I, De Palma A, et al.

Ecol Evol, 2017 Jan;7(1):145-188.
PMID: 28070282 DOI: 10.1002/ece3.2579

The PREDICTS project-Projecting Responses of Ecological Diversity In Changing Terrestrial Systems (www.predicts.org.uk)-has collated from published studies a large, reasonably representative database of comparable samples of biodiversity from multiple sites that differ in the nature or intensity of human impacts relating to land use. We have used this evidence base to develop global and regional statistical models of how local biodiversity responds to these measures. We describe and make freely available this 2016 release of the database, containing more than 3.2 million records sampled at over 26,000 locations and representing over 47,000 species. We outline how the database can help in answering a range of questions in ecology and conservation biology. To our knowledge, this is the largest and most geographically and taxonomically representative database of spatial comparisons of biodiversity that has been collated to date; it will be useful to researchers and international efforts wishing to model and understand the global status of biodiversity.

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links