MyMedR

Displaying publications 1 - 20 of 50 in total

Abstract:

Sort:

Fulltext The prevalence of, and factors related to, compliance with glove utilization among nurses in Hospital Universiti Sains Malaysia

Naing L, Nordin R, Musa R

Southeast Asian J. Trop. Med. Public Health, 2001 Sep;32(3):636-42.
PMID: 11944730

Increasing risk of HIV infections among health care workers has been a continuing concern. The study was designed to identify the compliance of glove utilization, and factors related to non-compliance. A sample of 150 staff nurses were recruited from the study population of 550 nurses in Hospital Universiti Sains Malaysia. Data were collected by using a structured self-administered questionnaires. The response rate was 98.4%. The study revealed a low compliance (13.5%) of glove utilization (for all 9 procedures), which varied among different procedures (27-97%). Younger nurses and those with shorter duration of working experience had better knowledge of Universal Precautions. Nurses in intensive care unit and operation theatre were better in both knowledge and compliance of glove utilization. The three commonest misconceptions were identified as "selective use of gloves for high risk groups and suspected cases", and "tendency to depend on HIV prevalence". Nurses reported practical problems including administrative and personal related such as "stock irregularity" (46%), "glove not available at the emergency sites" (44%), and "reduction of tactile sensation" (39%). It was concluded that poor knowledge and practical problems were possible responsible factors for the low compliance. A good training for nurses comprising principle and practice of Universal Precautions, updated knowledge of blood and body fluid borne infections and risk and its management, will probably improve the compliance.
Fulltext Environmental and occupational health impact of bauxite mining in Malaysia: a review

Lee, K.Y., Ho, L.Y., Tan, K.H., Tham, Y.Y., Ling, S.P., Qureshi, A.M., et al.

International Medical Journal Malaysia, 2017;16(2):137-150.
MyJurnal

In the perspective of recent bauxite mining in Malaysia, this review aims to identify the potential
environmental and health impacts on miners and surrounding communities. The environmental issues of
bauxite mining include, air, water and soil pollution due to bauxite dust; leaching of bauxite into water
sources resulting in reduced soil fertility as well as affecting agricultural food products and aquatic life.
Bauxite occupational exposure affects the health of miners, and has negative consequences on the health of
surrounding communities, such as increased respiratory symptoms, contamination of drinking water, other
potential health risks from ingestion of bauxite and heavy metals, including noise-induced hearing loss and
mental stress. This review discusses the processes of bauxite mining, its constituents and residual trace
elements, and their impact on the environment and health of exposed workers and communities. It also
explores the Malaysian legal requirements and standards of occupational exposure to bauxite.
Effects of very low blood lead levels on neurobehavioral performances of male policemen in kota bharu, kelantan

Mohamed N, Nordin R

Malays J Med Sci, 2004 Jul;11(2):12-8.
PMID: 22973122

Many published studies that examined the effect of lead exposure on neurobehavioral performances were conducted in confined manufacturing environment with low to moderate blood lead levels as a marker of exposure. This study was conducted in a general environmental setting with very low exposure intensity and blood lead levels. The objective of the study was to determine the effect of very low blood lead levels (below 10 μg/dl) on the neurobehavioral performances of policemen in Kota Bharu, Kelantan. The study, conducted between August 25(th) and October 20(th) 2001, was cross-sectional in design and comprised of 89 policemen working in Kota Bharu district. The lead concentration of venous blood was determined using graphite furnace absorption spectrometer. We assessed neurobehavioral performances using the WHO Neurobehavioral Core Test Battery (NCTB). The mean blood lead concentration was 2.5 + 1.0 mg/dl. Among the seven tests performed, the positive effect of blood lead on Benton visual retention was not significant after controlling for the confounding effect of smoke-dose. This study suggested that very low blood lead levels have no significant effects on the neurobehavioral performances. Therefore, more studies with blood lead levels below the recommended environmental limit of 10 mg/dl, as recommended by Centers for Disease Control (CDC), be conducted in order to justify that limit.
Fulltext A new sensors-based covert channel on android

Al-Haiqi A, Ismail M, Nordin R

ScientificWorldJournal, 2014;2014:969628.
PMID: 25295311 DOI: 10.1155/2014/969628

Covert channels are not new in computing systems, and have been studied since their first definition four decades ago. New platforms invoke thorough investigations to assess their security. Now is the time for Android platform to analyze its security model, in particular the two key principles: process-isolation and the permissions system. Aside from all sorts of malware, one threat proved intractable by current protection solutions, that is, collusion attacks involving two applications communicating over covert channels. Still no universal solution can countermeasure this sort of attack unless the covert channels are known. This paper is an attempt to reveal a new covert channel, not only being specific to smartphones, but also exploiting an unusual resource as a vehicle to carry covert information: sensors data. Accelerometers generate signals that reflect user motions, and malware applications can apparently only read their data. However, if the vibration motor on the device is used properly, programmatically produced vibration patterns can encode stolen data and hence an application can cause discernible effects on acceleration data to be received and decoded by another application. Our evaluations confirmed a real threat where strings of tens of characters could be transmitted errorless if the throughput is reduced to around 2.5-5 bps. The proposed covert channel is very stealthy as no unusual permissions are required and there is no explicit communication between the colluding applications.
Fulltext Energy-efficient ZigBee-based wireless sensor network for track bicycle performance monitoring

Gharghan SK, Nordin R, Ismail M

Sensors (Basel), 2014;14(8):15573-92.
PMID: 25153141 DOI: 10.3390/s140815573

In a wireless sensor network (WSN), saving power is a vital requirement. In this paper, a simple point-to-point bike WSN was considered. The data of bike parameters, speed and cadence, were monitored and transmitted via a wireless communication based on the ZigBee protocol. Since the bike parameters are monitored and transmitted on every bike wheel rotation, this means the sensor node does not sleep for a long time, causing power consumption to rise. Therefore, a newly proposed algorithm, known as the Redundancy and Converged Data (RCD) algorithm, was implemented for this application to put the sensor node into sleep mode while maintaining the performance measurements. This is achieved by minimizing the data packets transmitted as much as possible and fusing the data of speed and cadence by utilizing the correlation measurements between them to minimize the number of sensor nodes in the network to one node, which results in reduced power consumption, cost, and size, in addition to simpler hardware implementation. Execution of the proposed RCD algorithm shows that this approach can reduce the current consumption to 1.69 mA, and save 95% of the sensor node energy. Also, the comparison results with different wireless standard technologies demonstrate minimal current consumption in the sensor node.
Fulltext An ultra-low power wireless sensor network for bicycle torque performance measurements

Gharghan SK, Nordin R, Ismail M

Sensors (Basel), 2015;15(5):11741-68.
PMID: 26007728 DOI: 10.3390/s150511741

In this paper, we propose an energy-efficient transmission technique known as the sleep/wake algorithm for a bicycle torque sensor node. This paper aims to highlight the trade-off between energy efficiency and the communication range between the cyclist and coach. Two experiments were conducted. The first experiment utilised the Zigbee protocol (XBee S2), and the second experiment used the Advanced and Adaptive Network Technology (ANT) protocol based on the Nordic nRF24L01 radio transceiver chip. The current consumption of ANT was measured, simulated and compared with a torque sensor node that uses the XBee S2 protocol. In addition, an analytical model was derived to correlate the sensor node average current consumption with a crank arm cadence. The sensor node achieved 98% power savings for ANT relative to ZigBee when they were compared alone, and the power savings amounted to 30% when all components of the sensor node are considered. The achievable communication range was 65 and 50 m for ZigBee and ANT, respectively, during measurement on an outdoor cycling track (i.e., velodrome). The conclusions indicate that the ANT protocol is more suitable for use in a torque sensor node when power consumption is a crucial demand, whereas the ZigBee protocol is more convenient in ensuring data communication between cyclist and coach.
Preparing the young to look after the old

Nordin R, Hamid AM, Adnan WA

World Health Forum, 1992;13(4):300-2.
PMID: 1466724

In Malaysia the steady rise in the proportion of people aged 60 or more, and an awareness of their complex psychosocial, economic and health care needs, have led medical faculties to introduce geriatrics as an essential subject in their curricula. The efforts made in this field by the School of Medical Sciences of the Universiti Sains Malaysia are outlined in the present article.
Fulltext Review of the phase I and phase II teaching programmes in the School of Medical Sciences, Universiti Sains Malaysia

Roslani AM, Sein KT, Nordin R

Med J Malaysia, 1989 Mar;44(1):75-82.
PMID: 2626116

The Phase I and Phase II undergraduate teaching programmes of the School of Medical Sciences were reviewed at the end of the 1985/86 academic year. It was found that deviations from the School's philosophy had crept into the implementation process. Modifications were therefore made in Phase I and Phase II programmes with a view to:--(i) reducing content, (ii) promoting integration, (iii) improving clinical examination skills of students, and (iv) providing more opportunities to students for self learning, reinforcement and application of knowledge. The number of assessment items in Phase I and the frequency of assessment in Phase II were also found to be inappropriate and so modifications in assessment were made to rectify this situation.
Subperiosteal Dissection in Orbital Blowout Fracture: Technical Tips Including the Use of Modified Periosteal Elevator

Nazimi AJ, Rajaran JR, Nordin R

J Craniofac Surg, 2019 Oct;30(7):e609-e611.
PMID: 31503125 DOI: 10.1097/SCS.0000000000005617

Orbital blowout fractures are common. The same goes for its surgical complications when the efficiency of the dissection of entrapped or herniated intraorbital contents into the fracture could not be completely and safely dissected out. The authors describe a modification of the commonly used Howarth periosteal elevator for dissection of intraorbital content displacement or herniation on orbital blowout fracture. The instrument was modified by marking out the instrument from the tip into 10, 20, 25, 30, and 40 mm on both of its concave and convex surfaces to allow safe orbital soft tissue dissection and distance control. From the authors' experience, these simple modifications from its original instrument design allow better intraoperative control and appreciation of any intact important intraorbital anatomical structures such as inferomedial strut and posterior ledge. At the same time of importantly getting complete orbital fracture dissection and visualization, it causes less trauma to surrounding soft tissue with the markings ensuring unnecessary orbital exploration or visualization. Dissection can be kept for optimum maneuverability at the required or intended location based on the preoperative scan or dimension of anatomical orbital implant.
Fulltext Advances and Opportunities in Passive Wake-Up Radios with Wireless Energy Harvesting for the Internet of Things Applications

Bello H, Xiaoping Z, Nordin R, Xin J

Sensors (Basel), 2019 Jul 12;19(14).
PMID: 31336834 DOI: 10.3390/s19143078

Wake-up radio is a promising approach to mitigate the problem of idle listening, which incurs additional power consumption for the Internet of Things (IoT) wireless transmission. Radio frequency (RF) energy harvesting technique allows the wake-up radio to remain in a deep sleep and only become active after receiving an external RF signal to 'wake-up' the radio, thus eliminating necessary hardware and signal processing to perform idle listening, resulting in higher energy efficiency. This review paper focuses on cross-layer; physical and media access control (PHY and MAC) approaches on passive wake-up radio based on the previous works from the literature. First, an explanation of the circuit design and system architecture of the passive wake-up radios is presented. Afterward, the previous works on RF energy harvesting techniques and the existing passive wake-up radio hardware architectures available in the literature are surveyed and classified. An evaluation of the various MAC protocols utilized for the novel passive wake-up radio technologies is presented. Finally, the paper highlights the potential research opportunities and practical challenges related to the practical implementation of wake-up technology for future IoT applications.
Fulltext A Wireless Sensor Network with Soft Computing Localization Techniques for Track Cycling Applications

Gharghan SK, Nordin R, Ismail M

Sensors (Basel), 2016 Aug 06;16(8).
PMID: 27509495 DOI: 10.3390/s16081043

In this paper, we propose two soft computing localization techniques for wireless sensor networks (WSNs). The two techniques, Neural Fuzzy Inference System (ANFIS) and Artificial Neural Network (ANN), focus on a range-based localization method which relies on the measurement of the received signal strength indicator (RSSI) from the three ZigBee anchor nodes distributed throughout the track cycling field. The soft computing techniques aim to estimate the distance between bicycles moving on the cycle track for outdoor and indoor velodromes. In the first approach the ANFIS was considered, whereas in the second approach the ANN was hybridized individually with three optimization algorithms, namely Particle Swarm Optimization (PSO), Gravitational Search Algorithm (GSA), and Backtracking Search Algorithm (BSA). The results revealed that the hybrid GSA-ANN outperforms the other methods adopted in this paper in terms of accuracy localization and distance estimation accuracy. The hybrid GSA-ANN achieves a mean absolute distance estimation error of 0.02 m and 0.2 m for outdoor and indoor velodromes, respectively.
Are Facial Soft Tissue Injury Patterns Associated With Facial Bone Fractures Following Motorcycle-Related Accident?

Nabil S, Nordin R, Rashdi MF

J Oral Maxillofac Surg, 2022 Nov;80(11):1784-1794.
PMID: 36049531 DOI: 10.1016/j.joms.2022.07.144

PURPOSE: The unprotected nature of motorcycle riding exposes motorcyclists to an elevated risk of sustaining facial soft tissue injuries (STIs); however, its link with underlying facial bone fractures remains unexplored. The purpose of this study is to determine whether the type and site of STI sustained by motorcyclists were associated with the presence of underlying facial bone fractures.
MATERIALS AND METHODS: This was a retrospective cohort study of patients identified from the Oral and Maxillofacial Surgery Department of Universiti Kebangsaan Malaysia Medical Center trauma census who had motorcycle-related injury and met the inclusion criteria. The primary predictor variable was the type (laceration, contusion, abrasion, and no injuries) and site of STIs sustained. The site of the facial STI was categorized as per 17 different zones based upon the modified MCFONTZL classification. The primary outcome variable was the presence or absence of facial bone fractures as determined from the computed tomography scan. Descriptive and bivariate statistics were computed to measure the association between sustaining facial bone fractures and type/site of STI.
RESULTS: Seventy three patients (65 men and 8 women) were included in this study. The average age was 31.9 years (standard deviation ± 13.6) with a range of 18 to 70 years. There were 1,241 facial zones being assessed with 285 (23%) and 214 (17%) zones having STI and fractures, respectively. Laceration (124/285, 43%) and the orbital zone (53/285, 19%) were the most common type and site of STI, respectively, among motorcyclists. Facial bone fractures are more commonly seen following STI in the midface (71% of STI had fractures) compared to upper face (53%) and lower face (31%). Sustaining laceration type of STI was not associated with a higher rate of facial bone fracture when compared with other type of STI (54.8% vs 55.9%, P = .858) with the exception of laceration in the frontal zone (42.9% vs 10.5%, P = .022).
CONCLUSIONS: The different types of STI in the facial area cannot be used as a predictor for sustaining underlying facial bone fractures.
Prevalence of sexually transmitted diseases among new female drug abusers in a rehabilitation centre

Nordin RB, Rahman Bin Isa A, Rusli Bin Abdullah M

Malays J Med Sci, 2001 Jul;8(2):9-13.
PMID: 22893754 MyJurnal

The prevalence of sexually transmitted diseases (STD) among female drug abusers was studied by screening 130 new inmates of a rehabilitation centre. Data was collected using a structured questionnaire, physical examination and specimen collection for laboratory investigation at the Community Medicine Clinic of HUSM. The majority (64.6%) were Malays and self-confessed sex workers (77.7%). A high prevalence of syphilis (50.8%), hepatitis B (52.2%), moniliasis (23.8%), trichomoniasis (19.2%) and gonococcal vaginitis (8.5%) was noted. More than half of them harbour 2 or more STDs. Six subjects, of whom 5 were Malays, were HIV positive. The evidence indicates that female drug abusers need a thorough screening for STD followed by an aggressive treatment regimen. Since the majority of them were born Muslims, they should have access to spiritual counselling and rehabilitation, stressing on repentance, and adopting a compassionate and forgiving approach.
Fulltext Reliability and construct validity of the Malay version of the Job Content Questionnaire (JCQ) among secondary school teachers in Kota Bharu, Kelantan, Malaysia

Hadi AA, Naing NN, Daud A, Nordin R

Southeast Asian J. Trop. Med. Public Health, 2006 Nov;37(6):1254-9.
PMID: 17333785

This study was conducted to assess the reliability and construct validity of the Malay version of Job Content Questionnaire (JCQ) among secondary school teachers in Kota Bharu, Kelantan. A total of 68 teachers consented to participate in the study and were administered the Malay version of JCQ. Reliability was determined using Cronbach's alpha for internal consistency whilst construct validity was assessed using factor analysis. The results indicated that Cronbach's alpha coefficients revealed decision latitude (0.75), psychological job demand (0.50) and social support (0.84). Factor analysis showed three meaningful common factors that could explain the construct of Karasek's demand-control-social support model. The study suggests the JCQ scales are reliable and valid tools for assessing job stress in school teachers.
Fulltext Validity and Reliability of Malay Version of the Job Content Questionnaire among Public Hospital Female Nurses in Malaysia

Amin NA, Quek KF, Oxley JA, Noah RM, Nordin R

Int J Occup Environ Med, 2015 10;6(4):232-42.
PMID: 26498051 DOI: 10.15171/ijoem.2015.632

BACKGROUND: The Job Content Questionnaire (M-JCQ) is an established self-reported instrument used across the world to measure the work dimensions based on the Karasek's demand-control-support model.
OBJECTIVE: To evaluate the psychometrics properties of the Malay version of M-JCQ among nurses in Malaysia.
METHODS: This cross-sectional study was carried out on nurses working in 4 public hospitals in Klang Valley area, Malaysia. M-JCQ was used to assess the perceived psychosocial stressors and physical demands of nurses at their workplaces. Construct validity of the questionnaire was examined using exploratory factor analysis (EFA). Cronbach's α values were used to estimate the reliability (internal consistency) of the M-JCQ.
RESULTS: EFA showed that 34 selected items were loaded in 4 factors. Except for psychological job demand (Cronbach's α 0.51), the remaining 3 α values for 3 subscales (job control, social support, and physical demand) were greater than 0.70, indicating acceptable internal consistency. However, an item was excluded due to poor item-total correlation (r<0.3). The final M-JCQ was consisted of 33 items.
CONCLUSION: The M-JCQ is a reliable and valid instrument to measure psychosocial and physical stressors in the workplace of public hospital nurses in Malaysia.
Fulltext Clustering Transmission Opportunity Length (CTOL) Model over Cognitive Radio Network

Mohamad MH, Sali A, Hashim F, Nordin R, Takyu O

Sensors (Basel), 2018 Dec 10;18(12).
PMID: 30544655 DOI: 10.3390/s18124351

This paper investigated the throughput performance of a secondary user (SU) for a random primary user (PU) activity in a realistic experimental model. This paper proposed a sensing and frame duration of the SU to maximize the SU throughput under the collision probability constraint. The throughput of the SU and the probability of collisions depend on the pattern of PU activities. The pattern of PU activity was obtained and modelled from the experimental data that measure the wireless local area network (WLAN) environment. The WLAN signal has detected the transmission opportunity length (TOL) which was analyzed and clustered into large and small durations in the CTOL model. The performance of the SU is then analyzed and compared with static and dynamic PU models. The results showed that the SU throughput in the CTOL model was higher than the static and dynamic models by almost 45% and 12.2% respectively. Furthermore, the probability of collisions in the network and the SU throughput were influenced by the value of the minimum contention window and the maximum back-off stage. The simulation results revealed that the higher contention window had worsened the SU throughput even though the channel has a higher number of TOLs.
Fulltext Mobile Network Performance and Technical Feasibility of LTE-Powered Unmanned Aerial Vehicle

Zulkifley MA, Behjati M, Nordin R, Zakaria MS

Sensors (Basel), 2021 Apr 18;21(8).
PMID: 33919486 DOI: 10.3390/s21082848

Conventional and license-free radio-controlled drone activities are limited to a line-of-sight (LoS) operational range. One of the alternatives to operate the drones beyond the visual line-of-sight (BVLoS) range is replacing the drone wireless communications system from the conventional industrial, scientific, and medical (ISM) radio band to a licensed cellular-connected system. The Long Term Evolution (LTE) technology that has been established for the terrestrial area allows command-and-control and payload communications between drone and ground station in real-time. However, with increasing height above the ground, the radio environment changes, and utilizing terrestrial cellular networks for drone communications may face new challenges. In this regard, this paper aims to develop an LTE-based control system prototype for low altitude small drones and investigate the feasibility and performance of drone cellular connectivity at different altitudes with measuring parameters such as latency, handover, and signal strength. The measurement results have shown that by increasing flight height from ground to 170 m the received signal power and the signal quality levels were reduced by 20 dBm and 10 dB respectively, the downlink data rate decreased to 70%, and latency increased up to 94 ms. It is concluded that although the existing LTE network can provide a minimum requirement for drone cellular connectivity, further improvements are still needed to enhance aerial coverage, eliminate interference, and reduce network latency.
Fulltext Emotional Distress as a Predictor of Work-Related Musculoskeletal Disorders in Malaysian Nursing Professionals

Amin NA, Quek KF, Oxley JA, Noah R, Nordin R

Int J Occup Environ Med, 2018 04;9(2):69-78.
PMID: 29667644 DOI: 10.15171/ijoem.2018.1158

BACKGROUND: Emotional distress is becoming a great concern and is more common in both developed and developing countries. It is associated with several disease conditions.
OBJECTIVE: To determine the prevalence of self-perceived emotional distress and its relation to work-related musculoskeletal disorders (WRMSDs) in nurses.
METHODS: A self-administered questionnaire survey was carried out on 660 female nurses working in public hospitals in the Klang Valley, Malaysia. The validated Malay version of the standardized Nordic musculoskeletal questionnaire (M-SNMQ) was used to identify the annual prevalence of WRMSDs; perceived emotional distress was assessed using the validated Malay short version, depression, anxiety, and stress (M-DASS) instrument. In addition, socio-demographic and occupational profiles of the participants were considered. Factors associated with WRMSDs were identified using logistic regression analysis.
RESULTS: A total of 376 nurses completed the survey (response rate 83.3%). 73.1% of the nursing staffs experienced WRMSDs in at least one anatomical site 12 months prior to the study. 75% of nurses expressed emotional distress. Of these, over half also reported anxiety and stress. Multiple logistic regression analysis showed that stress and anxiety significantly increased the risk of WRMSDs by approximately twofold.
CONCLUSION: There were significant associations between emotional distress and WRMSDs. Future longitudinal studies are therefore needed to investigate and identify the sources of emotional distress (non-occupational and occupational) to be used to establish preventive strategies to reduce the risk of WRMSDs.
Cardiac arrhythmia triggered by diuretic-induced hyponatremia

Lu HT, Loo HC, Ng KS, Wong YO, Nordin R

Malays Fam Physician, 2019;14(2):39-43.
PMID: 31827736

Diuretics have a long and distinguished history in the treatment of hypertension and heart failure. Clinical practice guidelines recommend that diuretics should be considered to be as suitable as other antihypertensive agents for the initiation and maintenance of antihypertensive treatment. However, diuretics may potentially cause electrolyte disturbances and metabolic side effects. Diuretic-induced hyponatremia is probably more prevalent than generally acknowledged. We present an unusual case of indapamide-induced hyponatremia and hypokalemia complicated by cardiac arrhythmia. The adverse drug reaction was reversible and non-life-threatening, but this case serves as a reminder that careful evaluation and constant monitoring are necessary when prescribing diuretics.
Fulltext Energy-Efficient Wireless Sensor Networks for Precision Agriculture: A Review

Jawad HM, Nordin R, Gharghan SK, Jawad AM, Ismail M

Sensors (Basel), 2017 Aug 03;17(8).
PMID: 28771214 DOI: 10.3390/s17081781

Wireless sensor networks (WSNs) can be used in agriculture to provide farmers with a large amount of information. Precision agriculture (PA) is a management strategy that employs information technology to improve quality and production. Utilizing wireless sensor technologies and management tools can lead to a highly effective, green agriculture. Based on PA management, the same routine to a crop regardless of site environments can be avoided. From several perspectives, field management can improve PA, including the provision of adequate nutrients for crops and the wastage of pesticides for the effective control of weeds, pests, and diseases. This review outlines the recent applications of WSNs in agriculture research as well as classifies and compares various wireless communication protocols, the taxonomy of energy-efficient and energy harvesting techniques for WSNs that can be used in agricultural monitoring systems, and comparison between early research works on agriculture-based WSNs. The challenges and limitations of WSNs in the agricultural domain are explored, and several power reduction and agricultural management techniques for long-term monitoring are highlighted. These approaches may also increase the number of opportunities for processing Internet of Things (IoT) data.

Filters

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

External Links