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  1. Tan WK, Teh SY, Koh HL
    Environ Sci Pollut Res Int, 2017 Jul;24(19):15976-15994.
    PMID: 28343360 DOI: 10.1007/s11356-017-8698-x
    Submarine landslides, also known as submarine mass failures (SMFs), are major natural marine disasters that could critically damage coastal facilities such as nuclear power plants and oil and gas platforms. It is therefore essential to investigate submarine landslides for potential tsunami hazard assessment. Three-dimensional seismic data from offshore Brunei have revealed a giant seabed mass deposited by a previous SMF. The submarine mass extends over 120 km from the continental slope of the Baram Canyon at 200 m water depth to the deep basin floor of the Northwest Borneo Trough. A suite of in-house two-dimensional depth-averaged tsunami simulation model TUNA (Tsunami-tracking Utilities and Application) is developed to assess the vulnerability of coastal communities in Sabah and Sarawak subject to potential SMF tsunami. The submarine slide is modeled as a rigid body moving along a planar slope with the center of mass motion parallel to the planar slope and subject to external forces due to added mass, gravity, and dissipation. The nonlinear shallow water equations are utilized to simulate tsunami propagation from deepwater up to the shallow offshore areas. A wetting-drying algorithm is used when a tsunami wave reaches the shoreline to compute run up of tsunami along the shoreline. Run-up wave height and inundation maps are provided for seven densely populated locations in Sabah and Sarawak to highlight potential risks at each location, subject to two scenarios of slide slopes: 2° and 4°. The first wave may arrive at Kudat as early as 0.4 h after the SMF, giving local communities little time to evacuate. Over a small area, maximum inundated depths reaching 20.3 m at Kudat, 26.1 m at Kota Kinabalu, and 15.5 m at Miri are projected, while the maximum inundation distance of 4.86 km is expected at Miri due to its low-lying coast. In view of the vulnerability of some locations to the SMF tsunami, it is important to develop and implement community resilience program to reduce the potential damage that could be inflicted by SMF tsunamis.
  2. Teoh WL, Khoo MB, Teh SY
    PLoS One, 2013;8(7):e68580.
    PMID: 23935873 DOI: 10.1371/journal.pone.0068580
    Designs of the double sampling (DS) X chart are traditionally based on the average run length (ARL) criterion. However, the shape of the run length distribution changes with the process mean shifts, ranging from highly skewed when the process is in-control to almost symmetric when the mean shift is large. Therefore, we show that the ARL is a complicated performance measure and that the median run length (MRL) is a more meaningful measure to depend on. This is because the MRL provides an intuitive and a fair representation of the central tendency, especially for the rightly skewed run length distribution. Since the DS X chart can effectively reduce the sample size without reducing the statistical efficiency, this paper proposes two optimal designs of the MRL-based DS X chart, for minimizing (i) the in-control average sample size (ASS) and (ii) both the in-control and out-of-control ASSs. Comparisons with the optimal MRL-based EWMA X and Shewhart X charts demonstrate the superiority of the proposed optimal MRL-based DS X chart, as the latter requires a smaller sample size on the average while maintaining the same detection speed as the two former charts. An example involving the added potassium sorbate in a yoghurt manufacturing process is used to illustrate the effectiveness of the proposed MRL-based DS X chart in reducing the sample size needed.
  3. Lee LY, Khoo MB, Teh SY, Lee MH
    PLoS One, 2015;10(5):e0126331.
    PMID: 25951141 DOI: 10.1371/journal.pone.0126331
    The usual practice of using a control chart to monitor a process is to take samples from the process with fixed sampling interval (FSI). In this paper, a synthetic X control chart with the variable sampling interval (VSI) feature is proposed for monitoring changes in the process mean. The VSI synthetic X chart integrates the VSI X chart and the VSI conforming run length (CRL) chart. The proposed VSI synthetic X chart is evaluated using the average time to signal (ATS) criterion. The optimal charting parameters of the proposed chart are obtained by minimizing the out-of-control ATS for a desired shift. Comparisons between the VSI synthetic X chart and the existing X, synthetic X, VSI X and EWMA X charts, in terms of ATS, are made. The ATS results show that the VSI synthetic X chart outperforms the other X type charts for detecting moderate and large shifts. An illustrative example is also presented to explain the application of the VSI synthetic X chart.
  4. Tay CJ, Mohd MH, Teh SY, Koh HL
    J Theor Biol, 2022 01 07;532:110913.
    PMID: 34562459 DOI: 10.1016/j.jtbi.2021.110913
    Internal phosphorus recycling in lakes is an important nutrient source that promotes algal growth. Its persistence impedes the effort to improve water quality and thus poses a challenge to the management of eutrophication in lakes, especially in shallow lakes where the occurrence of internal phosphorus recycling is reportedly more common. This paper aims to provide crucial insights on the effects of internal phosphorus recycling on eutrophication dynamics for effective management of lake eutrophication. For this purpose, a mathematical model for lake eutrophication, comprising two compartments of algae and phosphorus, is first formulated for application to a eutrophic tropical lake named Tasik Harapan in Universiti Sains Malaysia. Numerical bifurcation analysis of the model is then performed to assess the combined influences of internal phosphorus recycling, algal mortality and external phosphorus loading on Tasik Harapan eutrophication dynamics. Specifically, co-dimension one bifurcation analysis of algal mortality rate is carried out by means of XPPAUT for various external phosphorus loading rates. The emergence of limit cycle for a certain range of algal mortality rate could be related to the hydra effect (i.e., algal concentration increases in response to greater algal mortality) and the paradox of enrichment (i.e., destabilization of algae in nutrient rich environment). To trace the locus of co-dimension one bifurcation, co-dimension two bifurcation analysis is performed by means of MatCont. The analysis demonstrated that the inclusion of the internal phosphorus recycling term induces rich and complex dynamics of the model. These dynamics include saddle-node bifurcation, cusp, Bogdanov-Takens bifurcation, Generalized Hopf bifurcation and limit point bifurcation of cycles. The results suggest that high internal phosphorus recycling rate promotes bistability and catastrophic shift in a shallow and tropical lake like Tasik Harapan. Hence, the key to effective management of eutrophication in shallow and tropical lakes is the control of internal phosphorus recycling.
  5. Mahmood Y, Ishtiaq S, Khoo MBC, Teh SY, Khan H
    Int J Qual Health Care, 2021 Apr 16;33(2).
    PMID: 33822932 DOI: 10.1093/intqhc/mzab062
    BACKGROUND: At the end of December 2019, the world in general and Wuhan, the industrial hub of China, in particular, experienced the COVID-19 pandemic. Massive increment of cases and deaths occurred in China and 209 countries in Europe, America, Australia, Asia and Pakistan. Pakistan was first hit by COVID-19 when a case was reported in Karachi on 26 February 2020. Several methods were presented to model the death rate due to the COVID-19 pandemic and to forecast the pinnacle of reported deaths. Still, these methods were not used in identifying the first day when Pakistan enters or exits the early exponential growth phase.

    OBJECTIVE: The present study intends to monitor variations in deaths and identify the growth phases such as pre-growth, growth, and post-growth phases in Pakistan due to the COVID-19 pandemic.

    METHODS: New approaches are needed that display the death patterns and signal an alarming situation so that corrective actions can be taken before the condition worsens. To meet this purpose, secondary data on daily reported deaths due to the COVID-19 pandemic have been considered, and the $c$ and exponentially weighted moving average (EWMA) control charts are used To meet this purpose, secondary data on daily reported deaths in Pakistan due to the COVID-19 pandemic have been considered. The $ c$ and exponentially weighted moving average (EWMA) control charts have been used for monitoring variations.

    RESULTS: The chart shows that Pakistan switches from the pre-growth to the growth phase on 31 March 2020. The EWMA chart demonstrates that Pakistan remains in the growth phase from 31 March 2020 to 17 August 2020, with some indications signaling a decrease in deaths. It is found that Pakistan moved to a post-growth phase for a brief period from 27 July 2020 to 28 July 2020. Pakistan switches to re-growth phase with an alarm on 31/7/2020, right after the short-term post-growth phase. The number of deaths starts decreasing in August in that Pakistan may approach the post-growth phase shortly.

    CONCLUSION: This amalgamation of control charts illustrates a systematic implementation of the charts for government leaders and forefront medical teams to facilitate the rapid detection of daily reported deaths due to COVID-19. Besides government and public health officials, it is also the public's responsibility to follow the enforced standard operating procedures as a temporary remedy of this pandemic in ensuring public safety while awaiting a suitable vaccine to be discovered.

  6. Naim NNN, Mardi NH, Malek MA, Teh SY, Wil MA, Shuja AH, et al.
    Environ Monit Assess, 2021 Jun 10;193(7):405.
    PMID: 34110509 DOI: 10.1007/s10661-021-09179-8
    The massive destruction and loss caused by the 2004 Sumatra-Andaman tsunami were attributed to the lack of knowledge on tsunami and low regional detection and communication systems for early warning in that region. This study aimed to identify locations at risk of impending tsunami from Andaman Sea for the safety of community and proper development planning at the coastal areas by providing an updated and revised inundation maps. The last study on this area was conducted several years ago which open the possibility to new findings. Generated by tsunami simulation models, the maps illustrate the extent and level of inundation to which the coastal community and infrastructure would be subjected. As a result of coastal changes and availability of better topographic data, the existing inundation maps for the coastal areas of northwest Peninsular Malaysia at risk to impending tsunami from the Andaman Sea are revised. This paper documented the computational setup leading to the generation of the revised inundation maps. The tsunami simulation model TUNA was used to simulate the generation, propagation, and subsequent run-up and inundation of tsunamis triggered by earthquakes of moment magnitudes (Mw) 8.5, 9.0, and 9.25 along the Sunda Trench. From the simulations, it was found that at Mw 9.25, Balik Pulau, Pulau Pinang would be subjected to inundation of as far as 3.47 km with 5.40-m-deep inundation at the highest section.
  7. Leong WH, Teh SY, Hossain MM, Nadarajaw T, Zabidi-Hussin Z, Chin SY, et al.
    J Environ Manage, 2020 Apr 15;260:109987.
    PMID: 32090796 DOI: 10.1016/j.jenvman.2019.109987
    This review intends to integrate the relevant information that is related to pesticide applications in food commodities and will cover three main sections. The first section encompasses some of the guidelines that have been implemented on management of pesticide application worldwide, such as the establishment of a value called Maximum Residue Level (MRL) through the application of Good Agricultural Practices (GAPs) into daily agricultural activities. A brief overview of the methods adopted in quantification of these trace residues in different food samples will also be covered. Briefly, pesticide analysis is usually performed in two stages: sample preparation and analytical instrumentation. Some of the preparation methods such as QuEChERs still remain as the technique of choice for most of the analytical scientists. In terms of the instrumentation such as the gas chromatography-mass spectrophotometry (GC-MS) and high performance-liquid chromatography (HPLC), these are still widely used, in spite of new inventions that are more sustainable and efficient such as the capillary electrophoresis (CE). Finally, the third section emphasizes on how pesticides can affect our health significantly whereby different types of pesticides result in different adverse health implications, despite its application benefits in agriculture in controlling pests. To date, there are limited reviews on pesticide usage in many agricultural-based nations; for the purpose of this review, Malaysia is selected to better illustrate pesticide regulations and implementation of policies. Finally, the review aims to provide an insight on how implementation of GAP and food safety assurance are inter-related and with this established correlation, to identify further measures for improvement to enable reinforcement of optimised agricultural practices specifically in these countries.
  8. Tun Firzara AM, Teo CH, Teh SY, Su JY, Mohd Zaini HS, Suhaimi A, et al.
    Fam Pract, 2023 Dec 22;40(5-6):742-752.
    PMID: 37237425 DOI: 10.1093/fampra/cmad044
    BACKGROUND: Low back pain (LBP) is a common reason for primary care consultation; yet doctors often find managing it challenging. An electronic decision support system for LBP (DeSSBack) was developed based on an evidence-based risk stratification tool to improve the management of patients with LBP in a Malaysian primary care setting. This pilot study aimed to assess the feasibility, acceptability, and preliminary effectiveness of DeSSBack for the conduct of a future definitive trial.

    METHODS: A pilot cluster randomized controlled trial (cRCT) with qualitative interviews was conducted. Each primary care doctor was considered a cluster and randomized to either the control (usual practice) or intervention (DeSSBack) group. Patient outcomes including Roland-Morris Disability Questionnaire (RMDQ), Hospital Anxiety and Depression Scale, and a 10-point pain rating scale were measured at baseline and 2-month postintervention. The doctors in the intervention group were interviewed to explore feasibility and acceptability of using DeSSBack.

    RESULTS: Thirty-six patients with nonspecific LBP participated in this study (intervention n = 23; control n = 13). Fidelity was poor among patients but good among doctors. The RMDQ and anxiety score had medium effect sizes of 0.718 and 0.480, respectively. The effect sizes for pain score (0.070) and depression score were small (0.087). There was appreciable acceptability and satisfaction with use of DeSSBack, as it was helpful in facilitating thorough and standardized management, providing appropriate treatment plans based on risk stratification, improving consultation time, empowering patient-centred care, and easy to use.

    CONCLUSIONS: A future cRCT to evaluate the effectiveness of DeSSBack is feasible to be conducted in a primary care setting with minor modifications. DeSSBack was found useful by doctors and can be improved to enhance efficiency.

    TRIAL REGISTRATION: The protocol of the cluster randomized controlled trial was registered at ClinicalTrials.gov (NCT04959669).

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