Displaying publications 61 - 68 of 68 in total

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  1. Zainal AI, Wong SL, Pan KL, Wong OL, Tzar MN
    Trop Biomed, 2011 Aug;28(2):444-9.
    PMID: 22041767 MyJurnal
    Fungal osteomyelitis is a rare opportunistic infection. It exhibits some clinical and radiological similarities to several other bone pathologies. A diagnostic delay may result in significant increase in morbidity. We report a case of a 37-year-old man with underlying hypogammaglobulinaemia presented with isolated cryptococcal osteomyelitis of the femur.
  2. Leong BDK, Govindarajanthran N, Hafizan TM, Tan KL, Hanif H, Zainal AA
    Med J Malaysia, 2017 04;72(2):91-93.
    PMID: 28473670 MyJurnal
    INTRODUCTION: There has been a paradigm shift in the treatment of AAA with the advent of endovascular aneurysm repair (EVAR). Rapid progress and evolution of endovascular technology has brought forth smaller profile devices and closure devices. Total percutaneous endovascular aneurysm repair (pEVAR) involves the usage of suture-mediated closure devices (SMCDs) at vascular access sites to avoid a traditional surgical cutdown.

    MATERIALS AND METHODS: We retrospectively reviewed our experience of pEVAR between April 2013 and July 2014. Primary success of the procedure was defined as closure of a common femoral artery (CFA) arteriotomy without the need for any secondary surgical or endovascular procedure within 30 days.

    RESULTS: In total there were 10 pEVAR cases performed in the study period, one case in Queen Elizabeth Hospital during visiting vascular service. Patients have a mean age of 73.4 year old (66-77 year old) The mean abdominal aortic size was 7.2 cm (5.6-10.0cm). Mean femoral artery diameter was 9.0 mm on the right and 8.9 mm on the left. Mean duration of surgery was 119 minutes (98- 153 minutes). 50% of patients were discharged at post-operative day one, 30%- day two and 20%- day three. Primary success was achieved in 9 patients (90%) or in 19 CFA closures (95%). No major complication was reported.

    DISCUSSION: We believe that with proper selection of patients undergoing EVAR, pEVAR offers a better option of vascular access with shorter operative time, less post- operative pain, shorter hospital stay and minimises the potential complications of a conventional femoral cutdown.

  3. Alhaj TA, Siraj MM, Zainal A, Elshoush HT, Elhaj F
    PLoS One, 2016;11(11):e0166017.
    PMID: 27893821 DOI: 10.1371/journal.pone.0166017
    Grouping and clustering alerts for intrusion detection based on the similarity of features is referred to as structurally base alert correlation and can discover a list of attack steps. Previous researchers selected different features and data sources manually based on their knowledge and experience, which lead to the less accurate identification of attack steps and inconsistent performance of clustering accuracy. Furthermore, the existing alert correlation systems deal with a huge amount of data that contains null values, incomplete information, and irrelevant features causing the analysis of the alerts to be tedious, time-consuming and error-prone. Therefore, this paper focuses on selecting accurate and significant features of alerts that are appropriate to represent the attack steps, thus, enhancing the structural-based alert correlation model. A two-tier feature selection method is proposed to obtain the significant features. The first tier aims at ranking the subset of features based on high information gain entropy in decreasing order. The‏ second tier extends additional features with a better discriminative ability than the initially ranked features. Performance analysis results show the significance of the selected features in terms of the clustering accuracy using 2000 DARPA intrusion detection scenario-specific dataset.
  4. Nassiri Abrishamchi MA, Zainal A, Ghaleb FA, Qasem SN, Albarrak AM
    Sensors (Basel), 2022 Nov 07;22(21).
    PMID: 36366261 DOI: 10.3390/s22218564
    Smart home technologies have attracted more users in recent years due to significant advancements in their underlying enabler components, such as sensors, actuators, and processors, which are spreading in various domains and have become more affordable. However, these IoT-based solutions are prone to data leakage; this privacy issue has motivated researchers to seek a secure solution to overcome this challenge. In this regard, wireless signal eavesdropping is one of the most severe threats that enables attackers to obtain residents' sensitive information. Even if the system encrypts all communications, some cyber attacks can still steal information by interpreting the contextual data related to the transmitted signals. For example, a "fingerprint and timing-based snooping (FATS)" attack is a side-channel attack (SCA) developed to infer in-home activities passively from a remote location near the targeted house. An SCA is a sort of cyber attack that extracts valuable information from smart systems without accessing the content of data packets. This paper reviews the SCAs associated with cyber-physical systems, focusing on the proposed solutions to protect the privacy of smart homes against FATS attacks in detail. Moreover, this work clarifies shortcomings and future opportunities by analyzing the existing gaps in the reviewed methods.
  5. Ahmad NA, Abd Rauf MF, Mohd Zaid NN, Zainal A, Tengku Shahdan TS, Abdul Razak FH
    SN Comput Sci, 2022;3(2):130.
    PMID: 35039803 DOI: 10.1007/s42979-022-01016-0
    An ageing population is a universal phenomenon experienced worldwide. In parallel with these demographic changes, a significant breakthrough in digital devices has also influenced this digital age. Designing instructional strategies to promote meaningful learning among older adult learners has been a long-standing challenge. To enhance older adults' life-long learning experiences, implementing instructional strategies in the process through which such adults learn can help to improve effective learning. Despite significant calls for research in this area, there is still insufficient research that systematically reviews the existing literature on older adult learning needs and preferences. Hence, in the present article, a systematic literature review was conducted of the effectiveness of instructional strategies designed for older adult learners through the use of digital technologies. The review was guided by the publication standard, which is ROSES (Reporting Standard for Systematic Evidence Syntheses). This study involves articles selected from two established databases, Web of Science and Scopus. Data from the articles were then analysed using the thematic analysis, which resulted in six main themes: (1) collaborative learning; (2) informal learning setting; (3) teaching aids; (4) pertinence; (5) lesson design; and (6) obtaining and providing feedback. The six main themes produced a further 15 sub-themes. The results from this study make significant contributions in the areas of instructional design and gerontology. The findings from this study highlight several important strategies of teaching digital technology, particularly for older adults, as follows: (1) to enhance instructional design use in teaching digital technology based on the needs and preferences of older adult learners; and (2) to highlight the factors for, and impact of, learning digital technologies among older adults.
  6. Leong BD, Chuah JA, Kumar VM, Mazri MY, Zainal AA
    Singapore Med J, 2008 Nov;49(11):e300-2.
    PMID: 19037533
    True and pseudoaneurysms of the visceral arteries are uncommon. They represent 0.1-0.2 percent of all vascular aneurysms. Visceral artery aneurysms (VAAs) should be treated due to their propensity to rupture and associated high mortality. We describe a 58-year-old man with pseudoaneurysm of the inferior pancreaticoduodenal artery and who presented with post-motor vehicle accident abdominal pain and a pulsatile epigastic mass. Computed tomography (CT) showed a pseudoaneurysm of the visceral artery, and selective mesenteric angiography showed the aneurysm to be arising from the inferior pancreaticoduodenal artery. The aneurysm was successfully treated with endovascular coil embolisation. CT angiogram at one month post-procedure revealed persistent occlusion of the aneurysm. To the best of our knowledge, this is the first reported pseudoaneurysm of inferior pancreaticoduodenal artery secondary to blunt abdominal trauma from a motor vehicle accident and also the first reported VAA from Malaysia.
  7. Aboaoja FA, Zainal A, Ghaleb FA, Alghamdi NS, Saeed F, Alhuwayji H
    PeerJ Comput Sci, 2023;9:e1492.
    PMID: 37810364 DOI: 10.7717/peerj-cs.1492
    BACKGROUND: Malware, malicious software, is the major security concern of the digital realm. Conventional cyber-security solutions are challenged by sophisticated malicious behaviors. Currently, an overlap between malicious and legitimate behaviors causes more difficulties in characterizing those behaviors as malicious or legitimate activities. For instance, evasive malware often mimics legitimate behaviors, and evasion techniques are utilized by legitimate and malicious software.

    PROBLEM: Most of the existing solutions use the traditional term of frequency-inverse document frequency (TF-IDF) technique or its concept to represent malware behaviors. However, the traditional TF-IDF and the developed techniques represent the features, especially the shared ones, inaccurately because those techniques calculate a weight for each feature without considering its distribution in each class; instead, the generated weight is generated based on the distribution of the feature among all the documents. Such presumption can reduce the meaning of those features, and when those features are used to classify malware, they lead to a high false alarms.

    METHOD: This study proposes a Kullback-Liebler Divergence-based Term Frequency-Probability Class Distribution (KLD-based TF-PCD) algorithm to represent the extracted features based on the differences between the probability distributions of the terms in malware and benign classes. Unlike the existing solution, the proposed algorithm increases the weights of the important features by using the Kullback-Liebler Divergence tool to measure the differences between their probability distributions in malware and benign classes.

    RESULTS: The experimental results show that the proposed KLD-based TF-PCD algorithm achieved an accuracy of 0.972, the false positive rate of 0.037, and the F-measure of 0.978. Such results were significant compared to the related work studies. Thus, the proposed KLD-based TF-PCD algorithm contributes to improving the security of cyberspace.

    CONCLUSION: New meaningful characteristics have been added by the proposed algorithm to promote the learned knowledge of the classifiers, and thus increase their ability to classify malicious behaviors accurately.

  8. Syed A, Mohd Don Z, Ng CJ, Lee YK, Khoo EM, Lee PY, et al.
    BMJ Open, 2017 05 09;7(5):e014260.
    PMID: 28490553 DOI: 10.1136/bmjopen-2016-014260
    OBJECTIVE: To investigate whether the use of apatient decision aid (PDA) for insulin initiation fulfils its purpose of facilitating patient-centred decision-making through identifying how doctors and patients interact when using the PDA during primary care consultations.
    DESIGN: Conversation analysis of seven single cases of audio-recorded/video-recorded consultations between doctors and patients with type 2 diabetes, using a PDA on starting insulin.
    SETTING: Primary care in three healthcare settings: (1) one private clinic; (2) two public community clinics and (3) one primary care clinic in a public university hospital, in Negeri Sembilan and the Klang Valley in Malaysia.
    PARTICIPANTS: Clinicians and seven patients with type 2 diabetes to whom insulin had been recommended. Purposive sampling was used to select a sample high in variance across healthcare settings, participant demographics and perspectives on insulin.
    PRIMARY OUTCOME MEASURES: Interaction between doctors and patients in a clinical consultation involving the use of a PDA about starting insulin.
    RESULTS: Doctors brought the PDA into the conversation mainly by asking information-focused 'yes/no' questions, and used the PDA for information exchange only if patients said they had not read it. While their contributions were limited by doctors' questions, some patients disclosed issues or concerns. Although doctors' PDA-related questions acted as a presequence to deliberation on starting insulin, their interactional practices raised questions on whether patients were informed and their preferences prioritised.
    CONCLUSIONS: Interactional practices can hinder effective PDA implementation, with habits from ordinary conversation potentially influencing doctors' practices and complicating their implementation of patient-centred decision-making. Effective interaction should therefore be emphasised in the design and delivery of PDAs and in training clinicians to use them.
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