Thanatophoric dysplasia (TD) was reported earlier in the previous publication. It is one of the most common lethal human skletal dysplasia characterized by severe dwarfism. It occurs in 3 to 4 per 100,000 live births1 and is due to autosomal dominant sporadic de novo mutations in the fibroblast growth factor receptor 3 (FGFR3) gene3 which codes for the FGFR3 transmembrane receptor expressed largely by skeletal and brain tissues in the developing fetus where it is involved with growth regulation. The FGFR3 mutation in TD leads to generalized defects and lack of endochondral ossification, with membranous ossification being less impaired1. Male and female fetuses are equally affected. Two thanatophoric case of this extremely rare occurance are reported and discussed.
Environmental health problems in Malaysia are mostly attributed to atmospheric pollution, water pollution, climate change, ozone depletion, and solid waste management, as well as toxic, chemical, and hazardous waste management. The Ministry of Health, Malaysia, has been vigorously pursuing the environmental health agenda by collaborating with other agencies at district, state, national, and international levels. This article discusses the issues and management framework of environmental health in Malaysia. Some issues requiring further investigation in order to clearly understand the trade-off between atmospheric change and environmental health are suggested. These suggestions are developed with particular reference to appraisals concerned with the development and implementation of environmental policy, programs, and practice. Research on the relevant issues is discussed and a framework is built involving a comprehensive review of the literature and existing framework of Malaysian environmental health.
This study assesses waste management and recycling practices of the urban poor households residing as squatters and in low-cost flats of Kuala Lumpur city, Malaysia. To attain the objective, the study employed some statistical techniques such as t-tests of equality of means, one-way analysis of variance, chi-squared 'likelihood ratio' tests, and simple descriptive statistics. The statistical techniques were used to determine and analyse the factors that significantly influence the environmental behaviour of the urban poor concerning solid waste management, particularly their recycling practices. The findings of the study show that the urban poor and low-income communities have been proved to behave in ways that are consistent with and conducive to environmentally friendly solid waste management. This study provides evidence that the urban poor and low-income communities are the main recyclers, re-users, and source-reducers of their household solid waste. The study, however, suggests that policies should be formulated to focus on promoting knowledge, education, and the skills of the urban poor and, in addition, to empower them as a means of improving their quality of life.
Natural language interfaces to ontologies allow users to query the system using natural language queries.
These systems take natural language query as input and transform it to formal query language equivalent
to retrieve the desired information from ontologies. The existing natural language interfaces to ontologies
offer support for handling negation queries; however, they offer limited support for dealing with them.
This paper proposes a negation query handling engine which can handle relatively complex natural
language queries than the existing systems. The proposed engine effectively understands the intent of
the user query on the basis of a sophisticated algorithm, which is governed by a set of techniques and
transformation rules. The proposed engine was evaluated using the Mooney data set and AquaLog dataset,
and it manifested encouraging results.
The computer is well known as one of the important tools in the office that gives a lot of benefits but silently leads to musculoskeletal pain. There are many different kinds of musculoskeletal complaints pain but the most common seen among computer users in developed countries is the complaint of arm, neck and shoulder (CANS). Despite this, definite factors that can be associated with the prevalence of CANS have not been established. This study was conducted to identify the prevalence and factors associated with work-related complaints of arm, neck and shoulder (CANS) among office workers in Selangor and Kuala Lumpur. A survey study design was conducted where 110 (n=110) office workers were recruited from around the Selangor and Kuala Lumpur area for 5 months periods. Participants were required to answer the Maastricht Upper Extremity Questionnaire (MUEQ) and the Level of Ergonomic Knowledge Questionnaire. The study showed the highest percentage of CANS reported was at neck region (53.6% of participants), followed by shoulders with 53.0%. The majority of participants have low level of computer ergonomic awareness where only 19.09% (n=21) from government sector and 10% (n=11) office workers from private sector reported knowledge of ergonomics. Majority of the participants did not have the know-how in implementing correct computer ergonomics. However there was a weak association (r=
Enicosanthellum pulchrum (King) Heusden (Annonaceae) is a coniferous tree that is confined to mountain forests. The chemical constituents of this species have been studied previously; however, its biological activity has never been investigated before and is reported here for the first time.
Patients in pain have different levels of satisfaction. The experience of patients regarding medication is based on their past treatment. The mental satisfaction of the patients for laboratory medication is necessary for their health recovery. The satisfaction of patients is a challenge for healthcare institutes to provide better facilities to patients. The goal of this research is to investigate the impact of taking patch pain medication, taking oral pain medication, and taking intravenous medication on patients' satisfaction with laboratory pain medication. The model of this research is based on the gap in the literature. 645 responses were considered for data analysis with Smart PLS 3.0 for study findings. The findings disclosed the impact of taking patch pain medication, taking an oral medication, and taking intravenous medication is significant on patients' satisfaction with laboratory pain medication. The study has theoretically enriched the literature with a unique contribution to the study model. Practically, the study has discovered the ways the healthcare sector can improve the satisfaction of patients for their better health and satisfaction. The future directions highlighted by this study are useful for future studies to contribute to patients' satisfaction with laboratory medication.
IgE-mediated allergic reaction to squid is one of the most frequent molluscan shellfish allergies. Previously, we have detected a 36 kDa protein as the major allergen of Loligo edulis (white squid) by immunoblotting using sera from patients with squid allergy. The aim of this present study was to further identify this major allergen using a proteomics approach. The major allergen was identified by a combination of two-dimensional electrophoresis (2-DE), immunoblotting, mass spectrometry and bioinformatics tools. The 2-DE gel fractionated the cooked white squid proteins to more than 50 different protein spots between 10 to 38 kDa and isoelectric point (pI) from 3.0 to 10.0. A highly reactive protein spot of a molecular mass of 36 kDa and pI of 4.55 was observed in all of the patients' serum samples tested. Mass spectrometry analysis led to identification of this allergen as tropomyosin. This finding can contribute to advancement in component-based diagnosis, management of squid allergic patients, to the development of immunotherapy and to the standardization of allergenic test products as tools in molecular allergology.
The use of graphical knowledge representation formalisms with a representational vocabulary agreement of terms of conceptualization of the universe of discourse is a new high potential approach in the ontology engineering and knowledge management context. Initially, concept maps were used in the fields of education and learning. After that, it became popular in other areas due to its flexible and intuitive nature. It was also proven as a useful tool to improve communication in corporate environment. In the field of ontologies, concept maps were explored to be used to facilitate different aspects of ontology development. An essential reason behind this motivation is the structural resemblance of concept maps with the hierarchical structure of ontologies. This research aims to demonstrate quantitative evaluation of 4 different hypotheses related to the effectiveness of using concept maps for ontology conceptualization. The domain of Quran was selected for the purpose of this study and it was conducted in collaboration with the experts from the Centre of Quranic Research, Universiti Malaya, Kuala Lumpur, Malaysia. The results of the hypotheses demonstrated that concept mapping was easy to learn and implement for the majority of the participants. Most of them experienced improvement in domain knowledge regarding the vocabularies used to refer to the structure of organization of the Quran, namely Juz, Surah, Ayats, tafsir, Malay translation, English translation, and relationships among these entities. Therefore, concept maps instilled the element of learning through the conceptualization process and provided a platform for participants to resolve conflicting opinions and ambiguities of terms used immediately.
The objective of this study was to determine the Immunoglobulin E-binding proteins (IgE) and major allergens of Scomberomorus commerson Lacepede (Narrow-barred Spanish mackerel). Allergen extracts were obtained from uncooked and cooked fish by homogenization in phosphate-buffered saline followed by continuous extraction at 4oC or on ice. Protein profiles and IgEbinding patterns were then detected by means of sodium dodecyl polyacrylamide gel electrophoresis (SDS PAGE) and immunoblotting using sera from patients sensitized to the fish. SDS-PAGE of the uncooked fish extracts revealed 26 protein bands in the range of about 11 to >175 kD, while the cooked extracts produced fewer protein bands. Immunoblotting demonstrated 17 IgE-binding bands, ranging in molecular weight from 11 to 151 kD. Two components with molecular weight of about ~50 and 42 kD showed the highest frequency of IgE-binding (62.2 and 51.4% respectively) and were identified as the major allergens of this fish allergy. Other IgE-binding proteins including a protein at ~12 kD which was equivalent in size to parvalbumin were identified as the minor allergens.
Subdermal etonogestrel implant (Implanon®) is the newest, long term contraceptive implant which has recently been made available to Malaysian women. This prospective study was conducted to determine the effects on selected health indices among 42 women who had consented to Implanon® as their choice of contraception. Health indices were checked prior to Implanon® insertion and six months post insertion. Findings indicate a significant reduction in total cholesterol with a significant increase in total haemoglobin and BMI. However there was no significant change noted in the fasting blood sugar, glycosylated haemoglobin, systolic blood pressure and diastolic blood pressure.
Antineutrophil cytoplasmic antibodies (ANCA) are autoantibodies directed against primary granules of neutrophils and monocytes' lysosomes. In general, c-ANCA is strongly associated with vasculitic disorders mainly in ANCA-associated systemic vasculitis (AASV). p-ANCA have been identified in several diseases such as primary (AASV) and secondary vasculitis such as collagen vascular diseases, rheumatoid arthritis and inflammatory bowel diseases given the term 'ANCA-associated disease.' The objective of this study was to determine the rate of ANCA positivity by indirect immunofluorescent (IF) and enzyme linked immunosorbent assay (ELISA) and its association with AASV and ANCA associated diseases. Serum from patients with history suspicion of systemic vasculitis were tested for ANCA by IF. Those samples positive for ANCA by IF were further tested for antibodies against myeloperoxidase (MPO) and proteinase 3 (PR3) using the ELISA. Clinical data from medical records were obtained and analyzed. Of 468 samples, a total of 110 were positive for ANCA by IF. IF results showed a p-ANCA pattern in 96 patients and c-ANCA in 14. Of 110 IF positive ANCA, 45 patients were positive by ELISA. Seventeen were positive for MPO-ANCA, 9 were PR3-ANCA positive and 19 were both MPO and PR3 positive. Only 2 patients were classified AASV ie Wegener granulomatosis and the other with microscopic polyangiitis. The remaining patients (n = 108) may be classified as ANCA associated diseases. Our study showed that pANCA (87.3%) was the more common ANCA pattern and 40.9% of IF positive samples were positive for PR3- and MPOANCA.
Fruit rot is a common disease that affects the quality and quantity of the produced fruits. It may happened during pre-harvest stage and usually the condition of the fruits will become worse at postharvest stage if there are no any precautions taken during the picking, storing, packaging and transporting processes. The disease is mainly caused by the infection of fungi supported by a conducive condition like susceptible hosts, relative humidity and unsuitable temperature, besides other microorganisms such as bacteria, viruses and nematodes. The infection may arise from soilborne, waterborne, windborne and insects bite transmission. Fruit rot diseases have been reported to cause by many fungal species such as Fusarium species, Alternaria species, Lasiodiplodia species, Aspergillus species, Penicillium species, Colletotrichum species and Botrytis species. This review will provide sufficient information about rot diseases on fruit, fungal species that cause the diseases, effective control methods and managements as well as economic losses and health issues related to the diseases.
This paper aims to describe the activities of drug treatment and rehabilitation program at one center in
Kuala Lumpur based on the preliminary study. Treatment and rehabilitation center adopts the biopsycho
- socio – spiritual model in their recovery process. The data was collected using observation as
well as personal interviews of respondents who are undergoing treatment and rehabilitation at the
center. Counsellors are also interviewed to get information about treatment programs that are being
conducted. Initial research findings indicated that the approach to treatment and rehabilitation using the
Therapeutic Community has helped facilitate the drug rehabilitation process, especially during the
remodeling behavior and vocational life skills. Therefore, the results of this study indicated that the
program can be used as an alternative to drug addiction treatment and rehabilitation in this country.
Makanan berasaskan kacang soya terkenal di Asia sejak beribu tahun dahulu dan ia tidak hanya diiktiraf sebagai makanan tradisi tetapi mempunyai potensi untuk kesihatan. Kajian ini dijalankan untuk menentukan penerimaan, kesukaan dan kadar penggunaan produk soya dalam kalangan pengguna di Semenanjung Malaysia. Seramai 330 responden telah terlibat dalam kajian ini. Mereka terdiri daripada pelajar universiti dan masyarakat umum yang berumur 18 tahun ke atas. Setiap responden diminta untuk mengisi borang soal selidik dengan seliaan penyelidik. Kajian menunjukkan bahawa 56% responden lebih menyukai susu soya berbanding dengan produk soya yang lain seperti taufufa (16%), kicap (9%), tempeh (8%), tauhu telur (7%) dan tauhu soya (4%). Sebahagian besar responden (>50%) percaya produk soya boleh mengurangkan risiko kanser dan osteoporosis. Sebanyak 89.4% responden makan tauhu soya. Sementara itu, 63.9% responden makan tauhu telur dan 42.2% suka tauhu telur yang digoreng. Lebih daripada 80% responden meminati warna, aroma, rasa dan tekstur tauhu telur.
Analisis ke atas ciri-ciri fiziko-kimia dan penilaian sensori untuk lima jenama tauhu telur komersial telah dijalankan. Kandungan lembapan, kandungan protein dan kandungan lemak untuk lima jenama tauhu telur adalah antara 85.2 – 87.0%, 5.9 – 8.7% dan 3.7 – 4.6% setiap satu. Nilai pH tauhu telur pula adalah antara 6.2 – 7.1. Keputusan menunjukkan bahawa tidak terdapat perbezaan bererti (P>0.05) yang dilihat untuk nilai sineresis (2.2-2.6%) bagi kesemua jenama tauhu telur. Setiap jenama mempamerkan kecerahan warna yang berbeza secara bererti (p<0.05) mengikut urutan: Jenama D < Jenama A < Jenama E < Jenama C < Jenama B. Tauhu telur jenama E mempunyai tekstur yang paling keras iaitu 31.35 N, manakala jenama D pula mempunyai tekstur yang paling lembut iaitu 5.38 N. Keputusan penilaian sensori secara nyata menunjukkan bahawa ahli panel menyukai atribut rupabentuk, warna, aroma, rasa, tekstur (kelembutan) dan penerimaan keseluruhan tauhu telur jenama A, D dan E berbanding jenama B dan C.
This study was designed to determine the physicochemical, antioxidant and microbial properties of fresh sugarcane juice
with calamansi juice addition. The sugarcane that was used in the experiments was the black cane variety (Saccharum
officinarum). Sugarcane pressed with and without their peel was juiced and added with calamansi juice before analysis
was carried out. Standard method was used to analyse physicochemical properties such as pH, total soluble solids,
acidity and colour of sugarcane juice. Total phenolic content (TPC), DPPH and FRAP assay were conducted for antioxidant
properties. Total plate count and yeast and mould count were carried out for the microbiological analyses. Two way
analysis of variance (ANOVA) shows significant (p<0.05) difference on colour of sugarcane juiced after extraction with and
without peel. There were no significant (p>0.05) difference shown for pH, acidity and total soluble solids of sugarcane
juice pressed with and without peel. Sugarcane juice pressed with peel produced higher antioxidant value compared
to sugarcane pressed without peel. However, sugarcane juice pressed without peeled showed a lower microbial count
compared to sugarcane juice pressed with peel. The addition of calamansi juice proved to have significant (p<0.05)
effect on colour, antioxidant and microbial count of the sugarcane juices.
Tuberculosis, an infectious disease caused by Mycobacterium tuberculosis (Mtb), remains a major cause of human death worldwide. Innate immunity provides host defense against Mtb. Phagocytosis, characterized by recognition of Mtb by macrophages and dendritic cells (DCs), is the first step of the innate immune defense mechanism. The recognition of Mtb is mediated by pattern recognition receptors (PRRs), expressed on innate immune cells, including toll-like receptors (TLRs), complement receptors, nucleotide oligomerization domain like receptors, dendritic cell-specific intercellular adhesion molecule grabbing nonintegrin (DC-SIGN), mannose receptors, CD14 receptors, scavenger receptors, and FCγ receptors. Interaction of mycobacterial ligands with PRRs leads macrophages and DCs to secrete selected cytokines, which in turn induce interferon-γ- (IFNγ-) dominated immunity. IFNγ and other cytokines like tumor necrosis factor-α (TNFα) regulate mycobacterial growth, granuloma formation, and initiation of the adaptive immune response to Mtb and finally provide protection to the host. However, Mtb can evade destruction by antimicrobial defense mechanisms of the innate immune system as some components of the system may promote survival of the bacteria in these cells and facilitate pathogenesis. Thus, although innate immunity components generally play a protective role against Mtb, they may also facilitate Mtb survival. The involvement of selected PRRs and cytokines on these seemingly contradictory roles is discussed.
This study examined the health status of injured workers with musculoskeletal disorders enrolled in the Malaysian Return to Work (RTW) program. The 102 participants were categorized into three RTW groups: Off-work (n = 30, 29.4%), Re-entry (n = 44, 43.1%), and Maintenance (n = 28, 27.5%). Overall health status, as measured by the SF-36 version 2, of the workers exhibited below average compared to the internationally established normative population, with their physical health component summary rated lower than mental health. Across the different groups, significant differences were found in role-physical, vitality, bodily pain, general health, and mental health. However, the mean values of these variables were higher in the Maintenance group and were found significant. The current health status of injured workers at Off-work and Re-entry phases was significantly low and warranted to be improved by involving other health professionals such as occupational therapists, ergonomists, and psychologists.
On December 21, 2010, 6000 genetically modified (GM) mosquitoes were released in an uninhabited forest in Malaysia. The purpose of the deliberate release was a limited “marked release and recapture” (MRR) experiment, a standard ecological method in entomology, to evaluate under field conditions, the flight distance and longevity of the sterile male Aedes aegypti strain OX513A(My1), a GM strain. As with any other GM technologies, the release was received with mixed responses. As the scientific community debate over the public engagement strategies for similar GM releases, dengue incidence continues to rise with a heavy toll on morbidity, mortality and healthcare budgets. Meanwhile the wild female Aedes aegypti continues to breed offspring, surviving and evading conventional interventions for vector control.