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Submit Nik Software Color Efex Pro 4 Free Download Latest Version for Windows. It is full offline installer standalone setup of Nik Software Color Efex Pro 4 Crack mac for 32/64. Nik Software Color Efex Pro 4 Free Download Latest Version for MAC OS. It is full offline installer standalone setup of Nik Software Color Efex Pro 4 Serial key for macOS. Nik Software Color Efex Pro 4 Overview Nik Software Color Efex Pro – a great plugin for Adobe Photoshop. This is a powerful set of filters for processing images, recommended anyone with a digital camera. The structure includes 75 plug-in filters, and 250 effects designed to enhance photos with color correction, retouching and many other operations.
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Windows XP Vista 7 8 8.1 10 32-bit 64-bit Nik Software Color Efex Pro 4 Free Download Click on below button to start Nik Software Color Efex Pro 4 Free Download. This is complete offline installer and standalone setup for Nik Software Color Efex Pro 4. This would be compatible with both 32 bit and 64 bit windows. Click on below button to start Nik Software Color Efex Pro 4 Free Download. This is complete offline installer and standalone setup for Nik Software Color Efex Pro 4. This would be compatible with macOS. SIZE: 82 MB SIZE: 37.1 MB.
. Hussin, Narwani; Jaafar, Jesni; Naing, Nyi Nyi; Mat, Hamzah Ag; Muhamad, Abd Haris; Mamat, Mohd Noor 2005-09-01 Dengue is the most common and widespread arthropod borne arboviral infection in the world today. It is estimated that there are at least 100 million cases of dengue fever (DF) annually and 500,000 cases of dengue hemorrhagic fever (DHF) which require hospitalization. In Malaysia, it has become a major public health problem. Malaysia recorded 19,544 dengue cases in 1997, the highest recorded since the disease was made notifiable in the country.
Of 19,544 cases, 806 were DHF with 50 deaths. The objectives of this analysis were to describe the incidence of dengue fever and dengue hemorrhagic fever in Kota Bharu, Kelantan, Malaysia for the years 1998-2003 and to explore the characteristics of dengue fever and dengue hemorrhagic fever in Kota Bharu, Kelantan, Malaysia for years 1998-2003. A total of 4,716 dengue cases were notified involving 4,476 (94.9%) DF and 240 (5.1%) DHF cases, which increased though the years. The highest incidence was in January (701 or 14.9%), while the lowest was in May (188 or 4.0%). Forty percent of cases (n=1,890) were in the 15-29 year old group. The Majority were Malays (4,062 or 86.1%) and 2,602 or 55.2% were male. A total of 4,477 cases (95%) were local cases and 4,289 or 91% came from the urban area.
For priority areas, 3,772 (80%) were from priority 1. More than half the cases had positive serology results. All symptoms occurred in more than 96% of cases and fever was the commonest (99.7%).
The mean values for age, temperature, systolic and diastolic blood pressure (BP) were 27.8 +/- 15.4 years, 37.9 +/- 0.90 degrees C, 115 +/- 15.2 mmHg and 73 +/- 11.1 mmHg, respectively. The mean value for the time interval between the onset of symptoms and diagnosis, onset of symptoms and notification and time of diagnosis to notification were 5.1 +/- 2.3, 5.9 +/- 2.5 and 0.8 +/- 1.1 days, respectively. There were associations between the types of dengue and classification, area and priority area. Among the symptoms, the association was only seen. Hashim, Syaratul-Emma; Tan, Hui-Ken; Wan-Hazabbah, W H; Ibrahim, Mohtar 2008-11-01 Refractive error remains one of the primary causes of visual impairment in children worldwide, and the prevalence of refractive error varies widely. The objective of this study was to determine the prevalence of refractive error and study the possible associated factors inducing refractive error among primary school children of Malay ethnicity in the suburban area of Kota Bharu, Kelantan, Malaysia. A school-based cross-sectional study was performed from January to July 2006 by random selection on Standard 1 to Standard 6 students of 10 primary schools in the Kota Bharu district.
Visual acuity assessment was measured using logMAR ETDRS chart. Positive predictive value of uncorrected visual acuity equal or worse than 20/40, was used as a cut-off point for further evaluation by automated refraction and retinoscopic refraction. A total of 840 students were enumerated but only 705 were examined. The prevalence of uncorrected visual impairment was seen in 54 (7.7%) children. The main cause of the uncorrected visual impairment was refractive error which contributed to 90.7% of the total, and with 7.0% prevalence for the studied population. Myopia is the most common type of refractive error among children aged 6 to 12 years with prevalence of 5.4%, followed by hyperopia at 1.0% and astigmatism at 0.6%. A significant positive correlation was noted between myopia development with increasing age (P or = 34 degrees C for 2 hours.
All but 2 of the 234 freeze watches had turned purple, which indicates exposure of the hepatitis B vaccines to temperatures below 0 degree C. These results will assist health planners to correct the weaknesses identified in the cold chain system. Wan Juhari, Wan Khairunnisa; Md Tamrin, Nur Aida; Mat Daud, Mohd Hanif Ridzuan; Isa, Hatin Wan; Mohd Nasir, Nurfazreen; Maran, Sathiya; Abdul Rajab, Nur Shafawati; Ahmad Amin Noordin, Khairul Bariah; Nik Hassan, Nik Norliza; Tearle, Rick; Razali, Rozaimi; Merican, Amir Feisal; Zilfalil, Bin Alwi 2014-12-01 The sequencing of two members of the Royal Kelantan Malay family genomes will provide insights on the Kelantan Malay whole genome sequences. The two Kelantan Malay genomes were analyzed for the SNP markers associated with thalassemia and Helicobacter pylori infection. Helicobacter pylori infection was reported to be low prevalence in the north-east as compared to the west coast of the Peninsular Malaysia and beta-thalassemia was known to be one of the most common inherited and genetic disorder in Malaysia. By combining SNP information from literatures, GWAS study and NCBI ClinVar, 18 unique SNPs were selected for further analysis.
From these 18 SNPs, 10 SNPs came from previous study of Helicobacter pylori infection among Malay patients, 6 SNPs were from NCBI ClinVar and 2 SNPs from GWAS studies. The analysis reveals that both Royal Kelantan Malay genomes shared all the 10 SNPs identified by Maran (Single Nucleotide Polymorphims (SNPs) genotypic profiling of Malay patients with and without Helicobacter pylori infection in Kelantan, 2011) and one SNP from GWAS study. In addition, the analysis also reveals that both Royal Kelantan Malay genomes shared 3 SNP markers; HBG1 (rs1061234), HBB (rs1609812) and BCL11A (rs766432) where all three markers were associated with beta-thalassemia. Our findings suggest that the Royal Kelantan Malays carry the SNPs which are associated with protection to Helicobacter pylori infection. In addition they also carry SNPs which are associated with beta-thalassemia.
These findings are in line with the findings by other researchers who conducted studies on thalassemia and Helicobacter pylori infection in the non-royal Malay population. F.; Amerudin, S.; Kadir, W.
W.; Yusof, Z. 2018-04-01 Flood is natural disaster that can cause damage and death. The flood that hit Kelantan in 2014 was the worst flood in Malaysian history.
Although the disaster could not be avoided, awareness and preparedness could have helped to reduce the impact. Kuala Krai located at the downstream area in Kelantan catchment is the most affected due to the 2014 floods. The confluence of Lebir and Galas rivers into Kelantan river has led to the increase of flood magnitude to the downstream area. Therefore, Kemubu dam and Lebir dam, located along Galas river and Lebir river, respectively, have been proposed by the Kelantan authority to reduce the flood hazard. In this paper, a hydrodynamic modelling study is carried out, which is coupled of 1D and 2D model to simulate the flood event with and without the proposed dams.
The model is developed using a Digital Terrain Model (DTM), which was generated from Airborne LiDAR and SRTM data sources. The hydrograph and water level for 2014 floods event were obtained and was set as an input data for boundary conditions. The modelling results of maximum velocity of 33 m/s and water depth of 19 m were used to generate flood hazard map. The result has found that the proposed dams were able to reduce the flood hazard, particularly at Kuala Krai, Kelantan.
Che Ros, Faizah; Tosaka, Hiroyuki 2018-03-01 Using rainfall gauge on its own as input carries great uncertainties regarding runoff estimation, especially when the area is large and the rainfall is measured and recorded at irregular spaced gauging stations. Hence spatial interpolation is the key to obtain continuous and orderly rainfall distribution at unknown points to be the input to the rainfall runoff processes for distributed and semi-distributed numerical modelling. It is crucial to study and predict the behaviour of rainfall and river runoff to reduce flood damages of the affected area along the Kelantan river. Thus, a good knowledge on rainfall distribution is essential in early flood prediction studies.
Forty six rainfall stations and their daily time-series were used to interpolate gridded rainfall surfaces using inverse-distance weighting (IDW), inverse-distance and elevation weighting (IDEW) methods and average rainfall distribution. Sensitivity analysis for distance and elevation parameters were conducted to see the variation produced. The accuracy of these interpolated datasets was examined using cross-validation assessment. Aminah Shakirah, J.; Sidek, L. Smith micro poser 7 buy for mac. M.; Hidayah, B.; Nazirul, M.
Z.; Jajarmizadeh, M.; Ros, F. C.; Roseli, ZA 2016-03-01 Malaysia is located at tropical zone and high precipitation area that frequently hit by flood events when it is near monsoon season. This hydro hazard has been one of the main concerns for governmental and non-governmental sectors. High floods lead in financial damages and they are related with human’s life.
Kelantan watershed is one of the challenging watersheds which mostly suffer from flood events and heavy rainfall events. Flood in Kelantan watershed is related with monetary misfortunes and lives. Clearly, flood have significant influence on various water sectors such water supply, agriculture, human health and ecosystems therefore study of this topic and presentation of available of any data and information can be a valuable baseline for upcoming research in vulnerable case studies. In this study, Kelantan watershed is selected because it is prone to flooding and urban areas classified as vulnerable districts. This overview is discussed on the last decade (2001-2010) floods events in Kelantan. B.; Hashim, M.
2016-09-01 In this study, the recently launched Phased Array type L-band Synthetic Aperture Radar-2 (PALSAR-2) onboard the Advanced Land Observing Satellite-2 (ALOS-2), remote sensing data were used to map geologic structural and topographical features in the Kelantan river basin for identification of high potential risk and susceptible zones for landslides and flooding areas. A ScanSAR and two fine mode dual polarization level 3.1 images cover Kelantan state were processed for comprehensive analysis of major geological structures and detailed characterizations of lineaments, drainage patterns and lithology at both regional and district scales. Red-Green-Blue (RGB) colour-composite was applied to different polarization channels of PALSAR-2 data to extract variety of geological information. Directional convolution filters were applied to the data for identifying linear features in particular directions and edge enhancement in the spatial domain.
Results derived from ScanSAR image indicate that lineament occurrence at regional scale was mainly linked to the N-S trending of the Bentong-Raub Suture Zone (BRSZ) in the west and Lebir Fault Zone in the east of the Kelantan state. Combination of different polarization channels produced image maps contain important information related to water bodies, wetlands and lithological units for the Kelantan state using fine mode observation data. The N-S, NE-SW and NNE-SSW lineament trends were identified in the study area using directional filtering. Dendritic, sub-dendritic and rectangular drainage patterns were detected in the Kelantan river basin.
The analysis of field investigations data indicate that many of flooded areas were associated with high potential risk zones for hydro-geological hazards such as wetlands, urban areas, floodplain scroll, meander bend, dendritic and sub-dendritic drainage patterns, which are located in flat topograghy regions. Numerous landslide points were located in rectangular drainage system that associated. Rozilawati, H.; Faudzi, A.Y.; Rahidah, A.A. Siti; Azlina, A.H.
Nor; Abdullah, A.G.; Amal, N.M.; Mansor, H. Wan; Hani, H.; Apandi, Y.; Noor, Faezah; Norziyana; Nazni, W.A.; Zairi, J.; Lee, H.L. 2011-01-01 Background & objectives: Chikungunya infection has become a public health threat in Malaysia since the 2008 nationwide outbreaks. Aedes albopictus Skuse has been identified as the chikungunya vector in Johor State during the outbreaks. In 2009, several outbreaks had been reported in the State of Kelantan. Entomological studies were conducted in Kelantan in four districts, namely Jeli, Tumpat, Pasir Mas and Tanah Merah to identify the vector responsible for the virus transmission.
Methods: CHIKV cases records were obtained from State Health Department, Kelantan and localities involved were identified. Larva survey was conducted to collect the immature mosquito stages. Modified aspirators were used to collect the adult mosquitoes. All samples on dry ice were transferred to laboratory and the presence of the virus was detected using reverse transcriptase PCR.
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Results: A total of 1,245 mosquito larvae were collected during larval survey and 2,019 adult mosquitoes were collected using aspirator. From these collections, 640 mosquito pools were tested for the presence of CHIKV by RT-PCR but none found positive. Albopictus was the most abundant mosquito collected, followed by Culex sp., Armigeres sp.
And Anopheles sp. A total of 2, 814 artificial containers were inspected during the study. Interpretation & conclusions: Since none of the mosquito samples was found to be positive for chikungunya virus, the vector(s) of chikungunya virus in these localities could not be identified.
PMID:21727669. Abd Gani, Rahayu; Manaf, Siti Mariam; Zafarina, Zainuddin; Panneerchelvam, Sundararajulu; Chambers, Geoffrey Keith; Norazmi, Mohd Noor; Edinur, Hisham Atan 2015-08-01 In this study we genotyped ABO, Rhesus, Kell, Kidd and Duffy blood group loci in DNA samples from 120 unrelated individuals representing four Malay subethnic groups living in Peninsular Malaysia (Banjar: n = 30, Jawa: n = 30, Mandailing: n = 30 and Kelantan: n = 30). Analyses were performed using commercial polymerase chain reaction-sequence specific primer (PCR-SSP) typing kits (BAG Health Care GmbH, Lich, Germany). Overall, the present study has successfully compiled blood group datasets for the four Malay subethnic groups and used the datasets for studying ancestry and health. Copyright © 2015 Elsevier Ltd.
All rights reserved. Shiely, Frances; Saifuddin, Mohammed Syafiek 2014-03-01 More than 150 million women become pregnant in developing countries annually and an estimated 287,000 die from pregnancy-related causes. Contraception is vital to prevent unnecessary maternal deaths, as well as sexually transmitted infections. The objective of this study was to investigate preferred contraceptive methods and the factors that influence contraceptive choice among women in Kelantan, Malaysia. A cross-sectional study using interview-based questionnaires was conducted, during July and August 2009, in local family planning clinics in Kelantan. The questionnaire was administered to adult women (age 20-50). Prevalence of unplanned pregnancies was high (48%).
Contraceptive preference was Depo contraceptive injection (32%), oral contraceptive pills (27%), intrauterine devices (15%) and contraceptive implants (12%); 9% used condoms. Only 2% used contraception to protect against sexually transmitted infections or HIV/AIDS. Younger women (OR 0.90; 95% CI 0.807-0.993) were more likely to use contraception. In conclusion, non-interrupted contraceptive methods were preferred. More than 60% would stop using contraception if it interrupted intercourse. From both a public health and infectious disease perspective, this is extremely worrying.
Jamaludin, Suhaila 2017-05-01 Extreme rainfall events such as floods and prolonged dry spells have become common phenomena in tropical countries like Malaysia. Floods are regular natural disasters in Malaysia, and happen nearly every year during the monsoon season. Recently, the magnitude of streamflow seems to have altered frequently, both spatially and temporally.
Therefore, in order to have effective planning and an efficient water management system, it is advisable that streamflow data are analysed continuously over a period of time. If the data are treated as a set of functions rather than as a set of discrete values, then this ensures that they are not restricted by physical time. In addition, the derivatives of the functions may themselves be treated as functional data, which provides new information. The objective of this study is to develop a functional framework for hydrological applications using streamflow as the functional data. The daily flow series from the Kelantan River Basin were used as the main input in this study. Seven streamflow stations were employed in the analysis.
Classification between the stations was done using the functional principal component, which was based on the results of the factor scores. The results indicated that two stations, namely the Kelantan River (Guillemard Bridge) and the Galas River, have a different flow pattern from the other streamflow stations. The flow curves of these two rivers are considered as the extreme curves because of their different magnitude and shape. Beiranvand Pour, Amin; Hashim, Mazlan 2016-06-01 Yearly, several landslides ensued during heavy monsoons rainfall in Kelantan river basin, peninsular Malaysia, which are obviously connected to geological structures and topographical features of the region.
In this study, the recently launched Phased Array type L-band Synthetic Aperture Radar-2 (PALSAR-2) onboard the Advanced Land Observing Satellite-2 (ALOS-2), remote sensing data were used to map geological structural and topographical features in the Kelantan river basin for identification of high potential risk and susceptible zones for landslides. Adaptive Local Sigma filter was selected and applied to accomplish speckle reduction and preserving both edges and features in PALSAR-2 fine mode observation images.
Different polarization images were integrated to enhance geological structures. Additionally, directional filters were applied to the PALSAR-2 Local Sigma resultant image for edge enhancement and detailed identification of linear features.
Several faults, drainage patterns and lithological contact layers were identified at regional scale. In order to assess the results, fieldwork and GPS survey were conducted in the landslide affected zones in the Kelantan river basin. Results demonstrate the most of the landslides were associated with N-S, NNW-SSE and NE-SW trending faults, angulated drainage pattern and metamorphic and Quaternary units. Consequently, structural and topographical geology maps were produced for Kelantan river basin using PALSAR-2 data, which could be broadly applicable for landslide hazard mapping. Azira, N M S; Zeehaida, M; Nurul Khaiza, Y 2013-06-01 The human leucocyte antigen (HLA) has been documented to be involved in various disease susceptibilities or in resistance against certain diseases. An important element in susceptibility and resistance to disease is ethnic genetic constitution.
Cognizant of this, the present study aimed at studying the prevalence of particular HLA class II in a normal healthy Malay population which may serve as a guide for further genetic and immunological studies related to the Malay Malaysian population. The study involved 40 normal healthy Malay persons in Kelantan. HLA typing was conducted on venous blood samples through a polymerase chain reaction-sequence specific primer method (low resolution Olerup SSP© HLA Typing Kits). The study found HLA DR12 and HLA DQ8 to be the most frequent HLA class II type. HLA DQ5 was significantly associated with female subjects. Nurul; Aziz, A.
Che; Roslan, M. Kamal 2015-09-01 Sediment samples were collected from the shallow marine from Kuala Besar, Kelantan outwards to the basin floor of South China Sea which consisted of quaternary bottom sediments. Sixty five samples were analysed for their grain size distribution and statistical relationships. Basic statistical analysis like mean, standard deviation, skewness and kurtosis were calculated and used to differentiate the depositional environment of the sediments and to derive the uniformity of depositional environment either from the beach or river environment.
The sediments of all areas were varied in their sorting ranging from very well sorted to poorly sorted, strongly negative skewed to strongly positive skewed, and extremely leptokurtic to very platykurtic in nature. Bivariate plots between the grain-size parameters were then interpreted and the Coarsest-Median (CM) pattern showed the trend suggesting relationships between sediments influenced by three ongoing hydrodynamic factors namely turbidity current, littoral drift and waves dynamic, which functioned to control the sediments distribution pattern in various ways. Saadatkhah, Nader; Mansor, Shattri; Khuzaimah, Zailani; Asmat, Arnis; Adnan, Noraizam; Adam, Siti Noradzah 2016-09-01 Changing the land cover/ land use has serious environmental impacts affecting the ecosystem in Malaysia. The impact of land cover changes on the environmental functions such as surface water, loss water, and soil moisture is considered in this paper on the Kelantan river basin. The study area at the east coast of the peninsular Malaysia has suffered significant land cover changes in the recent years. The current research tried to assess the impact of land cover changes in the study area focused on the surface water, loss water, and soil moisture from different land use classes and the potential impact of land cover changes on the ecosystem of Kelantan river basin.
To simulate the impact of land cover changes on the environmental hydrology characteristics, a deterministic regional modeling were employed in this study based on five approaches, i.e. (1) Land cover classification based on Landsat images; (2) assessment of land cover changes during last three decades; (3) Calculation the rate of water Loss/ Infiltration; (4) Assessment of hydrological and mechanical effects of the land cover changes on the surface water; and (5) evaluation the impact of land cover changes on the ecosystem of the study area. Assessment of land cover impact on the environmental hydrology was computed with the improved transient rainfall infiltration and grid based regional model (Improved-TRIGRS) based on the transient infiltration, and subsequently changes in the surface water, due to precipitation events.
The results showed the direct increased in surface water from development area, agricultural area, and grassland regions compared with surface water from other land covered areas in the study area. The urban areas or lower planting density areas tend to increase for surface water during the monsoon seasons, whereas the inter flow from forested and secondary jungle areas contributes to the normal surface water. Beiranvand Pour, Amin; Hashim, Mazlan 2016-06-01 Natural hazards of geological origin are one of major problem during heavy monsoons rainfall in Kelantan state, peninsular Malaysia. Several landslides occur in this region are obviously connected to geological and topographical features, every year. Satellite synthetic aperture radar (SAR) data are particularly applicable for detection of geological structural and topographical features in tropical conditions.
In this study, Phased Array type L-band Synthetic Aperture Radar (PALSAR-2), remote sensing data were used to identify high potential risk and susceptible zones for landslide in the Kelantan river basin. Adaptive Local Sigma filter was selected and applied to accomplish speckle reduction and preserving both edges and features in PALSAR-2 fine mode observation images. Different polarization images were integrated to enhance geological structures. Additionally, directional filters were applied to the PALSAR-2 Local Sigma resultant image for edge enhancement and detailed identification of linear features.
Several faults, drainage patterns and lithological contact layers were identified at regional scale. In order to assess the results, fieldwork and GPS survey were conducted in the landslide affected zones in the Kelantan river basin. Results demonstrate the most of the landslides were associated with N-S, NNW-SSE and NE-SW trending faults, angulate drainage pattern and metamorphic and Quaternary units. Consequently, geologic structural map were produced for Kelantan river basin using recent PALSAR-2 data, which could be broadly applicable for landslide hazard assessment and delineation of high potential risk and susceptible areas. Landslide mitigation programmes could be conducted in the landslide recurrence regions for reducing catastrophes leading to economic losses and death. Beiranvand Pour, Amin; Hashim, Mazlan 2017-07-01 Identification of high potential risk and susceptible zones for natural hazards of geological origin is one of the most important applications of advanced remote sensing technology.
Yearly, several landslides occur during heavy monsoon rainfall in Kelantan River basin, Peninsular Malaysia. Flooding and subsequent landslide occurrences generated significant damage to livestock, agricultural produce, homes and businesses in the Kelantan River basin. In this study, remote sensing data from the recently launched Landsat-8 and Phased Array type L-band Synthetic Aperture Radar-2 (PALSAR-2) on board the Advanced Land Observing Satellite-2 (ALOS-2) were used to map geologic structural and topographical features in the Kelantan River basin for identification of high potential risk and susceptible zones for landslides and flooding areas. The data were processed for a comprehensive analysis of major geological structures and detailed characterizations of lineaments, drainage patterns and lithology at both regional and district scales. The analytical hierarchy process (AHP) approach was used for landslide susceptibility mapping.
Several factors such as slope, aspect, soil, lithology, normalized difference vegetation index (NDVI), land cover, distance to drainage, precipitation, distance to fault and distance to the road were extracted from remote sensing satellite data and fieldwork to apply the AHP approach. Directional convolution filters were applied to ALOS-2 data for identifying linear features in particular directions and edge enhancement in the spatial domain.
Results indicate that lineament occurrence at regional scale was mainly linked to the N-S trending of the Bentong-Raub Suture Zone (BRSZ) in the west and Lebir Fault Zone in the east of the Kelantan state. The combination of different polarization channels produced image maps that contain important information related to water bodies, wetlands and lithological units. The N-S, NE-SW and NNE-SSW lineament trends and. Yusuf, Azlina; Ahmad, Zulkifli; Keng, Soon Lean 2013-01-01 Breast cancer is the leading cause of cancer-related death among women in Malaysia. A diagnosis is very stressful for women, affecting all aspects of their being and quality of life. As such, there is little information on quality of life of women with breast cancer across the different ethnic groups in Malaysia. The purpose of this study was to examine the quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan.
A descriptive study involved 58 Malays and 15 Chinese women newly diagnosed with breast cancer prior to treatment. Quality of life was measured using the Malay version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast-specific module (QLQ-BR23). Socio-demographic and clinical data were also collected. All the data were analyzed using SPSS version 20.0. Most of the women were married with at least a secondary education and were in late stages of breast cancer. The Malay women had lower incomes (p=0.046) and more children (p=0.001) when compared to the Chinese women.
Generally, both the Malay and Chinese women had good functioning quality-of-life scores mean score range: 60.3-84.8 (Malays); 65.0-91.1 (Chinese) and global quality of life mean score 60.3, SD 22.2 (Malays); mean score 65.0, SD 26.6 (Chinese). The Malay women experienced more symptoms such as nausea and vomiting (p=0.002), dyspnoea (p=0.004), constipation (p.
Yen, Siew Hwa; Knight, A; Krishna, Mbv; Muda, Wmw; Rufai, Aa 2016-01-01 Physical inactivity has been identified as the fourth leading risk factor for global mortality and is associated with increased breast cancer diagnosis and recurrence. To examine the association between adult lifetime physical activity and breast cancer risk in a case-control analysis. This study involved 122 cases of breast cancer and 121 controls in the state of Kelantan in Malaysia. A comprehensive measure of lifetime physical activity was used to assess occupational, household, and recreational/sports activity.
For every type of activity, a metabolic equivalent (MET) score was assigned using the compendium of physical activities. MET-hours/week per year for all types of activities at different levels of intensities for different age groups were calculated.
Logistic regression analysis was used to estimate odds ratios between various measures of physical activity and breast cancer risk. The mean MET-hours/week per year for all activities were 120.0 and 132.9 of MET-hours/week per year for cases and controls respectively. Household activities accounted for about 70% of the total lifetime physical activities. Only about 2.5% of the total lifetime physical activities were in the form of recreational/sports. This study found no association between lifetime occupational and recreational/sports physical activities with breast cancer risk among Kelantanese women. However, higher intensity lifetime household activities seemed to significantly reduce risk of breast cancer.
Isa, Siti Nor Ismalina; Ishak, Ismarulyusda; Rahman, Azriani Ab; Saat, Nur Zakiah Mohd; Din, Normah Che; Lubis, Syarif Husin; Ismail, Muhammad Faiz Mohd 2017-03-01 Caregivers of children with learning disabilities have been shown to experience increased stress and greater negative caregiving consequences than those with typically developing children. There remains a lack of studies focusing on stress and coping mechanisms among caregivers of a wider age group and diagnosis of individuals with disabilities in Asian countries.
The current study examines levels of perceived stress and associated child and caregiver factors among caregivers of children with learning disabilities in the Malaysian context. An additional aim was to determine whether caregiver coping styles may be predictors of perceived stress. The Malay version of the Perceived Stress Scale with 10 items and the Brief COPE Scale were administered to a sample of 190 Malay caregivers of children with learning disabilities registered with community-based rehabilitation centres in Kelantan, a state in Peninsular Malaysia. Multiple linear regression analysis was applied to determine the predictors of perceived stress.
The mean total perceived stress score of caregivers was 16.96 (SD = 4.66). The most frequently used coping styles found among caregivers included religion, acceptance and positive reframing, while substance use and behavioural disengagement were least frequently used. Higher perceived stress was significantly predicted among caregivers with fewer children, frequent use of instrumental support and behavioural disengagement coping, and lack of emotional support and religious coping. Findings indicate that the perceived stress levels among caregivers were significantly predicted by different coping styles. It is vital to help the caregivers improve their good coping styles in order to reduce their stress levels. Ahmad Sharoni, S K; Shdaifat, E A; Mohd Abd Majid, H A; Shohor, N A; Ahmad, F; Zakaria, Z 2015-01-01 Diabetes is common among the elderly and can significantly affect their lives including the issues related with social support and diabetic self-care activities.
The objective of this study was to examine the social support and self-care activities among the elderly patients with diabetes. A survey involving 200 patients was conducted from March 2013 to May 2013 in three hospitals in Kelantan. Data were obtained through self-administered questionnaires and clinical characteristics were acquired from the patients' records. The scores for social support (mean = 19.26; SD = 2.63) and self-care activities (mean = 14.83; SD = 4.92) were moderate. Higher social support was associated with high levels of glycated haemoglobin (HbA1c), fasting blood sugar (FBS) level, the duration of diabetes and a decrease in body mass index (BMI) (p or =30 kg/M2. The mean systolic and diastolic blood pressures were 121.5 mmHg (SD=14.0) and 76.5 mmHg (SD=9.7), respectively and the mean waist-hip ratio was 0.84 (SD=0.1).
The mean fasting blood sugar, total cholesterol, triglyceride, high density lipoprotein and low density lipoprotein were 5.8 mmol/l (SD=2.4), 5.5 mmol/l (SD=1.0), 1.4 mmol/l (SD=0.9), 1.5 mmol/l (SD=0.3) and 3.5 mmol/l (SD=0.9), respectively. Our study population had a smaller proportion of hypertension than that of the general Malaysian population. They had higher fasting total cholesterol, slightly lower fasting blood sugar, with a large proportion of them, obese and had diabetes.
Immediate intervention is needed to reduce the traditional cardiovascular risk factors in this population. Keywords: cardiovascular risk factors, health care workers, Malaysia. Noor Izani, N J; Zulaikha, A R; Mohamad Noor, M R; Amri, M A; Mahat, N A 2012-03-01 The use of ice cubes in beverages is common among patrons of food outlets in Malaysia although its safety for human consumption remains unclear.
Hence, this study was designed to determine the presence of faecal coliforms and several useful water physicochemical parameters viz. Free residual chlorine concentration, turbidity and pH in ice cubes from 30 randomly selected food outlets in Kubang Kerian, Kelantan. Faecal coliforms were found in ice cubes in 16 (53%) food outlets ranging between 1 CFU/100mL to 50 CFU/ 100mL, while in the remaining 14 (47%) food outlets, in samples of tap water as well as in commercially bottled drinking water, faecal coliforms were not detected. The highest faecal coliform counts of 50 CFU/100mL were observed in 3 (10%) food outlets followed by 11-50 CFU/100mL and 1-10 CFU/100mL in 7 (23%) and 6 (20%) food outlets, respectively. All samples recorded low free residual chlorine concentration (. Rajan, S.; Sethuraman, M. 1991-01-01 The present report deals with 34 plants of ethno botanical significance used s food and medicine by the Kotas of Nilgiri District, Tamil Nadu.
Dietary and medicinal applications of plants re briefly summarized and presented. PMID:22556537. Tan, Mou Leong; Ibrahim, Ab Latif; Yusop, Zulkifli; Chua, Vivien P.; Chan, Ngai Weng 2017-06-01 This study aims to evaluate the potential impacts of climate change on water resources of the Kelantan River Basin in north-eastern Peninsular Malaysia using the Soil and Water Assessment Tool (SWAT) model. Thirty-six downscaled climate projections from five General Circulation Models (GCMs) under the three Representative Concentration Pathways (RCPs) 2.6, 4.5 and 8.5 scenarios for the periods of 2015-2044 and 2045-2074 were incorporated into the calibrated SWAT model.
Differences of these scenarios were calculated by comparing to the 1975-2004 baseline period. Overall, the SWAT model performed well in monthly streamflow simulation, with the Nash-Sutcliffe efficiency values of 0.75 and 0.63 for calibration and validation, respectively. Based on the ensemble of five GCMs, the annual rainfall and maximum temperature are projected to increase by 1.2-8.7% and 0.6-2.1 °C, respectively. This corresponds to the increases in the annual streamflow (14.6-27.2%), evapotranspiration (0.3-2.7%), surface runoff (46.8-90.2%) and water yield (14.2-26.5%) components.
The study shows an increase of monthly rainfall during the wet season, and decrease during the dry season. Therefore, the monthly streamflow and surface runoff are likely to increase significantly in November, December and January. In addition, slight decreases in the monthly water yield are found between June and October (1.9-8.9%) during the 2015-2044 period.
These findings could act as a scientific reference to develop better climate adaptation strategies. Jeyachelvi, K; Juwita, S; Norwati, D 2016-01-01 Cervical cancer though preventable is still the leading cause of cancer death among women secondary to breast cancer. Persistent infection with HPV has been causally linked to the disease. A school based HPV vaccination program was introduced in late 2010 in Malaysia and nurse support is essential for its success.
To determine nurses knowledge and attitudes about HPV infection and its vaccines, and factors associated with their knowledge. This cross-sectional study was conducted among nurses working at primary health clinics in Kelantan from mid-June till the end of July 2014. Its involved 330 nurses selected through multistage random sampling.
A validated self-administered questionnaire consisting of 11 items for the knowledge domain and eight items for the attitude domain was used. The response rate of the study was 93.7%.
The mean knowledge and mean attitude (SD) scores were 5.37 (1.76) and 29.8 (3.51) respectively. Only 24% knew that HPV is the most common sexually transmitted infection and 67% correctly answered that Gardasil vaccine can protect against four types of HPV. Nearly 60% of participants wrongly answered that HPV vaccines cannot be offered to sexually active women. Likewise, 70.9% participants were not aware that HPV vaccine may be appropriate for females aged 9 through 26 years. Though 90% of participants believed that the vaccine is safe, nearly half of them were unsure about efficacy. From multiple linear regression analysis, among the factors tested only participant's level of education showed a statistically significant association with the HPV knowledge score (0.05).
Significantly higher proportion (59.5%) (50/84) of laboratory technicians in HUSM compared to those in KKM Hospitals (39.4%) (28/71) (p = 0.016) experienced job-related depression. Significant associated factors of job-related depression were low social support (HUSM: adjusted OR 4.7, 95% CI 1.2-18.8; KKM: adjusted OR 14.8, 95%CI 2.4-89.3), high psychological demand (HUSM: adjusted OR 3.0, 95%CI 1.0-8.8), and low decision authority (KKM: adjusted OR 9.7, 95%CI 1.0-91.1).
We conclude that strengthening the social support network (supervisors' and coworkers' support), reducing psychological job demand, and increasing decision-making authority of laboratory technicians may go a long way towards reducing job-related depression. Yusoff, Ahmad Faudzi; Mustafa, Amal Nasir; Husaain, Hani Mat; Hamzah, Wan Mansor; Yusof, Apandi Mohd; Harun, Rozilawati; Abdullah, Faezah Noor 2013-05-08 The aims of the study were to assess the risk factors in relation to cross border activities, exposure to mosquito bite and preventive measures taken.An outbreak of chikungunya virus (CHIKV) infection in Malaysia has been reported in Klang, Selangor (1998) and Bagan Panchor, Perak (2006).
In 2009, CHIKV infection re-emerged in some states in Malaysia. It raises the possibilities that re-emergence is part of the epidemics in neighbouring countries or the disease is endemic in Malaysia. For this reason, A community-based case control study was carried out in the state of Kelantan. Prospective case finding was performed from June to December 2009. Those who presented with signs and symptoms of CHIKV infection were investigated. We designed a case control study to assess the risk factors. Assessment consisted of answering questions, undergoing a medical examination, and being tested for the presence of IgM antibodies to CHIKV.
Descriptive epidemiological studies were conducted by reviewing both the national surveillance and laboratory data. Multivariable logistic regression analysis was performed to determine risk factors contributing to the illness.
Cases were determined by positive to RT-PCR or serological for antibodies by IgM. CHIKV specificity was confirmed by DNA sequencing. There were 129 suspected cases and 176 controls. Among suspected cases, 54.4% were diagnosed to have CHIKV infection. Among the controls, 30.1% were found to be positive to serology for antibodies IgM, 14.2% and IgG, 15.9%. For analytic study and based on laboratory case definition, 95 were considered as cases and 123 as controls.
Those who were positive to IgG were excluded. CHIKV infection affected all ages and mostly between 50-59 years old. Staying together in the same house with infected patients and working as rubber tappers were at a higher risk of infection. The usage of Mosquito coil insecticide had shown to be a significant protective factor. Most cases were treated as outpatient. Dasgupta, Arunima; Sastry, K.
N.; Dhinwa, P. S.; Rathore, V. S.; Nathawat, M. 2013-08-01 Desertification risk assessment is important in order to take proper measures for its prevention. Present research intends to identify the areas under risk of desertification along with their severity in terms of degradation in natural parameters. An integrated model with fuzzy membership analysis, fuzzy rule-based inference system and geospatial techniques was adopted, including five specific natural parameters namely slope, soil pH, soil depth, soil texture and NDVI. Individual parameters were classified according to their deviation from mean.
Membership of each individual values to be in a certain class was derived using the normal probability density function of that class. Thus if a single class of a single parameter is with mean μ and standard deviation σ, the values falling beyond μ + 2 σ and μ - 2 σ are not representing that class, but a transitional zone between two subsequent classes. These are the most important areas in terms of degradation, as they have the lowest probability to be in a certain class, hence highest probability to be extended or narrowed down in next or previous class respectively. Eventually, these are the values which can be easily altered, under extrogenic influences, hence are identified as risk areas. The overall desertification risk is derived by incorporating the different risk severity of each parameter using fuzzy rule-based interference system in GIS environment. Multicriteria based geo-statistics are applied to locate the areas under different severity of desertification risk. The study revealed that in Kota, various anthropogenic pressures are accelerating land deterioration, coupled with natural erosive forces.
Four major sources of desertification in Kota are, namely Gully and Ravine erosion, inappropriate mining practices, growing urbanization and random deforestation. Saddki, Norkhafizah; Bachok, Norsa'adah; Hussain, Nik Hazlina Nik; Zainudin, Siti Lailatul Akmar; Sosroseno, Wihaskoro 2008-08-01 Maternal periodontitis has been suggested as one of the risk factors for low birth weight (LBW) infants. The objective of this study was to determine the association between maternal periodontitis and LBW infants among Malay women.
Screening periodontal examinations were carried out on all eligible Malay pregnant women in the second trimester of pregnancy attending two randomly selected community maternal and child health clinics in Kota Bharu, Kelantan. Patients with four or more sites with pocket depth 4 mm or higher, and clinical attachment loss 3 mm or higher at the same site with presence of bleeding on probing were diagnosed as having periodontitis in this study. Using this definition, systematic random sampling was utilized for selection of 250 subjects for each exposed and non-exposed group.
Of 500 subjects enrolled in the study, 28 (5.6%) were either dropped or lost to follow-up. Of the remaining 472 subjects, 232 with periodontitis were in the exposed group and 240 with healthy periodontium were in the nonexposed group.
The incidence of LBW was 14.2% (95% CI: 9.70-18.75) in women with periodontitis, and 3.3% (95% CI: 1.05-5.62) in women without periodontitis. The relative risk of having LBW infants was 4.27 times higher for women with periodontitis compared with those without periodontitis (95% CI: 2.01-9.04). After adjustment for potential confounders using multiple logistic regression analysis, significant association was found between maternal periodontitis and LBW (OR = 3.84; 95% CI: 1.34-11.05). The results of this study provide additional evidence that pregnant women with periodontitis are at a significantly higher risk of delivering LBW infants. Taib, Nur Aishah; Yip, Cheng Har; Ibrahim, Mohamed; Ng, C J; Farizah, H 2007-01-01 The message that health care providers caring for patients with breast cancer would like to put forth, is that, not only early detection is crucial but early treatment too is important in ensuring survival. This paper examines the pattern of presentation at a single institution over a 10-year period from 1995 to 2005.
In Malaysia, education outreach programmes are ongoing, with contributions not only from the public sector, but also private enterprise. Articles on breast cancer in local newspapers and women magazines and television are quite commonplace. However are our women getting the right message? Now is an appropriate time to bring the stakeholders together to formulate a way to reach all women in Malaysia, not excluding the fact that we are from different races, different education levels and backgrounds requiring differing ways of delivering health promotion messages. To answer the question of why women present late, we prospectively studied 25 women who presented with locally advanced disease. A quantitative, quasi-qualitative study was embarked upon, as a prelude to a more detailed study.
Reasons for presenting late were recorded. We also looked at the pattern of presentation of breast lumps in women to our breast clinic in UMMC and in the surgical clinic in Hospital Kota Bharu, in the smaller capital of the state of Kelantan, in 2003. There is hope for the future, the government being a socially responsible one is currently making efforts towards mammographic screening in Malaysia. However understanding of the disease, acceptance of medical treatment and providing resources is imperative to ensure that health behaviour exhibited by our women is not self-destructive but self-preserving. Women are an integral part of not only the nation's workforce but the lifeline of the family - hopefully in the next decade we will see great improvement in the survival of Malaysian women with breast cancer. Khan, Farrah; Krishnan, Archana; Ghani, Mansur A.; Wickersham, Jeffrey A.; Fu, Jeannia J.; Lim, Sin How; Dhaliwal, Sangeeth Kaur; Kamarulzaman, Adeeba; Altice, Frederick L.
2017-01-01 Background As part of an ongoing initiative by the Malaysian government to implement alternative approaches to involuntary detention of people who use drugs, the National Anti-Drug Agency has created new voluntary drug treatment programs known as Cure and Care (C&C) Centers that provide free access to addiction treatment services, including methadone maintenance therapy, integrated with social and health services. Objectives We evaluated early treatment outcomes and client satisfaction among patients accessing C&C treatment and ancillary services at Malaysia’s second C&C Center located in Kota Bharu, Kelantan. Methods In June–July 2012, a cross-sectional convenience survey of 96 C&C inpatients and outpatients who entered treatment 30 days previously was conducted to assess drug use, criminal justice experience, medical co-morbidities, motivation for seeking treatment, and attitudes towards the C&C. Drug use was compared for the 30-day-period before C&C entry and the 30-day-period before the interview. Results Self-reported drug use levels decreased significantly among both inpatient and outpatient clients after enrolling in C&C treatment.
Higher levels of past drug use, lower levels of social support, and more severe mental health issues were reported by participants who were previously imprisoned. Self-reported satisfaction with C&C treatment services was high. Conclusions/Importance Preliminary evidence of reduced drug use and high levels of client satisfaction among C&C clients provide support for Malaysia’s ongoing transition from compulsory drug detention centers (CDDCs) to these voluntary drug treatment centers. If C&C centers are successful, Malaysia plans to gradually transition away from CDDCs entirely.
Abdullah, Mohd. Harun; Sidi, Jovita; Aris, Ahmad Zaharin 2007-01-01 Concentrations of heavy metals (Cd, Cu, Cr, Pb and Zn) in tissues of Meretrix meretrix Roding (M. Meretrix R.), water and sediments from two estuaries were determined.
One estuary is located in an urban area of Kota Kinabalu (Likas estuary) and the other in a rural district of Kota Belud ( Kota Belud estuary), where both are in Sabah, North of. Alwi, Zilfalil Bin 2015-01-01 and procedures that ensures that the repository is operated and maintained in a responsible and accountable manner that is consistent with both national and HVP Standards.
The HVP Malaysian Node (MyHVP), one of 23 HVP Country Nodes currently in existence, was established in 2010 and officially launched by Professor Cotton. The MyHVP database was made available on the internet a year later. The HVP Malaysian Node has taken a key role in the region and has worked to establish the HVP ASEAN Regional Node. Among its ob.