A comparative study on law regulating cybersquatting in the United States of America and Malaysia / Muhammad Farid Omar … [et al.]

Cybersquatting was already an alarming issue throughout the whole world in these millennia. However through our observations in general, we see and discover that some regional minds especially for our scope, which is the proud and loving country of Malaysia have no significance stress on this issue as the heat of this offence either in the eye of the public as well as the Malaysian law itself, shows no inducement of seriousness in the aftermath of such offence. It may be fair to say that maybe the urge for development in this issue had not reach its peak in climax for an evolution and imposition for a much more perfected operation of law instead of only a functional one, but do we really need to actually wait for this issue to reach an alarming height where only then that we should take this offence seriously?. Due to this, we had decided to compare the United States of America's development of law against cybersquatting and make it our guideline of prevention in contrast with our country. Thus in this research, we had humbly highlighted the history of development of both the offence of cybersquatting as well as the stages in development of the Act that had emerged in governing them in both USA and Malaysia. With the degree of comparison with Malaysia, we had thus concluded that the same implementation that the USA had done in their cybersquatting Act should be done to Malaysian Act to improve its certain shortcomings

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Menyibak Pertimbangan Hakim Pengadilan Agama Gorontalo Kelas IA Dalam Menetapkan Ahli Waris Pada Perkara Sengketa Waris

Penelitian ini bertujuan untuk mengetahui bagaimanakah proses penyelesaian penetapan ahli warsis (PAW) di Pengadilan Agama Gorontalo; dan bagaimana pertimbangan hakim dalam penyelesaian Petapan Ahli Waris (PAW) di Pengadilan Agama Gorontalo. Metode yang digunakan dalam penelitian ini adalah metode analisis diskriptif kualitatif dengan pendekatan kualitatif. Penelitian kualitatif adalah prosedur penelitian yang menghasilkan data deskriptif berupa kata-kata tertulis atau lisan dari orang-orang dan perilaku yang diamati. Hasil penelitian ini menunjukkan bahwa proses penyelesaian Penetapan Ahli Waris (PAW) di Pengadilan Agama Gorontalo telah dilakukan dengan prosedur dan syarat-syarat yang berlaku berdasarkan aturan perundang-undangan. Permohonan penetapan ahli waris dan perkara gugat waris harus dilihat apakah syarat formilnya sudah terpenuhi atau tidak, cocok atau tidak dengan silsilah keluarga dari kelurahan. Bila tidak sesuai maka hakim akan ditolak (NO) untuk melanjutkan perkara tersebut. Pertimbangan hakim dalam menjatuhkan penetapannya yaitu: pewarisnya sudah meninggal; ahli warisnya ada dan masih hidup; menyebutkan kepentingan pemohon dalam permohonannya. Pada dasarnya tolak ukur hakim dalam menjatuhkan putusannya harus dengan mempertimbangkan fakta-fakta hukum yang terungkap dalam persidangan, juga memperhatikan aspek-aspek keadilan dan kemanfaatan atas bagi para pihak yang terkait, memperhatikan aturan-aturan yang berlaku dan nilai-nilai luhur yang berkembang dalam masyarakat

Rigid‑body analysis of a beveled shape structure in regular waves using the weakly compressible smoothed particle hydrodynamics (WCSPH) method

In many cases of wave structure interactions, three-dimensional models are used to demonstrate real-life complex environments in large domain scales. In the seakeeping context, predicting the motion responses in the interaction of a long body resembling a ship structure with regular waves is crucial and can be challenging. In this work, regular waves interacting with a rigid foating structure were simulated using the open-source code based on the weakly compressible smoothed particle hydrodynamics (WCSPH) method, and optimal parameters were suggested for diferent wave environments. Vertical displacements were computed, and their response amplitude operators (RAOs) were found to be in good agreement with experimental, numerical, and analytical results. Discrepancies of numerical and experimental RAOs tended to increase at low wave frequencies, particularly at amidships and near the bow. In addition, the instantaneous wave contours of the surrounding model were examined to reveal the efects of localized waves along the structure and wave dissipation. The results indicated that the motion response from the WCSPH responds well at the highest frequency range (ω>5.235 rad/s)

Screening the synergy of sodium dodecylbenzenesulfonate and carboxymethyl cellulose for surfactant-polymer flooding

Carboxymethyl cellulose (CMC) has emerged in oil and gas industries as a superior substitution to the conventional HPAM and xanthan gum (XG) for high viscosity polymer flooding application. In this study, the combined effect of conventional surfactant, sodium dodecylbenzenesulfonate (SDBS) and CMC for potential surfactant-polymer (SP) flooding in enhanced oil recovery (EOR) has been investigated. Thereafter, SDBS – CMC interaction and the functional groups present in CMC were appropriately identified. The presence of various C–O bonds signifies the existence of carboxymethyl group which greatly influence the rheological properties of CMC solution. The behaviour of SDBS–CMC was characterized by their viscosity, shear rate, solubilization, wettability, and surface tension. Tertiary flooding utilizing SDBS-CMC was performed and compared to commercial SDBS-XG SP flooding. The results indicate several SDBS-CMC combinations are favourable for EOR application. Solution viscosity shows direct relationship with CMC concentrations. Consequently, at any given SDBS concentrations, significant increment was observed at 0.3 wt% and above. However, the trend displayed inconclusive relation to SDBS fractions. Majority of the SDBS-CMC combinations generate Winsor III emulsions particularly at CMC of 0.2 and 0.3 wt%, while Type II were observed in few combinations. Increasing CMC concentrations increased the contact angle, while gradual reductions were observed with SDBS concentrations. The gradual reduction in surface tension was highly influenced by the addition of CMC rather than SDBS. A novel combination of 0.3 wt% SDBS and 0.4 wt% CMC possessed an encouraging criterion in term of viscosity, solubilization, and surface tension reduction for EOR application. Flooding experiment from several SDBS-CMC combinations proved to recover additional oil ranging 16.4–20.2% of oil initially in place (OIIP). The trend in incremental oil recovery is similar to that of when utilising SDBS-XG

Acclimatization of Eurycoma longifolia (Tongkat Ali) Plantlets to Ex Vitro conditions

Eurycoma longifolia is one of the famous herbal plants with great medicinal benefits. The plant which also known as Tongkat Ali is well-known for treating erectile dysfunction and as energy booster. Tongkat Ali plantlets were produced using in vitro propagation technique to cater the demand for planting material. The development of successful acclimatization technique is prerequisite for in vitro propagation method. Acclimatization is a step to prepare the plantlets to survive and grow in different environment compare to laboratory. In this study, an attempt was made to identify the best potting media to acclimatize Tongkat Ali using glass chamber. Rooted plantlets about 2-4 cm height were used and subsequently transferred to different potting media for acclimatization i.e jiffy 7, sand, baked soil, mixture of cocoa peat and sand, sand and top soil and lastly cocoa peat and baked soil. Plantlets grown in jiffy 7 showed 100% survival followed by the mixture of cocoa peat and baked soil with 94.45% of survival. The acclimatized plantlets were transplanted into polybag and maintained in the shadehouse condition

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London