Assessment Practices for Competency based Education and Training in Vocational College, Malaysia

AbstractVocational and Education Training (VET) aimed at providing the labour market with skills in the sub-professional level and no more second-class education. Rebranding vocational school to Vocational College (VC) is a major transformation in vocational education in Malaysia. Among the features that are emphasized in this transition is the method of learning in an environment of Competency Based Education and Training and the change from conventional to authentic assessment. Therefore this study is to identify what forms of assessment being undertaken by vocational teachers in order to meet the demands of CBET and authentic assessment. Three teachers in the field of electrical and electronics engineering were interviewed to identify what practices has been used in the assessment. Since the implementation of VC is very new, findings shown that certain assessment process still in traditional way and need improvement

Optimizing the Energy Recovery Section in Thermal Desalination Systems for Improved Thermodynamic, Economic, and Environmental Performance

Integration of energy recovery section with thermal desalination systems improves their performance from thermodynamics, economics, and environmental viewpoints. This is because it significantly reduces input energy, heat transfer area, and capital cost requirements. Above all, the system outlet streams can achieve thermal equilibrium with the environment by supplying heat for useful preheating purposes thus reducing the environmental impacts. The plate heat exchangers are generally employed for this purpose as preheaters. The current paper presents a comprehensive investigation and optimization of these heat exchangers for thermal desalination systems applications. An experimentally validated numerical model employing Normalized Sensitivity Analysis and Genetic Algorithm based cost optimization is developed to investigate their performance at assorted operating conditions. The analysis showed that the heat transfer coefficient, pressure drop, and outlet water cost were improved by an increase in feed flow rate. However, with an increased flow rate, the comprehensive output parameter (h/ΔP) decreased due to the high degree increase in pressure drop. Moreover, an increase in the chevron angle reduced the heat transfer coefficient, pressure drop, and water cost. Finally, the optimization lowered the heat transfer area by ~79.5%, capital investment by ~62%, and the outlet cost of the cold stream by ~15.7%. The operational cost is increased due to the increased pressure drop but the overall impact is beneficial as Ctotal of equipment is reduced by ~52.7%

Advancements in Indirect Evaporative Cooling Systems through Novel Operational Configuration

Rising global temperature has triggered the cooling demand in the last three decades with growing predictions for the future. The use of conventional energy-intensive and high global warming chemical-based cooling systems is working in a loop, increasing the global warming rate, emissions, and cooling system inventory. Therefore, the development of an innovative cooling system with high energy efficiency, low monetary cost, and environmentally sustainable. The indirect evaporative cooling-based systems have shown potential to serve the purpose because of low energy consumption, absence of energy, and cost-intensive equipment like compressors and water-based operation. A novel indirect evaporative cooler based on an innovative operational configuration is proposed, fabricated, and tested experimentally. The Proposed system has several advancements compared to the conventional indirect evaporative coolers like high operational reliability, low maintenance, and better control of the processes in the system. The study shows that the proposed system can achieve a temperature drop of as high as 14°C. The maximum cooling capacity of the system is calculated as 110 W, and the cooling performance index of 28. The performance of the cooler improves with increasing outdoor air temperature which makes it suitable for diverse climatic conditions. Moreover, the proposed design offers several benefits due to novel operational configurations by addressing limitations in the earlier systems

Energy-efficient indirect evaporative cooler design framework: An experimental and numerical study

A remarkable surge in cooling demand is observed in the last decades. Currently, the cooling market is dominated by mechanical vapor compression chillers which are energy intensive and use harmful chemical refrigerants. Therefore, the current focus of the current research in cooling is the development of unconventional, sustainable cooling systems. In this regard, indirect evaporative coolers have shown significant potential (particularly under hot-dry climates) with high energy efficiency, low cost, water-based sustainable operation, and benign emissions. However, these systems are in the development stage and have not yet been fully commercialized because of certain design challenges. An innovative indirect evaporative cooler is proposed, fabricated, and experimentally tested in this study. Particularly, the study is focused on the development of heat transfer coefficient correlation for the system for commercial-scale design and expansion. This is because the earlier available correlation is based on simple airflow between parallel plates assumption and does not incorporate the effect of the evaporative potential of the system resulting in under/over-estimation of the heat transfer characteristics. The results showed that the proposed system achieved a temperature drop of 20 °C, a cooling capacity of around 180 W, and an overall heat transfer coefficient of up to 30 W/m2K. Moreover, the study presents an experiment-regression-based heat transfer coefficient correlation that satisfactorily captures the effect of outdoor air temperature and airflow rate ratio which are critical in the design of evaporative coolers. The proposed correlation showed a high (±5%) with experimental data thus making it suitable for the future design of IEC systems over assorted operating scenarios

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.Peer reviewe

Global variations in diabetes mellitus based on fasting glucose and haemogloblin A1c

Fasting plasma glucose (FPG) and haemoglobin A1c (HbA1c) are both used to diagnose diabetes, but may identify different people as having diabetes. We used data from 117 population-based studies and quantified, in different world regions, the prevalence of diagnosed diabetes, and whether those who were previously undiagnosed and detected as having diabetes in survey screening had elevated FPG, HbA1c, or both. We developed prediction equations for estimating the probability that a person without previously diagnosed diabetes, and at a specific level of FPG, had elevated HbA1c, and vice versa. The age-standardised proportion of diabetes that was previously undiagnosed, and detected in survey screening, ranged from 30% in the high-income western region to 66% in south Asia. Among those with screen-detected diabetes with either test, the agestandardised proportion who had elevated levels of both FPG and HbA1c was 29-39% across regions; the remainder had discordant elevation of FPG or HbA1c. In most low- and middle-income regions, isolated elevated HbA1c more common than isolated elevated FPG. In these regions, the use of FPG alone may delay diabetes diagnosis and underestimate diabetes prevalence. Our prediction equations help allocate finite resources for measuring HbA1c to reduce the global gap in diabetes diagnosis and surveillance.peer-reviewe