Theoretical Framework for Trees Management in Campus Landscape Design

Good tree management is the key basis for greener campus of the future. Lacking in tree management in term of knowledge is one of the factors that trees will produce hazards to the students and staffs at the campus. Two objectives of this study are (i) to determine the user comfort attributes that significantly influent the safety landscape and (ii) to create the theoretical framework for tree management in campus design. The qualitative method was chosen in this study. This study provides the guidance for the landscape architect to make the right design decision to ensure the user comfortability for safety built landscape environment

Hubungan pengetahuan dan sikap terhadap amalan berkaitan alam sekitar: Kajian ke atas pelajar STML, Universiti Utara Malaysia

Pengetahuan, sikap dan amalan merupakan suatu perkara yang penting dalam menentukan seseorang individu itu mempunyai rasa tanggungjawab terhadap alam sekitar.Kajian ini merupakan satu tinjauan awal yang dijalankan terhadap pelajar STML, UUM. Tujuan utama kajian ini dilaksanakan adalah untuk mengetahui tahap pengetahuan, sikap dan amalan terhadap isu-isu berkaitan alam sekitar serta kaedah pemuliharaan alam sekitar.Di samping itu, kajian ini juga bertujuan untuk mengenal pasti tahap kepentingan penjagaan alam sekitar dalam kalangan pelajar, mengkaji sumber pengetahuan tentang alam sekitar dan menganalisis hubungan di antara pengetahuan alam sekitar dengan sikap dan amalan mesra alam.Pendekatan kuantitatif telah digunakan di mana kaji selidik temu bual (survey interview) dilaksanakan berdasarkan borang soal selidik yang dibangunkan.Responden kajian terdiri daripada 50 responden pelajar STML UUM. Hasil dapatan kajian telah dianalisis dengan menggunakan Statistic Packages for Sosial Sciences (SPSS) dan kesimpulan keseluruhan akan didedahkan pada seterusnya

Modeling Mathematics Performance Between Rural and Urban School Using a Fuzzy Logic Approach

This study concerns competitiveness in Sijil Pelajaran Malaysia (SPM) performance between two different schools in Kedah, Malaysia, focusing on Mathematics scores. There are two different schools selected namely SMK Sungai Layar and SMK Bandar Sungai Petani. SMK Sungai Layar is a rural school while SMK Bandar Sungai Petani is an urban school. The objectives are to determine which schools between urban and rural schools perform better in mathematics subjects and classify students' performance on Mathematics subject using Fuzzy Logic. It is found that the performance of urban school was better than the rural school. As for rural school, the performance was moderate. The percentage of Mathematics value for SMK Bandar Sungai Petani is higher than SMK Sungai Layar. The number of students from an urban school who got a good score was double from the number of students from rural schools. The results show that the students from the urban school have excellent flexibility and reliability in Mathematics subject

Improving Campus Sustainability and Resilience by Selecting Climate - Appropriate Plants

The purpose of this study is to determine the planting species in a campus environment and assess their suitability for enhancing the quality of life. The study area chosen for this research is the Universiti Malaysia Kelantan (UMK) Campus Bachok, Kelantan. The objectives of this study are to identify the functions of planting at campus area and to make the suggestions of right planting selection. Using mix methods approach, survey and expert interviews was used to collect data in order to address the objectives to the fullest extent possible. A total of 200 respondents, including both staff and students from the faculty of Architecture and Ekistics, took part in the survey. The results shows the thirteen (13) dominant of planting species located around the campus area which are Samanea saman (Rain tree), Salix babylonica (Chinese weeping willow), Terminalia Mantaly (Umbrella tree), Khaya senegalensis (Mohagany), Tabebuai rosea (Trumpet tree), Acacia mangium (Brown salwood), Hopea odorata (Merawan siput jantan), Filicium decipiens (Fern tree), Syzygium polyanthum (Salam tree), Plumeria Frangipani (Kemboja), Schizolobium parahyba (Yellow jacaranda), Ixora Javanica (Siantan), Monoon Longifolium (Mempisang). Results indicate that functions of planting such as a barrier between roads, provided shaded area and to prevent landslide on the shore of the lake

Kiosk dalam talian bagi meningkatkan bilangan projek keusahawanan pelajar (ENT300) berasaskan sains dan teknologi / Noor Azrin Zainuddin … [et al.]

Penggunaan teknologi dalam pengajaran dan pembelajaran adalah semakin sinonim dengan wujudnya pelbagai platform secara atas talian. Penggunaan laman web dan panduan pengajaran dan pembelajaran secara dalam talian banyak membantu pensyarah dan pelajar khususnya bagi mendapatkan pelbagai maklumat berkaitan dengan pengkhususan bidang pengajian. Semua pelajar UiTMdi peringkat diploma wajib mengambil dan lulus kursus Asas Keusahawanan (ENT300). Mereka perlu menghasilkan satu projek keusahawanan sebagai komponen penilaian kursus utama. Namun, bilangan projek dan produk keusahawanan berasaskan sains dan teknologi masih terlalu sedikit berdasarkan tajukprojek setiap semester. Kiosk ENT300 Sains dan Teknologi (KENTS) dibangunkan khusus sebagai panduan kepada pelajar Fakulti Sains Komputer dan Matematik sahaja namun, telah ditambah baik dengan meluaskan skop penggunaan kepada para pelajar Fakulti Kejuruteraan dan Fakulti Sains di UiTM Johor. Skop yang lebih global dalam KENTS ini menyediakan panduan atas talian secara khusus untukpensyarah dan pelajar gUgusan sains dan teknologi. KENTS menjadi wadah yang dapat membantu dalam merealisasikan hala tuju pendidikan tinggi negara dan UiTM untuk melahirkan graduan holistikyang bercirikan keusahawanan. Platform panduan atas talian ini memberikan bantuan pengajaran dan pembelajaran melalui templat rancanganperniagaan khusus kepada dua kategori iaitu pembangunan sis tern dan reka bentuk mesin. KENTS juga menyediakan fungsi carian yang menyenaraikan kompilasiprojekkeusahawanan berasaskan sains dan teknologi yang dapat membantu pensyarah dan pelajar mencari idea keusahawanan. Pangkalan data KENTS digunakan untuk menyimpan maklumat projek keusahawan pelajar sebagai pentas e-pembelajaran dan pusat perkongsian setempat antara pensyarah dan pelajar secara lebih global

Contributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure: A pooled analysis of 1018 population-based measurement studies with 88.6 million participants

© The Author(s) 2018. Background: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive population). Our aim was to quantify the contributions of these two phenomena to the worldwide trends in the prevalence of raised blood pressure. Methods: We pooled 1018 population-based studies with blood pressure measurements on 88.6 million participants from 1985 to 2016. We first calculated mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and prevalence of raised blood pressure by sex and 10-year age group from 20-29 years to 70-79 years in each study, taking into account complex survey design and survey sample weights, where relevant. We used a linear mixed effect model to quantify the association between (probittransformed) prevalence of raised blood pressure and age-group- and sex-specific mean blood pressure. We calculated the contributions of change in mean SBP and DBP, and of change in the prevalence-mean association, to the change in prevalence of raised blood pressure. Results: In 2005-16, at the same level of population mean SBP and DBP, men and women in South Asia and in Central Asia, the Middle East and North Africa would have the highest prevalence of raised blood pressure, and men and women in the highincome Asia Pacific and high-income Western regions would have the lowest. In most region-sex-age groups where the prevalence of raised blood pressure declined, one half or more of the decline was due to the decline in mean blood pressure. Where prevalence of raised blood pressure has increased, the change was entirely driven by increasing mean blood pressure, offset partly by the change in the prevalence-mean association. Conclusions: Change in mean blood pressure is the main driver of the worldwide change in the prevalence of raised blood pressure, but change in the high-blood-pressure tail of the distribution has also contributed to the change in prevalence, especially in older age groups

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

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

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries(1,2). However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world(3) and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health(4,5). However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol-which is a marker of cardiovascular riskchanged from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million-4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.Peer reviewe

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