A Multisectoral Approach in Dengue Management in Seremban Malaysia: an Ecobiosocial Perspective

Background: Dengue has been established as a major public health issue in many parts of the world particularly those in the tropical regions. In Malaysia, the rising rate of dengue cases had remained uncurbed, alarming to both the public and the local authorities. Despite the existence of legislations and control activities, why does the number of dengue cases keep on increasing every year? The objective of this study was to assess the existing environmental and health policies/strategies towards sustainable prevention and control of dengue/DHF in Malaysia. In addition, it also aimed to review the eco-bio-social approach and its advantages in prevention and control of dengue. Subjects and Method: Series of in-depth interviews were conducted on 12 key- informants aged between 36-58 years old. They were selected based on their roles that were divided into three categories, i.e. (1) policy makers, (2) middle managers, and (3) implementers at the ground level. Each interview explored in detail, on the important domains which were the ecology, biology, and social factors. Each session took an average of 45 minutes to 1 hour. There were a total of 10 males and 2 females selected for the in-depth interview. Open-ended questions were asked and the interviews were voice recorded, after obtaining consent from the respondents. The interviews were terminated once data saturation was achieved. The qualitative data was analyzed using Atlas.ti software. Results: The three main themes that emerged and were identified to contribute to sustainable dengue control and prevention were (1) adequate implementation of existing health policy, (2) good integration and coordination between agencies, (3) commitment from political and community leaders. Local data showed that areas which did not have these important components became hot spots for dengue with high number of dengue cases. Conclusion: It is vital that the community and relevant authorities focus on these themes/domains that will significantly improve the chances of having sustainable denguecontrol and management program in their localities. Keywords: multisectoral approach, ecobiosocial, engue control, sustainable managemen

Conjoint Routing and Resource Allocation in OFDMA-based D2D Wireless Networks

In this paper, we develop a highly efficient twotier technique for jointly optimizing the routes, the subcarrier schedules, th

Etk/Bmx tyrosine kinase activates Pak1 and regulates tumorigenicity of breast cancer cells

Etk/Bmx, a member of the Tec family of nonreceptor protein-tyrosine kinases, is characterized by an N-terminal pleckstrin homology domain and has been shown to be a downstream effector of phosphatidylinositol 3-kinase. P21-activated kinase 1 (Pak1), another well characterized effector of phosphatidylinositol 3-kinase, has been implicated in the progression of breast cancer cells. In this study, we characterized the role of Etk in mammary development and tumorigenesis and explored the functional interactions between Etk and Pak1. We report that Etk expression is developmentally regulated in the mammary gland. Using transient transfection, coimmunoprecipitation and glutathioneS-transferase-pull down assays, we showed that Etk directly associates with Pak1 via its N-terminal pleckstrin homology domain and also phosphorylates Pak1 on tyrosine residues. The expression of wild-type Etk in a non-invasive human breast cancer MCF-7 cells significantly increased proliferation and anchorage-independent growth of epithelial cancer cells. Conversely, expression of kinase-inactive mutant Etk-KQ suppressed the proliferation, anchorage-independent growth, and tumorigenicity of human breast cancer MDA-MB435 cells. These results indicate that Pak1 is a target of Etk and that Etk controls the proliferation as well as the anchorage-independent and tumorigenic growth of mammary epithelial cancer cells

Extragonadal germ cell tumor presenting in a woman with systemic lupus erythematosus: a case report

<p>Abstract</p> <p>Introduction</p> <p>Germ cell tumor of the pituitary gland is a very rare occurrence.</p> <p>Case presentation</p> <p>We describe the case of a 28-year-old Malaysian Malay woman with lupus nephritis who complained of a three month headache and blurring of vision. She was found to have a pituitary mass, which was later proven to be a germ cell tumor. As of writing this case report, her disease is in remission.</p> <p>Conclusion</p> <p>The disruption of the pituitary gonad axis could affect the disease activity by reducing immunoregulatory control.</p

Air pollution and its association with cervical cancer: a scoping review

Kanser serviks adalah salah satu kanser wanita yang utama di dunia. Punca kanser serviks adalah 'human papillomavirus' (HPV), namun faktor risiko lain seperti faktor persekitaran turut mempunyai kaitan dengan penyakit ini. Pencemaran udara adalah penyebab utama kematian akibat kanser. Walaupun ia telah lama dikaitkan dengan kanser paru-paru, terdapat kajian-kajian yang telah membuktikan ianya merupakan faktor risiko untuk kanser lain di kalangan manusia, termasuklah kanser serviks. Kajian skop ini bertujuan untuk mengenal pasti dan meneliti literatur sedia ada yang mengkaji perkaitan antara pencemaran udara dengan perkembangan kanser serviks. Protokol 'Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews' (PRISMA-ScR) telah digunakan untuk membimbing kajian ini. Tujuh penerbitan yang membincangkan pencemaran udara dan kaitannya dengan kanser serviks telah dipilih berdasarkan kriteria tertentu. Huraian tentang punca pencemaran udara, jenis bahan pencemar udara, dan kesan pendedahannya terhadap kejadian kanser serviks telah dibincangkan. Beberapa bahan pencemar udara dikaitkan dengan pelbagai kesan pendedahannya yang berhubungkait dengan kanser serviks, termasuklah perkembangan pra-kanser serviks, serta peningkatan dalam kejadian dan kematian kanser serviks. Kajian ini menekankan perkaitan antara pencemar udara yang bertindak sebagai faktor risiko bersama dalam perkembangan kanser serviks. Dengan mengenalpasti bahan pencemar udara yang mempengaruhi perkembangan kanser serviks, kajian ini seterusnya dapat dijadikan panduan untuk penyelidikan berkaitan mekanisma faktor-faktor risiko pencemar udara yang menyebabkan kanser serviks di masa hadapan

The effects of mixed infection of strongyles in experimental animals in the Veterinary Research Institute

This paper reports the relationship between mixed infections of strongyles with fecal egg count (FEC), packed cell volume (PCV) of the blood and FAMACHA in experimental sheep in VRI. The third larval stage (L3) of strongylid nematode were fed orally to two experimental sheep. Each animal was given 3 ml L3 or equivalent to 3000 larvae. Faecal samples were then collected weekly for a 10 week duration. The FAMACHA scale for anemia estimation was used and blood collection through ear tip was also done twice a week to measure the packed cell volume (PCV) of the blood. The results show that the PCV decreases while faecal egg counts increase over the study period. The FAMACHA scale also increases with time indicating a progressive anemia with the decreasing PCV. As helminth infections are common in small ruminants, the effects of anemia are critical parameters to be monitored in any flock as this will determine its productivity in terms of mortality and morbidity

Cytotoxicity and physicochemical characterization of iron–manganese-doped sulfated zirconia nanoparticles

Iron–manganese-doped sulfated zirconia nanoparticles with both Lewis and Brønsted acidic sites were prepared by a hydrothermal impregnation method followed by calcination at 650°C for 5 hours, and their cytotoxicity properties against cancer cell lines were determined. The characterization was carried out using X-ray diffraction, thermogravimetric analysis, Fourier transform infrared spectroscopy, Brauner–Emmett–Teller (BET) surface area measurements, X-ray fluorescence, X-ray photoelectron spectroscopy, zeta size potential, and transmission electron microscopy (TEM). The cytotoxicity of iron–manganese-doped sulfated zirconia nanoparticles was determined using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays against three human cancer cell lines (breast cancer MDA-MB231 cells, colon carcinoma HT29 cells, and hepatocellular carcinoma HepG2 cells) and two normal human cell lines (normal hepatocyte Chang cells and normal human umbilical vein endothelial cells [HUVECs]). The results suggest for the first time that iron–manganese-doped sulfated zirconia nanoparticles are cytotoxic to MDA-MB231 and HepG2 cancer cells but have less toxicity to HT29 and normal cells at concentrations from 7.8 µg/mL to 500 µg/mL. The morphology of the treated cells was also studied, and the results supported those from the cytotoxicity study in that the nanoparticle-treated HepG2 and MDA-MB231 cells had more dramatic changes in cell morphology than the HT29 cells. In this manner, this study provides the first evidence that iron–manganese-doped sulfated zirconia nanoparticles should be further studied for a wide range of cancer applications without detrimental effects on healthy cell functions

Generalized Cross-Layer Designs for Generic Half-Duplex Multicarrier Wireless Networks With Frequency-Reuse

Abstract-In this paper, joint designs of data routes and resource allocations are developed for generic half-duplex multicarrier wireless networks in which each subcarrier can be reused by multiple links. Two instances are considered. The first instance pertains to the general case in which each subcarrier can be timeshared by multiple links, whereas the second instance pertains to a special case in which time-sharing is not allowed and a subcarrier, once assigned to a set of links, is used by those links throughout the signalling interval. Novel frameworks are developed to optimize the joint design of data routes, subcarrier schedules, and power allocations. These design problems are nonconvex and hence difficult to solve. To circumvent this difficulty, efficient techniques based on geometric programming are developed to obtain locally optimal solutions. Numerical results show that the designs developed in both instances yield performance that is superior to that of their counterparts in which frequency-reuse is not allowed

Effect of mill type on the size reduction and phase transformation of gamma alumina

The influence of stress modes and comminution conditions on the effectiveness of particle size reduction of a common catalyst support; γ-Alumina is examined through a comparative assessment of three different mill types. Air jet milling is found to be the most effective in reducing particle size from a d90 of 37 µm to 2.9 µm compared to planetary ball milling (30.2 µm) and single ball milling (10.5 µm). XRD and TEM studies confirm that the planetary ball mill causes phase transformation to the less desired α-Alumina resulting in a notable decrease in surface area from 136.6 m2/g to 82.5 m2/g as measured by the BET method. This is consistent with the large shear stresses under high shear rates prevailing in the planetary ball mill when compared to the other mill types. These observations are consistent with a shear-induced phase transformation mechanism brought about by slip on alternate close packed oxygen layers from a cubic close packed to a hexagonal close packed structure