50 research outputs found

    Conceptualising the Sustainable Energy Security Dimensions of Malaysia: A Thematic Analysis through Stakeholder Engagement to Draw Policy Implications

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    This study aims to provide established knowledge of the multi-dimensional concept of energy security through engaging stakeholders and experts. Energy security policy implications have been suggested in this study to address and mitigate energy security challenges. A total of seven emerging themes from semi-structured interviews have been discussed in-depth to understand the role of each theme and their interactions with energy policies. There is an urgent need to reduce dependency on fossil fuels and to look for alternative fuel options from renewable sources. At the same time, energy-efficient technology plays a significant role in improving overall efficiency and leading to reduced wastage of energy. This would, in turn, improve the availability and affordability of energy in Malaysia. Energy equity gets the most emphasis in the energy trilemma of Malaysia; however, equal importance should be attached to the nation’s energy security alongside environmental sustainability. The final decision of the trilemma balance and the energy policies that govern the energy use framework depends on the ministries and the regulatory bodies. An indicator mapping process has been recommended for these themes to quantify energy security by developing an energy security index. The thematic results discussed in this study have the potential to facilitate policymakers and energy analysts of countries with similar energy outlooks to design data-driven energy security policies.</jats:p

    Evaluation of Antiemetic Consistency in Chemotherapy-Induced Nausea and Vomiting Among NHL Patients in Sana&rsquo;a, Yemen

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    Mohammed Mohammed Battah,1,2 Hadzliana Zainal,1 Doa’a Anwar Ibrahim,2 Nur Hafzan Binti Md Hanafiah,1 Syed Azhar Syed Sulaiman,1 Abdulsalam Halboup1,2 1Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia; 2Department of Clinical Pharmacy and Pharmacy Practice, University of Science and Technology, Sana’a, YemenCorrespondence: Mohammed Mohammed Battah, Departments of Clinical Pharmacy and Pharmacy Practice, University of Science and Technology, Sana’a, Yemen, Tel +‏ 967777404880, Email [email protected] Hadzliana Zainal, Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, 11800, Malaysia, Email [email protected]: Chemotherapy-induced nausea and vomiting (CINV) is a prevalent and distressing adverse effect that can negatively affect a patient’s quality of life and treatment adherence.Purpose: This study aimed to evaluate the consistency of antiemetic use with standard guidelines and to examine the factors influencing it.Methods: This cross-sectional study was conducted at the National Oncology Center (NOC) of Al-Jomhouri Teaching Hospital, Sana’a, Yemen, from November 2022 to September 2023. Demographic data, chemotherapy and antiemetic regimens, dosages, and patient-related risk factors were collected via direct interviews, medical records, and treatment charts. This study evaluated the consistency of antiemetic practices among non-Hodgkin’s Lymphoma (NHL) patients using the National Comprehensive Cancer Network (NCCN) guidelines. The chi-squared test and regression were used to determine the factors associated with guideline consistency.Results: A total of 251 patients with NHL were recruited for the study; 57.4% were male and 60.6% were aged between 18– 49. Most of the patients received moderately emetogenic chemotherapy (81.3%). The overall consistency with the NCCN guidelines was only 23.9%, with antiemetic drug selection and dosage reported inconsistently in 62.9% and 16.7% of patients, respectively. Furthermore, 62.5% of the patients received an under-prescribed antiemetic prophylactic regimen. Treatment duration, number of chemotherapy cycles, emetogenic risk potential, and overall patient risk, as well as age, sex, and marital status, were significantly associated with guideline inconsistency (p < 0.05).Conclusion: This study revealed a notable gap in the consistency of antiemetic prescriptions among patients with NHL. Inappropriate drug selection, dosing, and under-prescription are common problems. Patient regimen risk factors significantly influenced the consistency of the National Comprehensive Cancer Network guidelines. Personalized approaches are essential to enhance adherence to guidelines and improve antiemetic strategies.Keywords: non-Hodgkin’s Lymphoma, chemotherapy, nausea, vomiting, antiemetics, Yeme

    Bromocarbons in the tropical coastal and open ocean atmosphere during the 2009 Prime Expedition Scientific Cruise (PESC-09)

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    Abstract. Atmospheric concentrations of very short-lived species (VSLS) bromocarbons, including CHBr3, CH2Br2, CHCl2Br, CHClBr2, and CH2BrCl, were measured in the Strait of Malacca and the South China and Sulu–Sulawesi seas during a two-month research cruise in June–July 2009. The highest bromocarbon concentrations were found in the Strait of Malacca, with smaller enhancements in coastal regions of northern Borneo. CHBr3 was the most abundant bromocarbon, ranging from 5.2 pmol mol−1 in the Strait of Malacca to 0.94 pmol mol−1 over the open ocean. Other bromocarbons showed lower concentrations, in the range of 0.8–1.3 pmol mol−1 for CH2Br2, 0.1–0.5 pmol mol−1 for CHCl2Br, and 0.1–0.4 pmol mol−1 for CHClBr2. There was no significant correlation between bromocarbons and in situ chlorophyll a, but positive correlations with both MODIS and SeaWiFS satellite chlorophyll a. Together, the short-lived bromocarbons contribute an average of 8.9 pmol mol−1 (range 5.2–21.4 pmol mol−1) to tropospheric bromine loading, which is similar to that found in previous studies from global sampling networks (Montzka et al., 2011). Statistical tests showed strong Spearman correlations between brominated compounds, suggesting a common source. Log–log plots of CHBr3/CH2Br2 versus CHBr2Cl/CH2Br2 show that both chemical reactions and dilution into the background atmosphere contribute to the composition of these halocarbons at each sampling point. We have used the correlation to make a crude estimate of the regional emissions of CHBr3 and to derive a value of 32 Gg yr−1 for the Southeast (SE) Asian region (10° N–20° S, 90–150° E). Finally, we note that satellite-derived chlorophyll a (chl a) products do not always agree well with in situ measurements, particularly in coastal regions of high turbidity, meaning that satellite chl a may not always be a good proxy for marine productivity. We would like to thank MOSTI (Malaysian Ministry of Science, Technology and Innovation). for giving opportunities and financial support for the University of Malaya (UM) and Universiti Kebangsaan Malaysia to participate in this scientific cruise, and other Malaysian public universities and agencies who helped during sampling. The Malaysian Royal Navy is thanked for their help and assistance in all aspects of the cruise. We also thank the SHIVA European FP7 project (grant 226224), NERC, NERC-NCAS and the British Council, through a PMI2 grant, for their support. Neil Harris would like to thank NERC for his Research Fellowship; Emma Leedham and Matt Ashfold thank NERC for studentships, and Doreena Dominick, Lin Chin Yik, Fatimah Ahamad and Nur Ily Hamizah for their assistance and the Ministry of Higher Education Malaysia (KPT’s) ERGS grant ER025-2013A. Finally, we also would like to thank Universiti Kebangsaan Malaysia (UKM) for the ICONIC-2013-004 grant, MOSTI e-science grant 04-01-02-SF-0752 for Universiti Kebangsaan Malaysia (UKM), UKM GGPM-2013-080 and UKM DPP-2014-162 and GUP-2013-057 for financial support.This paper was originally published in Atmospheric Chemistry and Physics, 14, 8137-8148, doi:10.5194/acp-14-8137-2014, 201

    PENGARUH DISIPLIN KERJA DAN KOMITMEN ORGANISASIONAL TERHADAP KUALITAS KERJA DAN KINERJA KARYAWAN PT BPD KALTIM KALTARA CABANG BONTANG

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    This research is a causality research using primary data and secondary data, while the object of research is employees of BPD Kaltim Kaltara Bontang Branch with the number of samples of 47 respondents. The purpose of this study is to analyze and prove the influence of work discipline on the quality of work employees. Analyze and prove the influence Organizational commitment to the quality of work of employees. Analyze and prove the influence of work discipline on employee performance. Analyze and prove the influence of Organizational Commitment on employee performance. Analyze and prove the effect of work quality on employee performance.In order to test the hypothesis analysis the author uses the Structural Equation Modeling analysis tool with SmartPLS. Respondents of this study were employees of PT BPD Kaltim Kaltara Branch Bontang with a total sample of 47 respondents. The results of the analysis show that work discipline has no significant effect on the quality of work of PT BPD Kaltim Kaltara employees in Bontang Branch. Organizational commitment has a significant effect on the quality of work of employees of PT BPD Kaltim Kaltara, Bontang Branch. Work discipline has no significant effect on the performance of employees of PT BPD Kaltim Kaltara, Bontang Branch. Organizational commitment has a significant effect on the performance of employees of PT BPD Kaltim Kaltara, Bontang Branch. The quality of work has a significant effect on the performance of employees of PT BPD Kaltim Kaltara Branch Bontang
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