Finding value in a heritage landscape: The visitors’ perception study

There is no doubt that heritage landscape like Bukit Melawati in Kuala Selangor is rich in history and possesses unique character that attracts many local visitors and foreign tourists. However, several literature has highlighted that there is a general public neglect of these valuable heritage due to ignorance which has led to some historical and heritage sites being abandoned or damaged. This paper presents the findings from a study on visitors' perception on Bukit Melawati as a significant heritage tourism destination in the state of Selangor. Some 215 visitors responded to the questionnaire survey carried out at the site. The findings from the study highlighted the tourism potentials and also the perceptions of the visitors about the various monuments, relics and historical remains available at Bukit Melawati. Several suggestions for ensuring a more sustainable tourism of the site are presented at the end of the paper

Finding value in a heritage landscape: The visitors' perception study

There is no doubt that heritage landscape like Bukit Melawati in Kuala Selangor is rich in history and possesses unique character that attracts many local visitors and foreign tourists. However, several literature has highlighted that there is a general public neglect of these valuable heritage due to ignorance which has led to some historical and heritage sites being abandoned or damaged. This paper presents the findings from a study on visitors' perception on Bukit Melawati as a significant heritage tourism destination in the state of Selangor. Some 215 visitors responded to the questionnaire survey carried out at the site. The findings from the study highlighted the tourism potentials and also the perceptions of the visitors about the various monuments, relics and historical remains available at Bukit Melawati. Several suggestions for ensuring a more sustainable tourism of the site are presented at the end of the paper

Effect of dietary purines on the pharmacokinetics of orally administered ribavirin

10.1177/0091270009335002Journal of Clinical Pharmacology496661-66

Healthy lifestyle and the risk of pancreatic cancer in the EPIC study

Pancreatic cancer (PC) is a highly fatal cancer with currently limited opportunities for early detection and effective treatment. Modifiable factors may offer pathways for primary prevention. In this study, the association between the Healthy Lifestyle Index (HLI) and PC risk was examined. Within the European Prospective Investigation into Cancer and Nutrition cohort, 1113 incident PC (57% women) were diagnosed from 400,577 participants followed-up for 15 years (median). HLI scores combined smoking, alcohol intake, dietary exposure, physical activity and, in turn, overall and central adiposity using BMI (HLIBMI) and waist-to-hip ratio (WHR, HLIWHR), respectively. High values of HLI indicate adherence to healthy behaviors. Cox proportional hazard models with age as primary time variable were used to estimate PC hazard ratios (HR) and 95% confidence intervals (CI). Sensitivity analyses were performed by excluding, in turn, each factor from the HLI score. Population attributable fractions (PAF) were estimated assuming participants’ shift to healthier lifestyles. The HRs for a one-standard deviation increment of HLIBMI and HLIWHR were 0.84 (95% CI: 0.79, 0.89; ptrend = 4.3e−09) and 0.77 (0.72, 0.82; ptrend = 1.7e−15), respectively. Exclusions of smoking from HLIWHR resulted in HRs of 0.88 (0.82, 0.94; ptrend = 4.9e−04). The overall PAF estimate was 19% (95% CI: 11%, 26%), and 14% (6%, 21%) when smoking was removed from the score. Adherence to a healthy lifestyle was inversely associated with PC risk, beyond the beneficial role of smoking avoidance. Public health measures targeting compliance with healthy lifestyles may have an impact on PC incidence. © 2019, Springer Nature B.V