Persepsi industri hospitaliti terhadap golongan pekerja berkeperluan khas (masalah pendengaran)

Kerjaya merupakan salah satu keperluan bagi setiap manusia samada golongan normal mahupun golongan berkeperluan khas. Kerjaya merupakan laluan bagi manusia untuk mencari sumber pendapatan untuk memastikan kelangsungan hidup. Namun, terdapat isu berkaitan pengangguran terhadap golongan berkeperluan khas. Oleh itu kajian ini dilaksanakan untuk mengenal pasti persepsi industri hospitaliti terhadap golongan berkeperluan khas (masalah pendengaran) serta mengenal pasti cabaran yang dihadapi oleh industri dalam pengambilan pekerja berkeperluan khas (masalah pendengaran). Selain itu kajian ini juga dijalankan untuk mengenal pasti keperluan kriteria yang diharapkan oleh industri hospitaliti. Kajian ini melibatkan 28 syarikat di bawah sektor hospitaliti yang terdapat di sekitar Batu Pahat dan Muar, Johor. Seramai 88 orang majikan yang terdiri daripada pengurus, penyelia, ketua-ketua bahagian dan pekerja yang terlibat dengan pekerja berkeperluan khas (masalah pendengaran) adalah responden dalam kajian ini. Kajian ini menggunakan borang soal selidik sebagai instrument kajian. Data yang diperoleh dianalisis menggunakan kaedah deskriptif menggunakan perisian SPSS (Statistic Package for the Social Science) versi 16.0. Hasil dapatan menunjukkan tahap penerimaan industri hospitaliti terhadap golongan pekerja berkeperluan khas (masalah pendengaran) berada pada tahap sederhana

A study of frequency and pulses for stepper motor controller system by using programmable logic controller

The stepper motor movement process produced different frequency and pulses. This research explained about the frequency and pulses for the stepper motor movement by using Programmable Logic Controller (PLC) as research method. The study was done to find the suitable frequency and pulses for stepper motor movement by developing a prototype stepper motor controller system. The pulse frequency used did not affected the distance of moving load in the stepper motor operations. The increasing number of pulse frequency only will affect the time taken for the stepper motor to complete its operations. The result showed that number of pulse frequency at high operation was 5000 Hz. Pulse number reacted as a manipulated variable that affected both factor which is time taken of stepper motor operation and the distance of moving load

Substantial consequences and factors leading towards construction project success and failure

The phenomenon on the incompletion of construction projects in Malaysia is something very common at the moment. But to a more positive note, there are also successful projects which has been established in a large scale over the years. When there is an existence of such success, yet the project failures are yet to be apprehended as well. Whether the most appropriate measures have been taken in curbing this problem is yet to be sure off, looking at the existence of project failures. Therefore, this paper gives an outlook on the current situation of abandoned projects in Malaysia, and also takes a look on the factors on both success and failures of projects, where the essential information on this was obtained from statistics provided by Ministry of Housing and Local Government, and also based on the comparison matrix that was established from the causes identified by researches from other countries, including Malaysia itself. Some of the information that was able to gather from this was the types of causes with its ranking from the most to the least, and other underlying factors and driving keys on the successful completion of projects. The outlook on the failures and success of a project could be an absolute strategy that could be implemented in the effort towards restoration of abandoned projects in Malaysia, and in other countries as well which are also experiencing the same adverse situation

Inter- and intra- observer reliability of the offera method for assessing exposure risk of computer work-related to wmsds

The purpose of this study was to evaluate inter- and intra- observer reliability of the observers assessing office workers performing their jobs using the Office Ergonomic Risk Assessment (OFFERA) method. 44 Industrial Engineering students at UTHM participated in a training session on inter- and intra- observer reliability. The period interval between inter- and intra- observer training session was 1 week. Three different jobs were assessed by observer using the OFFERA method. Through the three different tasks, the average of inter- and intraobserver reliability ranged between good to very good agreement. Meanwhile, the level of agreement for the intra-observer (K=0.68-0.96) was higher than the inter-observer (K=0.62- 0.94). Items with the strongest agreement (K=0.96) were related to armrest, document holder and keyboard wrist rest. The OFFERA method has both good and very good agreement in terms of reliability. The observers stated that it was easy to evaluate the ergonomic risk at office using this simple tool

World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS).

Timing of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage patients according to their disease process and physiological state. Emergency operations from all surgical disciplines should be scheduled by an agreed time frame that is based on accumulated data of outcomes related to time elapsed from diagnosis to surgery. Although literature exists regarding the optimal timing of various surgical interventions, implementation of protocols for triage of surgical emergencies is lacking. For institutions of a repetitive triage mechanism, further discussion on optimal timing of surgery in diverse surgical emergencies should be encouraged. Standardizing timing of interventions in surgical emergencies will promote clinical investigation as well as a commitment by administrative authorities to proper operating theater provision for acute care surgery

A proposal for a CT driven classification of left colon acute diverticulitis

Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; the grade of severity on CT imaging may drive treatment planning of patients presenting with acute diverticulitis. The appropriate management of left colon acute diverticulitis remains still debated because of the vast spectrum of clinical presentations and different approaches to treatment proposed. The authors present a new simple classification system based on both CT scan results driving decisions making management of acute diverticulitis that may be universally accepted for day to day practice

Complicated intra-abdominal infections worldwide: the definitive data of the CIAOW Study.

The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (October 2012-March 2013). The study included patients older than 18 years undergoing surgery or interventional drainage to address complicated intra-abdominal infections (IAIs).1898 patients with a mean age of 51.6 years (range 18-99) were enrolled in the study. 777 patients (41%) were women and 1,121 (59%) were men. Among these patients, 1,645 (86.7%) were affected by community-acquired IAIs while the remaining 253 (13.3%) suffered from healthcare-associated infections. Intraperitoneal specimens were collected from 1,190 (62.7%) of the enrolled patients.827 patients (43.6%) were affected by generalized peritonitis while 1071 (56.4%) suffered from localized peritonitis or abscesses.The overall mortality rate was 10.5% (199/1898).According to stepwise multivariate analysis (PR = 0.005 and PE = 0.001), several criteria were found to be independent variables predictive of mortality, including patient age (OR = 1.1; 95%CI = 1.0-1.1; p < 0.0001), the presence of small bowel perforation (OR = 2.8; 95%CI = 1.5-5.3; p < 0.0001), a delayed initial intervention (a delay exceeding 24 hours) (OR = 1.8; 95%CI = 1.5-3.7; p < 0.0001), ICU admission (OR = 5.9; 95%CI = 3.6-9.5; p < 0.0001) and patient immunosuppression (OR = 3.8; 95%CI = 2.1-6.7; p < 0.0001). © 2014 Sartelli et al.; licensee BioMed Central Ltd

World society of emergency surgery (WSES) guidelines for management of skin and soft tissue infections

Skin and soft tissue infections (SSTIs) encompass a variety of pathological conditions ranging from simple superficial infections to severe necrotizing soft tissue infections. Necrotizing soft tissue infections (NSTIs) are potentially life-threatening infections of any layer of the soft tissue compartment associated with widespread necrosis and systemic toxicity. Successful management of NSTIs involves prompt recognition, timely surgical debridement or drainage, resuscitation and appropriate antibiotic therapy. A worldwide international panel of experts developed evidence-based guidelines for management of soft tissue infections. The multifaceted nature of these infections has led to a collaboration among surgeons, intensive care and infectious diseases specialists, who have shared these guidelines, implementing clinical practice recommendations

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013 with the aim to define recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. In 2016, the guidelines have been revised and updated according to the most recent available literature.Peer reviewe