Determination Of Rainfall-Runoff Characteristics In An Urban Area: Sungai Kerayong Catchment, Kuala Lumpur.

Rainfall-runoff characteristics of Sungai Kerayong catchment will be discussed in this article. The catchment represents an urban catchment with rapid growth rate due to urbanization process

A study of the income distribution and inequality among residents of Batang Sadong, Samarahan Division, Sarawak, in 2007

The Gini coefficient is one of the socio-economic tools used in measuring inequality of income distribution. The Gini coefficient is defined as a ratio with value between 0 and 1, with 0 corresponding to perfect income equality, which means everyone has the same income, and 1 corresponding to perfect income inequality, which means that one person has all the income, while everyone else has zero income. This paper attempts to study the income distribution for Batang Sadong, Samarahan Division, using census data collected by the Samarahan Division Office in 2007. The data show that the monthly household income for the farmers in Batang Sadong ranges from RM40 per month to RM3,550 per month. The average monthly income is estimated at about RM361.11 per month, which is below the hardcore poverty level of RM482 per month for Sarawak. The Gini coefficient for Batang Sadong has the overall value of 0.3161 and ranges from 0.18748 to 0.41354. This study has proven that the income gap between the rich and the poor for Batang Sadong is not large. However, as the average household income is very low, this area requires an intensive development program to improve the standard of living of the residents

Assessment of using tunneling and trenchless technology for constricting twin box culvert

Part of the Seremban flood mitigation project in the state of Negeri Sembilan, Malaysia is to mitigate the flood at Jalan Rasah. The mitigation is planned to be implemented in packages. Package I and Package II of River Anak Air Rasah are parts of the project work. In these packages, wider and deeper concrete sections for the river are constructed. The existing undersized culverts were replaced by bigger reinforced concrete box culverts. The size of the box culverts was based on 100-years average reoccurrence interval (ARI). One of these culverts intersected with a rail line connecting Singapore and Malaysia. Trenchless jacking technique was used to lay the box culvert. The total length of the box culvert jacked under the railway line is 33 m, whereas the total width of the twin box culvert is 7.8 m with a total height of 3 m. This was the first time that the trenchless jacking techniques were used for the urban flood mitigation purpose in Malaysia, and it is mainly used to minimise traffic disruption. This study reports the success of using jacking technique in the development of the flood mitigation program of DID in Negeri Sembilan. Among other things, it explains significant performance of the technique under local conditions and experiences gained towards the advancement of tunnelling and trenchless technology

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Iron oxide nanoparticles incorporated polyethersulfone electrospun nanofibrous membranes for effective oil removal

This paper reports the synthesis and characterization of novel ultrafiltration (UF) electrospun nanofibrous membranes (ENMs) incorporated with iron oxide (Fe3O4) nanoparticles (NPs) for effective oily solution treatment. Three strategies were employed to improve the physiochemical properties of the resultant ENMs. Firstly, n-methyl-pyrrolidinone (NMP) was added to dimethylformamide (DMF) wherein the solvent stimulated fusion of the inter-fiber junctions was enhanced. Secondly, Fe3O4 NPs were introduced into the ENMs to improve their hydrophilicity and anti-fouling resistance against oil molecules. Thirdly, hot pressed technique was adopted to strengthen the electrospun mat, avoiding delamination of the ENMs layer during liquid filtration processes. The findings indicated that the developed Fe3O4 NPs incorporated ENMs exhibited outstanding oil elimination (94.01%) and excellent water flux recovery (79.50%) when tested with synthetic oil solution (12,000 ppm). Water productivity of over 3200 L/m2 h was achieved without forfeiting the rate of oil removal under gravity. Extraordinarily low flux declination disclosed by the proposed ENMs was attributed to their tailored surface resistance mediated oil anti-fouling character. The enhanced mechanical and oil anti-fouling traits of the prepared ENMs were established to be potential for the treatment of diverse oily effluents (especially emulsions of oil–water) in the industries

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research