Challenges and Opportunities to Improve Tuberculosis Screening Among Immigrant Plantation Workers in Sabah, Malaysia

Tuberculosis (TB) among immigrants has substantial contribution to the TB epidemiology in Sabah. This study aimed to determine the yield of screening for TB disease among immigrant plantation workers in Sabah, Malaysia. This was a prospective cohort study involving 482 legal immigrant workers aged 18 years and above, consented and available at study sites during the study period. Workers with previous history of TB or currently on TB treatment were excluded from participation. Symptom based questionnaire was administered along with both chest radiograph and sputum samples collection for symptomatics participants. Out of 482 plantation workers creened, there was no case of active TB detected among the 44 (9.1%) symptomatics participants. Finding of low TB yield in this study was rather unexpected but this indicates the real challenges for the local health authority to come out with more cost effective screening programs, including reducing stigma, in active TB screening among migrant population

The Debt-Equity Ratio Choice: Risk Sharing Instruments, a Viable Alternative

Evidence has been documented in the literature that the interest based debt financing system is experiencing continuous discomfort. The outcome of the 2008 global financial crisis has further create fresh vigor to the assertion. Also, these authors have submitted that debt and leveraging are the two major causes of financial instability in the present system. This paper claims that the existence of the interest-based debt regime is becoming less acceptable, as excessive debt can affect the whole economic system, even in a developed country like United States. From an economic viewpoint, therefore, by banning interest rate-based contracts and decreeing exchange contracts, Islamic financeinspires risk sharing and prohibits risk transfer, risk shedding, and risk shifting. The paper proposes risk sharing based Islamic financing as a suitable alternative to the interest based debt financing. This study concludes that risk-sharing finance has several benefits, especially its potential to minimize, if not circumvent, the debt prompted financial crises that have beset the world.

The Potential Use of Probiotics for Sustainable Aquaculture of Mud Crab, Scylla SP.

The mud crab (Scylla) is a commercially important crustacean, as there is a large demand in many Southeast Asian countries. Currently, one of the main bottlenecks to the expansion of Scylla aquaculture is the inconsistent and low production of hatchery juveniles. One major challenge to overcome at the hatchery level is disease issues caused by bacteria. The use of probiotics to outcompete pathogenic bacteria is being tested in the industry as a better disease prevention method in Scylla aquaculture compared to antibiotics, and is getting more recognition in aquaculture to reduce bacterial issues. The current review discusses mudcrab farming activities in Malaysia and the scope for using probiotics in Scylla aquaculture, as this is a potential way to increase survival rates in a long term sustainable way

Alternative railway tools and sustainability in RAMS: A review

RAMS is a tool and methodology that combines reliability engineering, availability, maintainability, and safety in a way that is tailored to the system’s goals. A comprehensive view on RAMS’s components and theory behind the underlying mathematical model is not to be found in journal publication. This paper would also discuss several benefits and sustainability of RAMS. Life Cycle Cost (LCC) would also being introduce as a complementary discipline in term of costing that normally regarded parallel to RAMS. There are a series of methods that being utilized at every discipline of the RAMS component such as Fault Tree Analysis (FTA), Failure Mode Effect Critical Analysis (FMECA), Reliability Block Diagram and many more. Some commonly used methods would be highlighted in this paper. RAMS application and implementation will aid asset owners, contractors, and operators in efficiently procuring, developing, and operating their assets. However, further research and analysis is needed in the railway industry to build a viable framework for project and operation implementation using both tools

Optimal allocation and sizing of multi DG units including different load model using evolutionary programming

This paper presents the optimal allocation and sizing of multi distributed generation (DG) units including different load models using evolutionary programming (EP) in solving power system optimization problem. This paper also studies on the effect of multi DG placement in different load model. To optimize the power distribution system, multi DG units were used to reduce losses power distribution system. By using EP, the optimal allocation and sizing of multi-DG was determined in order to obtain maximum benefits from its installation. The propose technique was tested into IEEE 69-bus distribution system. The result shows the placement of DG can reduce power loss 89% to 98%. The placement of multi-DG unit has better performance compare to single DG

Gasification characteristics and kinetics of lipid-extracted Nannochloropsis gaditana

A thermal behavior study of lipid-extracted Nannochloropsis gaditana (LEA) was performed in a thermogravimetric analyzer. The study was performed by heating the sample under different heating rates (5, 10, and 15 °C/min) from room temperature to 1000 °C using N2 gas as the medium. This is crucial for thermal stability studies in a kinetic control regime. The following three stages of chemical decompositions were found: (1) moisture removal (2) devolatilization (3) fixed carbon decomposition; maximum decomposition was observed at the second stage. Activation energies of the LEA were studied using the Flynn–Wall–Ozawa model and Kissinger–Akahira–Sunose model. Main sample decomposition was observed from 100–700 °C during volatile matter evaporation. The thermal behavior study findings were used for the gasification of the sample with air to study the effect of varying reaction parameters on the compositions of the synthesis gas yield. Maximum H2 yield was found at 700 °C and 0.7 g, which were 51.2 mol% and 50.6 mol%, respectively. From the study, it was found that LEA is suitable to be used as feedstock in gasification for synthesis gas production

A Cross-Sectional Evaluation on Physical Fitness of Malaysian Firefighters

ABSTRACT Fire fighting is one of the most strenuous activities in the hazardou

A Novel RSSI Prediction Using Imperialist Competition Algorithm (ICA), Radial Basis Function (RBF) and Firefly Algorithm (FFA) in Wireless Networks

This study aims to design a vertical handover prediction method to minimize unnecessary handovers for a mobile node (MN) during the vertical handover process. This relies on a novel method for the prediction of a received signal strength indicator (RSSI) referred to as IRBF-FFA, which is designed by utilizing the imperialist competition algorithm (ICA) to train the radial basis function (RBF), and by hybridizing with the firefly algorithm (FFA) to predict the optimal solution. The prediction accuracy of the proposed IRBF–FFA model was validated by comparing it to support vector machines (SVMs) and multilayer perceptron (MLP) models. In order to assess the model’s performance, we measured the coefficient of determination (R2), correlation coefficient (r), root mean square error (RMSE) and mean absolute percentage error (MAPE). The achieved results indicate that the IRBF–FFA model provides more precise predictions compared to different ANNs, namely, support vector machines (SVMs) and multilayer perceptron (MLP). The performance of the proposed model is analyzed through simulated and real-time RSSI measurements. The results also suggest that the IRBF–FFA model can be applied as an efficient technique for the accurate prediction of vertical handover

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London