116 research outputs found
Keberkesanan perlaksanaan penswastaan terhadap sistem pengurusan sisa pepejal di Wilayah Persekutuan Kuala Lumpur / Zaidi Zakaria
Pengurusan sisa pepejal merupakan satu aspek yang penting yang mana mesti dijalankan demi menjamin kebersihan sesuatu kawasan di samping memberikan tahap kesihatan yang baik kepada penduduk setempat yang terbabit. Pembangunan bagi sesebuah negara itu juga akan dapat berjalan dengan lancar sekiranya pengurusan ke atas sisa pepejal ini dapat dilaksanakan dengan cekap dan bersistematik. Sisa pepejal adalah merupakan semua hasil buangan atau sampah yang berpunca daripada aktiviti manusia ataupun haiwan yang sudah tidak digunakan lagi. Pengurusan sisa pepejal terdiri daripada beberapa peringkat iaitu bermula daripada peringkat pengeluaran, storan, pengumpulan dan pemungutan, pengangkutan, proses guna semula dan peringkat proses pelupusan. Pada masa kini, perbelanjaan bagi pengurusan sisa pepejal ini adalah semakin meningkat dari semasa ke semasa. Kerajaan telahpun melancarkan pelbagai program berkaitan dengan pengurusan sisa pepejal supaya ianya akan dapat dilaksanakan dengan sebaik-baiknya dan juga dapat meningkatkan lagi mutu perkhidmatan kepada masyarakat. Setiap kali ianya dilaksanakan, peruntukan perbelanjaan bagi menguruskan sisa pepejal ini juga semakin bertambah. Terdapat juga beberapa masalah lain yang timbul seperti masalah sumber kewangan oleh Pihak Berkuasa Tempatan yang tidak mencukupi untuk menampung penyediaan projek pembangunan infrastruktur dan juga kemudahan awam kepada masyarakat ini
Pengaruh tekanan kerja dan kepuasan kerja terhadap prestasi kerja dalam kalangan jururawat Hospital Sultanah Bahiyah
Work stress and job satisfaction have been reported to affect work performance among nurses, thereby affecting treatment services and placing patient life at risk. Work stress is a
complex phenomenon that results from interactions between individuals and the environment. Therefore, this study is conducted to identify the influence of work stress and job satisfaction on job performance among nurses at Hospital Sultanah Bahiyah, Alor Setar. The design of this study was a set of questionnaire consisting of 160 nurses as samples, completed with Nurse Stress Index, Job Satisfaction Survey, and Six Dimensions Job Performance Scale. The data
obtained are analyzed in descriptive and inferential statistics using Statistical Packages for Social Science (SPSS) Version 25. In this study, Pearson correlation test shows that there is no significant correlation between work stress and work performance with the correlation value of 0.119 (p> .05), while the relationship between job satisfaction and work performance shows that there is a significant positive relationship when the correlation value of 0.385 (p <.01). Regression test shows that
both independent variables significantly affect 16.4 percent variance on job performance. Some suggestions have been proposed for this study in order to address the influence of stress and job satisfaction on work performance. Among the suggestions that can be applied in future research are identifying factors that affect work performance and creating a good working environment in addition to prioritizing employee welfare
Age and growth studies of oceanic squid, Sthenoteuthis oualaniensis using statoliths in the South China Sea, Area III, Western Philippines
Studies on age and growth using statolith of oceanic squids, Sthenoteuthis oualaniensis collected from Western Philippines, South China Sea, Area III have been conducted from 7 April - 19 May, 1998 by MV SEAFDEC Cruise No. 50-4/1998. A total of 1,707 squids were sampled and measured onboard. 74 statoliths which consist of 53 statoliths from female specimens and 21 from male specimens were extracted and processed using statolith ageing techniques with the body mantle length range from 107 - 217 mm and 115 - 167 mm, respectively. The male is small than the female where the male does not exceed 180 mm and the female can grow up to 260 mm. There is slightly a different dimension of growth at the statolith microstructure between the male and female specimens. In the ground statolith, growth increments were examined and grouped into four growth zones distinguished mainly by the width of the increments. It was found that the male exhibit slower growth and maturation occur at the same time with the female but at smaller size. The age of the male and female ranged from 135 - 259 days and 95 - 275 days, respectively. The life span of the species was considered within one year. It was also observed that the putative microcohort of the female could be explained from the length frequency distribution of the immature and mature female and a pool data of length frequency distribution from all stations
Extracolonic manifestation of familial adenomatous polyposis in an asymptomatic patient; Literature review on current recommendation
Extracolonic manifestations of Familial Adenomatous Polyposis often associated with Gardner syndrome. We report a case of patient post panproctocolectomy with gastric and duodenal polyp found during upper GI scope. A rare condition which cause management dilemma as the patient asymptomatic. We review few literature regarding the latest recommendation on the management of extracolonic manifestation of FAP particularly gastric and duodenal polyposis in patient with FAP. Most expert agreed that duodenal polyposis should be manage based on Spigelman staging. For Stage 1 and Stage 2, recommended for surveillance. For Stage 3, require medical or endoscopic treatment while Stage 4, surgical option should be considered in patient age more than 35 years old
Distribution of food items of six commercially important demersal fishes in the South China Sea
Distribution of food items of six commercially important fish species in waters off the east coast of Peninsular
Malaysia were studied. Trawl surveys were conducted in 124 stations in areas between 12 to 200 nautical miles from shore covering an estimated area of 27,785.54 square nautical miles. Stomachs offish species collected were
removed on board, preserved and taken to the laboratory for analysis of the contents. The occurrence method was
used to quantify the diet. Penaeus sp. was found to be the main food item of Carangoides malabaricus, Nemipterus marginatus, Priacanthus tayenus, and Upeneus bensasi while Loligo sp. for Saurida undosquamis and Sphyraena forsteri. Sub-areas 0, 1, II and III appeared to be the most productive areas for the studied species and the food items. The results also show that there exist significant relationships between the food items and fish distribution. Information on the availability and distribution of food items is important for the management of fishery resources as well as for the efficient exploitation of the species
An Observation on the Effect of Semi-Elemental Oral Nutritional Supplements on the Reduction of Small Bowel Ostomy Output
Semi-elemental oral nutritional supplements are also referred to the oligomeric, hydrolysed or peptide formula, the nitrogen source of the formulas derived from hydrolyzed oligopeptide of shorter lengths such as the dipeptides and tripeptides. The ingredient of casein and lactaalbumin hydrolysates in this formula are believed to be capable of stimulating the jejunal absorption of water and electrolytes. The postulated stimulation of improves absorption increased our curiosity on its effect on those patient with high output ostomy. We understand that this formula is more costly compared to the other polymeric formula available in the market. We would like to share an observation of two ostomies output that are managed conservatively along with the supplementation of a semi-elemental formula. We retrospectively review the case notes of two patients with small bowel ostomies and graphs were plotted to demonstrate the relationship between the output and the intake of the semi-elemental formula. We observed an interesting pattern of the ostomy output in relationship to intake volume. The ostomy output decreases as the patients increase the intake of the semi-elemental formula. From our observation, we concluded that semi-elemental formula improved clinical nutrition outcome and also quality of life in terms of stoma output reduction, making the stoma care more manageable. However, we hope that through our observation case studies, we would encourage more researchers to conduct a larger prospective and clinical study to explore the true clinical effects and also cost-effectiveness of this formula
Anterior abdominal wall abscess as a complication of appendicular mass in elderly
Appendicitis in the elderly continues to be a challenging surgical problem. Patients usually present late with atypical presentations. The diagnosis of appendicitis is often difficult to establish and there are increased rate of perforation and mortality. Abscess formation with extension to anterior abdominal wall as reported in this case is rather rare. Older patients also tend to undergo more complicated operative procedures and higher rate of postoperative
morbidity and mortality. We reported a case of atypical presentation of appendicitis as anterior abdominal abscess and postoperative challenges in geriatric surgery
Pembentukan makna tatabahasa dalam struktur ayat kata kerja Kāna (كان): Formation grammar meaning of the sentence structure of the verb Kāna
Grammar plays a role in determining the meaning of a sentence. In fact, grammatical forms have a variety of meanings based on the context in which they are used. The study of grammar involves examining the function carried out by a single word. This study was conducted to identify the grammatical meaning that exists in the use of Verbal Phrase Predicate (PFK) for kāna verb (KKK) in Arabic sentence structure (BA) and describe the appropriate match for the grammatical meaning that exists in Malay sentence structure (BM). This study was conducted using qualitative method based on library method (text analysis study) in analyzing data. The researchers obtain reference books and scholarly resources as well as reviews past studies related to the research topic to obtain appropriate reference sources. The theoretical framework utilized in this study includes the grammatical meanings inherent in the use of PFK for KKK in the BA sentence structure by al-Sāmirrā’ī (2003) and the component analysis model by Nida (1975) which analyzes the meaning of KKK grammatical references. While the contrastive analysis carried out involves the grammatical meaning contained in the use of KKK in the BA sentence structure and matching the appropriate grammatical meaning in the BM sentence structure. The results of the study found that different grammatical meanings are formed based on the time aspect found in the PFK for KKK in the sentence structure of BA. The results of this study also prove the appropriate match for the grammatical meaning that exists in the BM sentence structure is the verb which consists of aspect auxiliary verbs, variety auxiliary verbs and adverbs. Therefore, translators need to consider the meaning of this grammar in the translation process, so that the matching of the translated meaning is accurate and correct
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