Forest management for eco-tourism: understanding the community perspective of co-management

Forest management for eco-tourism needs to emphasis on the participation of the community to ensure that eco-tourism products remain sustainable. Without active involvement by the community, eco-tourism products face the risk of being destroyed by the ravages of overzealous economic development activities. Of paramount importance is the need for a balance of economic development and sustainable forest management. The forest inhabitants and the community need to be in symbiotic relations in order to survive in the forest. This study seeks to understand the community perspectives in co-managing the eco-tourism forest in RBFRSP. For that reason, three community representatives, including two Penghulu and a Tok Batin were interviewed to seek their perspectives on co-management. The results, in a nutshell, indicate that the community is not ready for co-management

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

Minimizing the Principle Stresses of Powerhoused Rock-Fill Dams Using Control Turbine Running Units : Application of Finite Element Method

This study focuses on improving the safety of embankment dams by considering theeffects of vibration due to powerhouse operation on the dam body. The study contains two ainparts. In the first part, ANSYS-CFX is used to create the three-dimensional (3D) Finite Volume (FV)model of one vertical Francis turbine unit. The 3D model is run by considering various reservoirconditions and the dimensions of units. The Re-Normalization Group (RNG) k- turbulence modelis employed, and the physical properties of water and the flow haracteristics are defined in theturbine model. In the second phases, a 3D finite element (FE) numerical model for a rock-fill dam iscreated by using ANSYS®, considering the dam connection with its powerhouse represented by fourvertical Francis turbines, foundation, and the upstream reservoir. Changing the upstream watertable minimum and maximum water levels, standers earth gravity, fluid-solid interface, hydrostaticpressure, and the soil properties are onsidered. The dam model runs to cover all possibilities forturbines operating in accordance with the reservoir discharge ranges. In order to minimize stressesin the dam body and increase dam safety, this study optimizes the turbine operating system byintegrating turbine and dam models.Validerad;2018;Nivå 2;2018-08-27 (andbra)</p

Incorporation Of Crumb Rubber And Air-Entraining Agent In Ultra-Lightweight Cementitious Composite: Evaluation Of Mechanical And Acoustic Properties

This research describes the usage of crumb rubber (CR) and air-entraining agent (AEA) to further reduce the density of lightweight cementitious composite into ultra-lightweight cementitious composites (ULCC), which has density lower than 800 kg/m3. The effects of CR and AEA on workability, compressive strength, flexural strength, sound absorption and sound transmission loss of ULCC are evaluated. The dry densities of the ULCC produced are in the range of 711–857 kg/m3. Compared with the control mix, the addition of 1% of AEA and inclusion 15% of CR have similar effect in reducing the density of ULCC, where the density is reduced by about 15%. Despite the decreased mechanical strength with the use of CR, the ULCC still possess good flexural strength of 2.4 MPa without AEA. Furthermore, the effect of CR is more significant than AEA in improving the sound absorption average (SAA) of ULCC which the SAA of the control mix is increased by 61.3%. Overall, the combination of CR and AEA reduced the density and improved the acoustic performance of ULC

RESEARCH NOTE MONITORING OF THE H275Y MUTATION IN PANDEMIC INFLUENZA A(H1N1) 2009 STRAINS ISOLATED IN MALAYSIA

Abstract. The 2009 pandemic influenza A(H1N1) infection in Malaysia was first reported in May 2009 and oseltamivir was advocated for confirmed cases in postexposure prophylaxis. However, there are cases of oseltamivir-resistance reported among H1N1-positive patients in other countries. Resistance is due to substitution of histidine by tyrosine at residue 275 (H275Y) of neuraminidase (NA). In this study, we have employed Sanger sequencing method to investigate the occurrence of mutations in NA segments of 67 pandemic 2009 A(H1N1) viral isolates from Malaysian patients that could lead to probable oseltamivir resistance. The sequencing analysis did not yield mutation at residue 275 for all 67 isolates indicating that our viral isolates belong to the wild type and do not confer resistance to oseltamivir

Human Adenovirus Type 7 Outbreak in Police Training Center, Malaysia, 2011

In March 2011, an outbreak of acute respiratory disease was reported at the Kuala Lumpur (Malaysia) Police Training Centre. Approximately 100 trainees were hospitalized and 5 were admitted to the intensive care unit. Three of these 5 trainees died. Human adenovirus type 7 was identified as the etiologic agent