• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6845-6850
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• 2013

Background: This study was performed to gather data on second-hand smoke (SHS) concentrations in a range of public venues following the implementation of partial Smoke-Free Legislation in Malaysia in 2004. Materials and Methods: $PM_{2.5}$ was measured as a marker of SHS levels in a total of 61 restaurants, entertainment centres, internet caf$\acute{e}$s and pubs in Kuala Lumpur, Malaysia. Results: Under the current smoke-free laws smoking was prohibited in 42 of the 61 premises. Active smoking was observed in nearly one-third (n=12) of these. For premises where smoking was prohibited and no active smoking observed, the mean (standard deviation) indoor $PM_{2.5}$ concentration was 33.4 (23.8) ${\mu}g/m^3$ compared to 187.1 (135.1) ${\mu}g/m^3$ in premises where smoking was observed The highest mean $PM_{2.5}$ was observed in pubs [361.5 (199.3) ${\mu}g/m^3$]. Conclusions: This study provides evidence of high levels of SHS across a range of hospitality venues, including about one-third of those where smoking is prohibited, despite 8 years of smoke-free legislation. Compliance with the legislation appeared to be particularly poor in entertainment centres and internet caf$\acute{e}$s. Workers and non-smoking patrons continue to be exposed to high concentrations of SHS within the hospitality industry in Malaysia and there is an urgent need for increased enforcement of existing legislation and consideration of more comprehensive laws to protect health.

• Asian Pacific Journal of Cancer Prevention
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• 제15권15호
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• pp.6059-6064
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• 2014

Background: Colorectal cancer is the second most frequent cancer in Malaysia. Nevertheless, there is little information on treatment and outcomes nationally. We aimed to determine the demographic, clinical and treatment characteristics of colorectal cancer patients treated at the University Malaya Medical Centre (UMMC) as part of a larger project on survival and quality of life outcomes. Materials and Methods: Medical records of 1,212 patients undergoing treatment in UMMC between January 2001 and December 2010 were reviewed. A retrospective-prospective cohort study design was used. Research tools included the National Cancer Patient Registration form. Statistical analysis included means, standard deviations (SD), proportions, chi square, t-test/ANOVA. P-value significance was set at 0.05. Results: The male: female ratio was 1.2:1. The mean age was 62.1 (SD12.4) years. Patients were predominantly Chinese (67%), then Malays (18%), Indians (13%) and others (2%). Malays were younger than Chinese and Indians (mean age 57 versus 62 versus 62 years, p<0.001). More females (56%) had colon cancers compared to males (44%) (p=0.022). Malays (57%) had more rectal cancer compared to Chinese (45%) and Indians (49%) (p=0.004). Dukes' stage data weres available in 67%, with Dukes' C and D accounting for 64%. Stage was not affected by age, gender, ethnicity or tumor site. Treatment modalities included surgery alone (40%), surgery and chemo/radiotherapy 32%, chemo and radiotherapy (8%) and others (20%). Conclusions: Significant ethnic differences in age and site distribution, if verified in population-based settings, would support implementation of preventive measures targeting those with the greatest need, at the right age.

• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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• pp.2213-2218
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• 2012

Introduction: Worldwide, breast cancer is the commonest cause of cancer death in women. However, the survival rate varies across regions at averages of 73%and 57% in the developed and developing countries, respectively. Objective: This study aimed to determine the survival rate of breast cancer among the women of Malaysia and characteristics of the survivors. Method: A retrospective cohort study was conducted on secondary data obtained from the Breast Cancer Registry and medical records of breast cancer patients admitted to Hospital Kuala Lumpur from 2005 to 2009. Survival data were validated with National Birth and Death Registry. Statistical analysis applied logistic regression, the Cox proportional hazard model, the Kaplan-Meier method and log rank test. Results: A total of 868 women were diagnosed with breast cancer between January 2005 and December 2009, comprising 58%, 25% and 17% Malays, Chinese and Indians, respectively. The overall survival rate was 43.5% (CI 0.573-0.597), with Chinese, Indians and Malays having 5 year survival rates of 48.2% (CI 0.444-0.520), 47.2% (CI 0.432-0.512) and 39.7% (CI 0.373-0.421), respectively (p<0.05). The survival rate was lower as the stages increased, with the late stages were mostly seen among the Malays (46%), followed by Chinese (36%) and Indians (34%). Size of tumor>3.0cm; lymph node involvement, ERPR, and HER 2 status, delayed presentation and involvement of both breasts were among other factors that were associated with poor survival. Conclusions: The overall survival rate of Malaysian women with breast cancer was lower than the western figures with Malays having the lowest because they presented at late stage, after a long duration of symptoms, had larger tumor size, and had more lymph nodes affected. There is an urgent need to conduct studies on why there is delay in diagnosis and treatment of breast cancer women in Malaysia.

• Asian Pacific Journal of Cancer Prevention
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• 제15권2호
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• pp.695-701
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• 2014

The main objective of palliative treatment for cancer patients has been to maintain, if not improve, the quality of life (QoL). There is a lack of local data on satisfaction and QoL among cancer patients receiving palliative treatment in Malaysia. This study covers patients with incurable, progressive cancer disease receiving palliative treatment in a teaching hospital in Kuala Lumpur, comparing the different components of QoL and correlations with patient satisfaction. A cross-sectional survey using Malay validated SF36 QoL and PSQ-18 (Short Form) tools was carried out between July 2012 -January 2013 with 120 cancer patients receiving palliative treatment, recruited into the study after informed consent using convenient sampling. Results showed that highest satisfaction were observed in Communication Aspect ($50.6{\pm}9.07$) and the least in General Satisfaction ($26.4{\pm}5.90$). The Mental Component Summary ($44.9{\pm}6.84$) scored higher when compared with the Physical Component Summary ($42.2{\pm}7.91$). In this study, we found that patient satisfaction was strongly associated with good quality of life among cancer patients from a general satisfaction aspect (r=0.232). A poor significant negative correlation was found in Physical Component (technical quality, r=-0.312). The Mental Component showed there was a poor negative correlation between time spent with doctor (r=-0.192) and accessibility, (r=-0.279). We found that feeling at peace and having a sense of meaning in life were more important to patients than being active or achieving good physical comfort. More studyis needed to investigate patients who score poorly on physical and mental component aspects to understand their needs in order to achieve better cancer care.

• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.19-26
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• 2013

말레이시아 차량 번호판에는 플라스틱으로 제작된 영문 및 숫자들이 엠보싱 형태로 부착되어있으며 수평 수직방향 문자들 사이 간격이 조밀하게 배치된 경우가 많다. 따라서 조도가 낮은 차량 영상에서는 번호판 문자 획 정보 추출이 어려워질 수 있다. 본 논문에서는 저 조도에서 촬영된 말레이시아 차량 영상에서 번호판을 인식하는 알고리즘을 제안하였다. 저 조도에서 촬영된 차량 영상에서도 문자 획 연결 요소를 정확하게 추출하기 위해 DoG 필터링 기반 문자 획 생성 기법을 도입하였다. 문자 획 연결요소 해석을 통한 번호판 후보 영역을 추정한 다음 문자 영역을 분할하고 인식을 하였다. 쿠알라룸푸르 도로상에서 조명이 부착되지 않은 IR 카메라를 사용하여 주야로 촬영한 6,046장의 차량 영상을 대상으로 번호판 인식 실험을 수행하였다. 제안된 알고리즘을 이용하여 실험해 본 결과 번호판 인식 성능이 96.1%로 나타났다.

• Geomechanics and Engineering
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• 제18권4호
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• pp.427-437
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• 2019

Waste materials are being produced in huge quantities globally, and the usual practice is to dump them into legal or illegal landfills. Recycled tiles (RT) are being used in soil stabilisation which is considered as sustainable solution to reduce the amount of waste and solve the geotechnical problems. Although the stabilisation of soil using RT improved the soil properties, it could not achieve the standard values required for construction. Thus, this study uses 20% RT together with low cement content (2%) to stabilise soft soil. Series of consolidated undrained triaxial compression tests were conducted on untreated and RT-cement treated samples. Each test was performed at 7, 14, and 28 days curing period and 50, 100, and 200 kPa confining pressures. The results revealed an improvement in the undrained shear strength parameters (cohesion and internal frication angle) of treated specimens compared to the untreated ones. The cohesion and friction angle of the treated samples were increased with the increase in curing time and confining pressure. The peak deviator stress of treated samples increases with the increment of either the effective confining pressures or the curing period. Microstructural and chemical tests were performed on both untreated and RT-cement treated samples, which included field emission scanning electron microscopic (FESEM), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), and energy dispersive X-ray spectrometer (EDX). The results indicated the formation of cementation compounds such as calcium aluminium hydrate (C-A-H) within the treated samples. Consequently, the newly formed compounds were responsible for the improvement observed in the results of the triaxial tests. This research promotes the utilisation of RT to reduce the amount of cement used in soil stabilisation for cleaner planet and sustainable environment.

• Geomechanics and Engineering
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• 제19권1호
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• pp.37-47
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• 2019

The main objective of this study is to evaluate and compare the efficiency of ordinary Portland cement (OPC) in enhancing the unconfined compressive strength of soft soil alone and soft soil mixed with recycled tiles. The recycled tiles have been used to treat soft soil in a previous research by Al-Bared et al. (2019) and the results showed significant improvement, but the improved strength value was for samples treated with low cement content (2%). Hence, OPC is added alone in this research in various proportions and together with the optimum value of recycled tiles in order to investigate the improvement in the strength. The results of the compaction tests of the soft soil treated with recycled tiles and 2, 4, and 6% OPC revealed an increment in the maximum dry density and a decrement in the optimum moisture content. The optimum value of OPC was found to be 6%, at which the strength was the highest for both samples treated with OPC alone and samples treated with OPC and 20% recycled tiles. Under similar curing time, the strength of samples treated with recycled tiles and OPC was higher than the treated soil with the same percentage of OPC alone. The stress-strain curves showed ductile plastic behaviour for the untreated soft clay and brittle behaviour for almost all treated samples with OPC alone and OPC with recycled tiles. The microstructural tests indicated the formation of new cementitious products that were responsible for the improvement of the strength, such as calcium aluminium silicate hydrate. This research promotes recycled tiles as a green stabiliser for soil stabilisation capable of reducing the amount of OPC required for ground improvement. The replacement of OPC with recycled tiles resulted in higher strength compared to the control mix and this achievement may results in reducing both OPC in soil stabilisation and the disposal of recycled tiles into landfills.

• Hip & pelvis
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• 제35권4호
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• pp.268-276
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• 2023

Purpose: Resection remains the most reliable treatment for established heterotopic ossification, despite questions regarding its effectiveness due to the potential for complications. This study evaluated the clinical outcomes and complications of neurogenic heterotopic ossification (NHO) resection in stroke patients' ankylosed hips. Materials and Methods: We retrospectively analyzed nine hip NHO resections performed on seven patients from 2010 to 2018. The pre- and postoperative range of motion of the operated hip were compared. Analysis of postoperative complications, including infection, recurrence, iatrogenic fracture, and neurovascular injury was performed. Results: The mean operative time was 132.78±21.08 minutes, with a mean hemoglobin drop of 3.06±0.82 g/dL within the first postoperative week. The mean duration of postoperative follow-up was 52.08±28.72 months for all patients. Postoperative range of motion showed improvement from preoperative. Flexion and external rotation (mean, 58.89±30.60° and 16.67±18.03°, respectively) showed the greatest gain of motion of the operated hip joint. Postoperative infections resolved in two cases through surgical debridement, and one case required conversion to total hip arthroplasty due to instability. There were no recurrences, iatrogenic fractures, or neurovascular injuries. Conclusion: Resection is a beneficial intervention for restoring the functional range of motion of the hip in order to improve the quality of life for patients with NHO and neurological disorders. We recommend performance of a minimal resection to achieve a targeted functional arc of motion in order to minimize the risk of postoperative complications.

• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2159-2165
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• 2013

Cancer registries help to establish and maintain cancer incidence reporting system, serve as a resource for investigation of cancer and its causes, and provide information for planning and evaluation of preventive and control programs. However, their wider role in directly enhancing oncology drug access has not been fully explored. We examined the value of cancer registries in oncology drug access in the Asia-Pacific region on three levels: (1) specific registry variable types; (2) macroscopic strategies on the national level; and (3) a regional cancer registry network. Using literature search and proceedings from an expert forum, this paper covers recent cancer registry developments in eight economies in the Asia-Pacific region - Australia, China, Hong Kong, Malaysia, Singapore, South Korea, Taiwan, and Thailand - and the ways they can contribute to oncology drug access. Specific registry variables relating to demographics, tumor characteristics, initial treatment plans, prognostic markers, risk factors, and mortality help to anticipate drug needs, identify high-priority research area and design access programs. On a national level, linking registry data with clinical, drug safety, financial, or drug utilization databases allows analyses of associations between utilization and outcomes. Concurrent efforts should also be channeled into developing and implementing data integrity and stewardship policies, and providing clear avenues to make data available. Less mature registry systems can employ modeling techniques and ad-hoc surveys while increasing coverage. Beyond local settings, a cancer registry network for the Asia-Pacific region would offer cross-learning and research opportunities that can exert leverage through the experiences and capabilities of a highly diverse region.

• Geomechanics and Engineering
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• 제21권5호
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• pp.433-445
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• 2020

The weakening and softening behavior of soft clay subjected to cyclic loading due to the build-up of excess pore water pressure is well-known. During the design stage of the foundation of highways and coastal high-rise buildings, it is important to study the mechanical behavior of marine soils under cyclic loading as they undergo greater settlement during cyclic loading than under static loading. Therefore, this research evaluates the cyclic stress-strain and shear strength of untreated and treated marine clay under the effects of wind, earthquake, and traffic loadings. A series of laboratory stress-controlled cyclic triaxial tests have been conducted on both untreated and treated marine clay using different effective confining pressures and a frequency of 0.5 and 1.0 Hz. In addition, treated samples were cured for 28 and 90 days and tested under a frequency of 2.0 Hz. The results revealed significant differences in the performance of treated marine clay samples than that of untreated samples under cyclic loading. The treated marine clay samples were able to stand up to 2000 loading cycles before failure, while untreated marine clay samples could not stand few loading cycles. The untreated marine clay displayed a higher permanent axial strain rate under cyclic loading than the treated clay due to the existence of new cementing compounds after the treatment with recycled tiles and low amount (2%) of cement. The effect of the effective confining pressure was found to be significant on untreated marine clay while its effect was not crucial for the treated samples cured for 90 days. Treated samples cured for 90 days performed better under cyclic loading than the ones cured for 28 days and this is due to the higher amount of cementitious compounds formed with time. The highest deformation was found at 0.5 Hz, which cannot be considered as a critical frequency since smaller frequencies were not used. Therefore, it is recommended to consider testing the treated marine clay using smaller frequencies than 0.5 Hz.