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STAR Protocol for Critically Ill Patients in Malaysia: ICU Staff Survey and Human Factor Assessment
Athirah Abdul Razak,Asma Abu-Samah,Normy Razak,Fatanah Suhaimi,Ummu Jamaludin,Azrina Ralib,Christopher Pretty 대한전자공학회 2019 IEIE Transactions on Smart Processing & Computing Vol.8 No.5
Since 2001, various glycemic control (GC) studies have been conducted to reduce dysglycemia in critically ill patients. To prove their effectiveness, each proposed GC approach requires not only patient clinical results, but also users’ assessments. This paper presents International Islamic University Malaysia Medical Centre intensive care unit (ICU) staff perceptions and assessments of human factors of Stochastic Targeted (STAR) protocol usage based on a Malaysian pilot trial to analyze the users’ responses to the protocol in the Malaysian set-up. STAR protocol is a model-based and automated GC that accounts for the individual patient’s metabolic variability. The ICU staff feedback on STAR trial was based on 13 survey questions. The survey demonstrated that 87.5% of ICU staff agreed that STAR protocol improved patient’s outcome, and is user friendly. Human factor assessment quantifies the different interventions recorded from STAR historical and manual bedside records for a total of 31 diabetes mellitus (DM) and non-diabetes mellitus (NDM) patients. During a total of 6168 hours in ICU stays, the percentage of compliance in blood glucose (BG) measurements, insulin infusion, and nutrition administered for DM and NDM cohorts were 97.3%/97.2%, 74.1%/70.3% and 65%/71.2%, respectively.
Razak, Nuradhiathy Abd,Khattak, M.N.,Zubairi, Yong Zulina,Naing, Nyi Nyi,Zaki, Nik Mohamed Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.2
Objective: The objective of this study was to determine the five-year survival among patients with cervical cancer treated in Hospital Universiti Sains Malaysia. Methods: One hundred and twenty cervical cancer patients diagnosed between $1^{st}$ July 1995 and $30^{th}$ June 2007 were identified. Data were obtained from medical records. The survival probability was determined using the Kaplan-Meier method and the log-rank test was applied to compare the survival distribution between groups. Results: The overall five-year survival was 39.7% [95%CI (Confidence Interval): 30.7, 51.3] with a median survival time of 40.8 (95%CI: 34.0, 62.0) months. The log-rank test showed that there were survival differences between the groups for the following variables: stage at diagnosis (p=0.005); and primary treatment (p=0.0242). Patients who were diagnosed at the latest stage (III-IV) were found to have the lowest survival, 18.4% (95%CI: 6.75, 50.1), compared to stage I and II where the five-year survival was 54.7% (95%CI: 38.7, 77.2) and 40.8% (95%CI: 27.7, 60.3), respectively. The five-year survival was higher in patients who received surgery [52.6% (95%CI: 37.5, 73.6)] as a primary treatment compared to the non-surgical group [33.3% (95%CI: 22.9, 48.4)]. Conclusion: The five-year survival of cervical cancer patients in this study was low. The survival of those diagnosed at an advanced stage was low compared to early stages. In addition, those who underwent surgery had higher survival than those who had no surgery for primary treatment.
Razak, Okine Abdul,Masaaki, Hanada,Yimamu, Aibibula,Meiji, Okamoto Asian Australasian Association of Animal Productio 2012 Animal Bioscience Vol.25 No.4
The role of moisture absorptive capacity of pre-silage material and its relationship with silage effluent in high moisture by-product feedstuffs (HMBF) is assessed. The term water retention capacity which is sometimes used in explaining the rate of effluent control in ensilage may be inadequate, since it accounts exclusively for the capacity of an absorbent incorporated into a pre-silage material prior to ensiling, without consideration to how much the pre-silage material can release. A new terminology, 'potential water retention capacity' (PWRC), which attempts to address this shortcoming, is proposed. Data were pooled from a series of experiments conducted separately over a period of five years using laboratory silos with four categories of agro by-products (n = 27) with differing moisture contents (highest 96.9%, lowest 78.1% in fresh matter, respectively), and their silages (n = 81). These were from a vegetable source (Daikon, Raphanus sativus), a root tuber source (potato pulp), a fruit source (apple pomace) and a cereal source (brewer's grain), respectively. The pre-silage materials were adjusted with dry in-silo absorbents consisting wheat straw, wheat or rice bran, beet pulp and bean stalks. The pooled mean for the moisture contents of all pre-silage materials was 78.3% (${\pm}10.3$). Silage effluent decreased (p<0.01), with increase in PWRC of pre-silage material. The theoretical moisture content and PWRC of pre-silage material necessary to stem effluent flow completely in HMBF silage was 69.1% and 82.9 g/100 g in fresh matter, respectively. The high correlation (r = 0.76) between PWRC of ensiled material and silage effluent indicated that the latter is an important factor in silage-effluent relationship.
Moving From Traditional to Society 5.0: Case study by Online Transportation Business
Razak MASHUR,Bata Ilyas GUNAWAN,FITRIANY,Muhammad ASHOER,Muhammad HIDAYAT,Halim Perdana Kusuma Putra ADITYA 한국유통과학회 2019 유통과학연구 Vol.17 No.9
Purpose - Capturing the shifting consumer behavior perspective on online transportation network performance in Indonesia, this study aims to empirically examine the impact of electronic customer relationship management (e-CRM) and e-service quality on customer e-satisfaction and e-loyalty. Research design, data, and methodology - A quantitative approach was applied, and then we determined the respondents who met the predetermined criterion by using purposive sampling method. In total, 167 online transportation customer in Indonesia participated in this electronic questionnaire survey. To tested the collected data, Partial Least Square (PLS) - (SEM) analytical tools were employed. Results and Findings - There are five hypotheses proposed in this study and state that only one hypothesis is rejected, The dominant relationship between variables in the hypothesis is shown in the variable relationship of e-service quality on e-satisfaction. CRM, Service Quality, Satisfaction and Loyalty implemented comprehensively in cyberspace provides a clear picture for academics but also for practitioners who are struggling in the service industry that specifically appoints online transportation business. The findings of this research provide both managerial and theoretical implications to maintain customer e-loyalty in online transportation network business environment in Indonesia.
( Arif Razak ),( Ananthan Dave Ebinesan ),( Charalambos Panayiotou Charalambous ) 대한슬관절학회 2013 대한슬관절학회지 Vol.25 No.4
Purpose: This study was undertaken to obtain a consensus amongst joint arthroplasty experts with regards to metal allergy screening prior to joint arthroplasty and the choice of implant in patients with potential metal allergy. Materials and Methods: A web based Delphi consensus study was used including orthopaedic surgeons that had previously published on the topic of knee, hip or shoulder arthroplasty. Two rounds of questionnaires were sent via electronic mail. Consensus was considered reached if agreement was 60% or higher. Results: Eighteen surgeons responded to the first and 17 to the second round of questionnaires. There was consensus that patients having metal arthroplasty surgery should not be routinely questioned about metal allergy prior to surgery. There was consensus that patch testing is not necessary even if metal allergy is suspected. Most respondents agreed in proceeding with cobalt chromium or stainless steel implant in patients suspected of metal allergy regardless of the results of cutaneous patch testing. Conclusions: This consensus study suggests that routine metal allergy screening prior to joint arthroplasty is not essential. The use of traditional cobalt chromium/stainless steel implants is recommended regardless of the patient`s metal allergy status based on expert opinion through this study.
Ibrahiem Abdul Razak Al-Ani,Wan Hanna Melini Wan Mohtar,Noor Ezlin Ahmad Basri,Lariyah Mohd Sidek 대한토목학회 2016 KSCE JOURNAL OF CIVIL ENGINEERING Vol.20 No.7
Construction activities combined with heavy rainfall can results in severe soil loss which eventually will be deposited into the adjacent water bodies via stormwater. The Best Management Practices (BMPs) adopted to minimise the erosion and sedimentation during construction activities are usually determined by standard guidelines and expert engineers. However, when the expertise and data are limited, knowledge-based systems have been proved as an effective alternative in making decision. A new algorithm of hybrid knowledge-based expert system and Multi-Criteria Analysis (MCA) was developed to minimise erosion and sedimentation due to stormwater in Malaysian construction sites. In this Eco-Friendly Erosion and Sediment Control (ECO-ESC) system, decision tables were developed based on the knowledge acquired from the domain experts specialised in erosion and sedimentation control and guidelines. The MCA was used to identify the best stormwater control measures based on the specific criteria and criterion’s weight. The ECO-ESC was validated in three stages: preliminary by the experts, field and statistical validations. Results of comparison have shown high correlation for recommended BMPs, sediment yield, and the water quality monitoring and proved that the ECO-ESC performs as good as the human expert in solving different problems related to the erosion and sediment control.
SAIFUL IZWAN ABD RAZAK,SHARIF HUSSEIN SHARIF ZEIN,ABDUL LATIF AHMAD 성균관대학교(자연과학캠퍼스) 성균나노과학기술원 2010 NANO Vol.5 No.6
New ex situ polyaniline (PANI)/MnO2-filled multiwalled carbon nanotubes (MWCNTs) nanocomposites using para-hydroxybenzene sulfonic acid (PHBSA) as a dopant and linker exhibit enhanced electrical conductivity and interfacial interaction. Strong and enhanced interfacial interaction was observed on the surfaces of the filled carbon nanotubes and PANI. Transmission electron microscope (TEM) demonstrated clearly the improved bonding at the interface compared to the nanocomposite without PHBSA.
Predictors of Midterm Outcomes after Medial Unicompartmental Knee Arthroplasty in Asians
Hamid Rahmatullah Bin Abd Razak,Sanchalika Acharyya,Shi-Ming Tan,Hee-Nee Pang,Keng-Jin Darren Tay,Shi Lu Chia,Ngai-Nung Lo,여승진 대한정형외과학회 2017 Clinics in Orthopedic Surgery Vol.9 No.4
Background: This study was designed to evaluate predictors of good outcomes following medial unicompartmental knee arthroplasty (UKA) in Asian patients. Methods: Registry data of patients who underwent primary unilateral medial UKA from 2006 to 2011 were collected. Outcomes studied were the Oxford Knee Score (OKS) and the Physical Component Score (PCS) of the Short Form 36 (SF-36) questionnaire. These outcome scores were collected prospectively, pre- and postoperatively up to 5 years. Good outcome was defined as an overall improvement in score greater than or equal to the minimal clinically important difference (MCID). The MCID for the OKS was 5 while the MCID for the PCS was 10. Regression analysis was used to identify predictors of good outcomes following medial UKA. Results: Primary medial UKA was performed in 1,075 patients. Higher (poorer) preoperative OKS (odds ratio [OR], 1.27; p < 0.001), lower (poorer) preoperative PCS (OR, 1.08; p < 0.001), lower (poorer) preoperative Knee Society Knee Score (KSKS; OR, 1.02; p < 0.001) and higher (better) preoperative SF-36 Mental Component Score (MCS; OR, 1.02; p < 0.001) were significant predictors of good outcomes. Conclusions: Patients with poorer OKS, PCS and KSKS and better SF-36 MCS preoperatively tended to achieve good outcomes by the MCID criterion at 5 years following the index surgery.