Challenges and Usefulness of Body-Worn Camera Among Malaysian Road Transport Department (RTD) Patrol Officers

S. Sarifah Radiah Shariff(S. Sarifah Radiah Shariff ),Mohd Fikri Hadrawi(Mohd Fikri Hadrawi ),Mohd Fauzi Azalli(Mohd Fauzi Azalli ) KINFORMS 2022 Management Review Vol.17 No.2

Law enforcement namely Road Transport Department (RTD) officers, face challenges in carrying out their duties on the road. The purpose of this study is to highlight on the challenges and issues faced by the officers in Malaysian road and the appropriate use of technology in assisting RTD officers in enforcement duties focusing on the usefulness of Body-worn cameras. The officers involved in the study consisted of the head of the RTD patrol team in the southern region of Malaysia. The results show that this product can assist officers in facilitating their duties. Overall, many respondents point out that this product can facilitate their work easily, provide safer conditions and provide data evidence. It helps in preparing jobs reports and made the officers not burdened in the task. Most respondents were positive about the use of Body-worn cameras especially in alleviating the challenges faced by them.

An Uncommon Case of Bioprosthetic Mitral Valve Thrombosis Complicated by Intracerebral Haemorrhage

Shariff Raja Ezman Raja,Khir Rizmy Najme,Zainal Abidin Hafisyatul Aiza,Kasim Sazzli 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.2

An 82-year-old man presented with bioprosthetic valve thrombosis (BVT) following a cardioembolic stroke due to mitral valve infective endocarditis. The patient had previously undergone bioprosthetic mitral valve replacement. After being discharged postoperatively, he represented with weakness due to a novel left-sided stroke and right-sided occipital intracerebral haemorrhage. Both transthoracic and transoesophageal echocardiography revealed BVT on the anterior portion of the prosthesis. Following a multi-disciplinary team discussion, it was agreed that thrombolytics and anticoagulation would be detrimental. The patient continued to worsen and eventually succumbed to congestive cardiac failure. BVT is uncommon, and patients often present with signs and symptoms of heart failure, shock, or embolism. There are no guidelines available for managing BVT in patients with concurrent intracerebral haemorrhage, which highlights the importance of multi-disciplinary decision-making.

An Unexpected Mass in a Patient With a Left Ventricular Assist Device

Raja Shariff Raja Ezman Faridz,Beng Koh Hui,Ting Yuen Beh,Yee Sin Tey,Mohd Ghazi Azmee 아시아심장혈관영상의학회 2022 Cardiovascular Imaging Asia Vol.6 No.4

Left ventricular assist devices (LVAD) have helped improve survival, functional status, and quality of life for end-stage heart-failure patients, worldwide. Unfortunately, the risk of complications associated with such devices, including infections, has increased with improved survival. We report a unique case of pump pocket infections (PPI) and collection, diagnosed using multi-modality cardiovascular imaging in a young male patient implanted with a HeartWare LVAD. He had multiple admissions in the past for driveline infections (DLI). Transthoracic echocardiography revealed a 1.4×4.6-cm hyperechoic mass. An 18F-FDG PET-CT scan was performed revealing multiple foci of hypermetabolism seen along the driveline and pump, as well as from a lesion with high radiotracer uptake anterior to the right ventricle, suggesting collection. The patient underwent extensive wound debridement and prolonged intravenous antibiotics, followed by life-long oral antibiotics. Although uncommon, following the current trend in preferential use of centrifugal pumps, PPI remains a possibility, especially in the presence of chronic DLI. Our case highlights the value of multi-modality imaging, including PET-CT imaging, in managing LVAD-related infections, as it may alter the course of subsequent management.

Acute Right Intracardiac Thrombus-in-Transit Complicated by Submassive Pulmonary Embolism

Raja Shariff Raja Ezman,Badrul Zaman Nazurah,Mohamad Razi Adli Azam,Najme Khir Rizmy,Kasim Sazzli 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.1

A 61-year-old female presented with symptoms suggestive of congestive cardiac failure that was confirmed on transthoracic echocardiography (TTE) with the absence of an intracardiac thrombus. In the hospital, she suffered episodes of syncope, prompting further investigations. Repeat TTE revealed an acute mobile right atrial thrombus, and CT imaging of the pulmonary artery confirmed the presence of a massive pulmonary embolism (PE). Despite a low pulmonary embolism severity index (PESI) score, the patient underwent surgical pulmonary embolectomy. The prevalence of right-sided thrombi ranges between 4–18% in the presence of acute PE, and right-sided thrombi will almost always lead to PE. Our case highlights the limitation of the PESI score and emphasizes urgent management for the presence of a thrombus-in-transit, despite a low PESI score.

Household food insecurity and coping strategies in a poor rural community in Malaysia

Zalilah Mohd. Shariff,Geok Lin Khor 한국영양학회 2008 Nutrition Research and Practice Vol.2 No.1

This cross-sectional study assessed household food insecurity among low-income rural communities and examined its association with demographic and socioeconomic factors as well as coping strategies to minimize food insecurity. Demographic, socioeconomic, expenditure and coping strategy data were collected from 200 women of poor households in a rural community in Malaysia. Households were categorized as either food secure (n=84) or food insecure (n=116) using the Radimer/Cornell Hunger and Food Insecurity instrument. T-test, Chi-square and logistic regression were utilized for comparison of factors between food secure and food insecure households and determination of factors associated with household food insecurity, respectively. More of the food insecure households were living below the poverty line, had a larger household size, more children and school-going children and mothers as housewives. As food insecure households had more school-going children, reducing expenditures on the children's education is an important strategy to reduce household expenditures. Borrowing money to buy foods, receiving foods from family members, relatives and neighbors and reducing the number of meals seemed to cushion the food insecure households from experiencing food insufficiency. Most of the food insecure households adopted the strategy on cooking whatever is available at home for their meals. The logistic regression model indicates that food insecure households were likely to have more children (OR=1.71; p<0.05) and non-working mothers (OR=6.15; p<0.05), did not own any land (OR=3.18; p<0.05) and adopted the strategy of food preparation based on whatever is available at their homes (OR=4.33; p<0.05). However, mothers who reported to borrow money to purchase food (OR=0.84; p<0.05) and households with higher incomes of fathers (OR=0.99; p<0.05) were more likely to be food secure. Understanding the factors that contribute to household food insecurity is imperative so that effective strategies could be developed and implemented.

The relationship between household income and dietary intakes of 1-10 year old urban Malaysian

Zalilah Mohd Shariff,Khor Geok Lin,Sarina Sariman,Huang Soo Lee,Chin Yit Siew,Barakatun Nisak Mohd Yusof,Chan Yoke Mun,Maznorila Mohamad 한국영양학회 2015 Nutrition Research and Practice Vol.9 No.3

BACKGROUND/OBJECTIVES: Diet plays an important role in growth and development of children. However, dietary intakes of children living in either rural or urban areas can be influenced by household income. This cross-sectional study examined energy, nutrient and food group intakes of 749 urban children (1-10 years old) by household income status. SUBJECTS/METHODS: Children’s dietary intakes were obtained using food recall and record for two days. Diet adequacy was assessed based on recommended intakes of energy and nutrients and food group servings. RESULTS: For toddlers, all nutrients except dietary fiber (5.5 g) exceeded recommended intakes. Among older children (preschoolers and school children), calcium (548 mg, 435 mg) and dietary fiber (7.4 g, 9.4 g) did not meet recommendations while percentage of energy from total fat and saturated fats exceeded 30% and 10%, respectively. The mean sodium intakes of preschoolers (1,684 mg) and school children (2,000 mg) were relatively high. Toddlers in all income groups had similar energy and nutrient intakes and percentages meeting the recommended intakes. However, low income older children had lowest intakes of energy (P < 0.05) and most nutrients (P < 0.05) and highest proportions that did not meet recommended energy and nutrient intakes. For all food groups, except milk and dairy products, all age groups had mean intakes below the recommended servings. Compared to middle and high income groups, low income preschoolers had the lowest mean intake of fruits (0.07 serving), meat/poultry (0.78 serving) and milk/dairy products (1.14 serving) while low income toddlers and school children had the least mean intake of fruits (0.09 serving) and milk/dairy products (0.54 serving), respectively. CONCLUSION: Low socioeconomic status, as indicated by low household income, could limit access to adequate diets, particularly for older children. Parents and caregivers may need dietary guidance to ensure adequate quantity and quality of home food supply and foster healthy eating habits in children.

Knowledge and Attitudes Amongst Internal Medicine Clinicians in Referring Valvular Heart Disease Patients: A Survey Study

Raja Ezman Faridz Raja Shariff,Khairul Shafiq Ibrahim,Hafisyatul Aiza Zainal Abidin,Sazzli Kasim 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.4

Objective: Little is known regarding the levels of knowledge and attitudes amongst non-cardiology clinicians in managing valvular heart diseasel (VHD). Materials and Methods: To determine the knowledge and attitudes towards management of VHD patients amongst internal medicine clinicians in Malaysia. We conducted a 20-item survey study, distributed amongst internal medicine clinicians. Results: A total of 75 responses was obtained. Respondents included medical officers (50.7%), consultants (32.0%), and pre-consultant specialist (17.3%). Respondents were comfortable using online resources from both formal (94.7%) and informal (74.7%) sources. A large proportion felt that they had ‘insufficient’ or ‘very insufficient’ knowledge and experience managing VHD patients (36.0%), and less than half felt that management of VHD patients within their institutions was ‘adequate’ or ‘very adequate’ (49.4%). Although many were felt to be overzealous with echocardiography monitoring in mild VHD (55.9% felt that it was required within 2 years), nevertheless attitudes regarding referrals to cardiology services for consult and intervention were felt to be appropriate. Conclusion: The survey highlights the need for education amongst internal medicine clinician to tackle both the overzealous attitude in monitoring patients with mild valvular disease on one extreme and in improving early referrals for VHD indicated for intervention on the other.

The Impact of Strategic Orientation on Performance of Retail SMEs by Structural Equation Model Evaluations

Mohd Noor Mohd Shariff,Jauriyah Shamsuddin,Mohd Nizam Abdul Kadir 대한산업공학회 2019 Industrial Engineeering & Management Systems Vol.18 No.3

Overcoming challenging circumstances in a dynamic environment requires markets to have superior performance compared to their rivals. In order to achieve superior performance, this study analyzed two strategic orientation variables which might influence a retail firm performance - market orientation (MO) and entrepreneurial orientation (EO). It also examined the effect of Volatile Environment (VE) as a moderator for both direct affiliations towards the performance. Quantitative data were gathered from the 152 owner-managers of retail firms within the scope of Small and medium-sized enterprises (SMEs) in Malaysia. Dataset were processed for validity and reliability using SPSS and the multivariate regression performed using Smart PLS software. Four hypotheses were postulated and tested through structural equation model evaluations. The results indicated VE strongly moderated the relationship between MO and firm performance (FP). However, there was no significant moderating effect on the relationship between EO and performance. For direct effect relationship, the results revealed that MO had positive significant influence on FP. In contrast, EO had no significant effect on the retail firm performance.

A Unique Case of Non-Capture of Permanent Pacemaker Lead: Delayed Lead Perforation and Cardiac Tamponade

Raja Ezman Faridz Raja Shariff,Lim Chiao Wen,Rizmy Najme Khir,Khairul Shafiq Ibrahim,Sazzli Kasim 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.3

We report a rare case of delayed cardiac perforation that progressed to cardiac tamponade and initially presented as loss of pacemaker lead capture. A 50-year-old female with a singlelead permanent pacemaker for third-degree atrioventricular dissociation presented with lethargy, dyspnea, and reduced effort tolerance. Home monitoring by her cardiac device and an electrocardiogram performed on arrival showed loss of capture. Transthoracic echocardiogram revealed cardiac tamponade requiring urgent pericardiocentesis, revealing hemorrhagic effusion. Delayed perforation of her device leads was suspected, even though neither CT nor cardiac MRI revealed contrast leakage or displaced lead position. Cardiac perforation following device implantation is rare. This case is unique as it highlights an extreme presentation in which delayed perforation led to gradual accumulation progressing to tamponade and loss of device capture, both of which resolved following emergency pericardiocentesis. The main treatment of suspected lead perforation remains revision of leads, although evidence to support either a percutaneous or surgical approach remain debatable.

The Mapping for Relationship between Road Accidents and Traffic Congestion for Expressway Management Decision

S. Sarifah Radiah Shariff,A. Dinnul Firdausi Mohamad Ibrahim KINFORMS 2020 Management Review Vol.15 No.1

Traffic congestion and road accidents are part of the major transportation problems across the globe. In a developing country like Malaysia, traffic congestion and road accidents are among serious problem that have impacted many sectors namely economic and social sectors. In this study, the relation between traffic congestion and road accidents is explored based on data collected from main expressway in Klang Valley. The objective of this study is to identify the locational pattern between traffic congestion and road accidents (if there is) as well as to propose method of data collection that provides the information. Descriptive analysis and Single Factor ANOVA are used to explore and analyse the primary data set of traffic congestion and the secondary data set on road accidents obtained from the selected Expressway. It is found that heavy traffic congestion occurs the most especially during morning peak hours on weekdays. However, road accident happens randomly at various location and time. From the mapping and test done, it shows there is no significant relation between traffic congestion and road accidents, yet some locations are prone to both traffic congestion and road accidents.