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1.
Malaysian Journal of Medicine and Health Sciences ; : 3-12, 2022.
Article in English | WPRIM | ID: wpr-987047

ABSTRACT

@#Introduction: The use of chemicals in teaching laboratories exposes students and laboratory staff to risk arising from hazardous chemicals. Accidents related to poor management and handling of chemicals have been reported in teaching laboratories. Good implementation of occupational safety and health (OSH) in organisation that has implemented OSH-Management System (OSH-MS) plays an important role in reducing accidents at the workplace. The aim of this study is to assess the level of knowledge, attitude and practice (KAP) related to the OSH aspect in chemical handling among workers in OSH-MS certified and non-certified public universities in Malaysia. Method: This is a cross-sectional survey involving laboratory workers in four public universities in Malaysia. A total of 120 laboratory staff were recruited and data on KAP was collected using self-administered questionnaires disseminated physically and via online platforms. Items in the questionnaire were adapted from previous studies and published guidelines. Data obtained were entered into statistical software for analysis. Results: About 76% of workers in certified universities have high knowledge, 94% have a positive attitude, and 88% have good practice in OSH. In non-certified universities, 70% have high knowledge, 97.1% have a positive attitude and 81.4% have good practice in OSH. Good practice level was significantly higher in certified universities. Knowledge, in general, was associated with younger age and higher education level while attitude was linked to gender. Conclusion: There were higher percentages of good OSH practice among laboratory workers in OSH-MS certified universities. Structured and systematic OSH governance can facilitate better OSH practice and implementation in certified public universities.

2.
Malaysian Journal of Medicine and Health Sciences ; : 99-105, 2019.
Article in English | WPRIM | ID: wpr-782418

ABSTRACT

Abstract@#Introduction: Innovative ways of balancing indoor relative humidity without compensate for the optimal working environment is crucial as excessive dampness is a risk factor for health symptoms among people and deteriorate building performance. This study examines the potential of fabricating humidity controlling material by sintering a mixture of diatomite, waste glass and cockle shell powder. Moisture sorption isotherms, moisture buffer values, pore structure, surface morphology and flexural strength of the final products were determined. Methods: Mixture of diatomite, powdered waste glass and cockle shell powder is mixed at different ratio, pressed and sintered at 1100°C for 20 minutes. The final products were examined using nitrogen gas adsorption-desorption and scanning electron microscopy for mesoporous and morphology properties. The moisture adsorption-desorption performances of the samples were tested using desiccator method while the flexural strength is tested using universal testing machine. Results: The sintered products have specific surface area from 5.744 m2/g to 14.765 m2/g and have pore size from 39.5-67.7 nm. The best product, manufactured by mixing 60% diatomite, 30% waste glass and 10% cockle shell powder, showed a good moisture buffer value (MBV: 1.3 g/m2 %RH) and flexural strength of 8.23 ± 1.8 MPa satisfy the standard of those commercial porous ceramics. Conclusion: Usage of waste glass and cockle shell powder in development of humidity control material helped in the waste reduction. The humidity control material produced can regulate indoor humidity without additional energy consumption. The superior products show excellent characteristics and highly promising for various construction applications.

3.
Malaysian Journal of Medicine and Health Sciences ; : 76-84, 2019.
Article in English | WPRIM | ID: wpr-782413

ABSTRACT

Abstract@#Introduction: An assessment of dermal exposure to pesticide mixtures among sprayers was made as a function of crop type, in four agricultural subsectors in Malaysia. Methods: The potential and actual dermal exposures for 160 pesticide sprayers performing pesticide spraying task were estimated by using Dermal Exposure Assessment Method (DREAM). Results: Results showed that there was significant difference between nationality (p<0.001), highest education (p<0.001), monthly income (p=0.002), body mass index (p<0.001) and smoking habit (p<0.001) distributions of sprayers in different agriculture subsectors. Various types of pesticides were used by respondents, where class II (moderately hazardous) and class III (slightly hazardous) pesticides were the most frequently used pesticides. There was a significant difference in both tPDE (χ2 = 118.093, p<0.001) and tADE (χ2 = 84.980, p<0.001) between different agricultural sectors, where the prominent high tPDE was observed among paddy pesticide sprayers (151.39 ± 22.64 DU) while lowest exposure was recorded among oil palm plantation sprayers (47.67 ± 18.47 DU). Conclusion: Based on DREAM exposure categories, majority of the pesticide sprayers (68.9%) working in paddy farming were exposed in low dermal exposure while 26.7% of respondents were exposed to moderate exposure. Pesticide sprayers in other agriculture sectors were exposed to very low to low exposure level. Dermal exposure distributions on body parts were varied between sectors, influenced by several factors such as crop type, height, and spraying methods.

4.
Malaysian Journal of Medicine and Health Sciences ; : 55-61, 2019.
Article in English | WPRIM | ID: wpr-782410

ABSTRACT

Abstract@#Introduction: The electronic cigarette (EC) usage has raised public health concerns; whether its advantages to smokers as a potential smoking cessation aid have outweighed its negative health impacts among EC users. This study aims to estimate health risks associated with chemical exposures to nicotine, propylene glycol (PG) and selected Tobacco-Specific Nitrosamines (TSNAs) namely 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and N’-nitrosonornicotine (NNN) in e-liquids locally-manufactured in Malaysia. Methods: The health risk assessment (HRA) was performed using established guideline by the Environmental Protection Agency (EPA). The average daily dose (ADD) and lifetime average daily dose (LADD) were calculated using previously published data on chemical concentration of selected compounds and local EC usage topography data. Next, the non-carcinogenic risk (nicotine and PG) and carcinogenic risk (NNK and NNN) were calculated and denoted as total hazard quotient (HQT) and total lifetime cancer risk (LCRT) value, respectively. Results: For non-carcinogenic risk, the mean of HQT was 78.9 which falls under “unacceptable” risk as demonstrated by HQT value of more than 1. While for carcinogenic risk, the mean of total LCRT value was 1.54E-04 which may place EC users at risk of developing cancer resulted from exposure to selected TSNAs. Conclusion: Comprehensive HRA using currently available data of local EC usage topography and chemical evaluation of Malaysian-made e-liquids have revealed that the exposure to nicotine, PG and selected TSNAs are expected to be a significant health concern for local EC users. This finding supports the local health authority to issue a stringent health policy in considering EC as a tool for smoking cessation among heavy smokers.

5.
Malaysian Journal of Medicine and Health Sciences ; : 26-34, 2019.
Article in English | WPRIM | ID: wpr-782403

ABSTRACT

Abstract@#Introduction: Pineapple harvesting work contributes to the reporting of musculoskeletal symptoms (MSS) and ergonomic risks. Pineapples are harvested manually in some parts of Malaysia using rattan baskets and workers are exposed to excessive bending, pain and discomfort. This intervention study developed and tested a prototype of an ergonomic harvesting basket to potentially reduce discomfort and physiological workload during a simulation of harvesting activity. Methods: The development and testing of improved harvesting basket was performed in laboratory and workshop. The improved basket had adjustable cushion straps, foam back pad and an opening for unloading of fruits. Harvesting was simulated using improved and existing basket by human subjects and questionnaires were used to assess discomfort. Physiological workload was assessed by heart rate and energy expenditure. Results: A total of 12 male respondents with average age of 22.4 (2.2) years participated in harvesting simulation. Discomfort as measured in Likert scale (mean (standard deviation) for improved basket 4.13 (6.1) vs existing basket 12.26 (11.2); p<0.05) was significantly reduced. Average heart rate (94.13 beats/min vs 89.05 beats/min) and energy expenditure (6 kJ/min vs 5 kJ/min) improved. Conclusion: The use of improved basket was linked to reduction of discomfort and overall workload. Improving design of agricultural manual tools may be able to improve health of workers and prevent MSS. Future fabrication of the improved basket using lightweight materials has potential to be expanded into plantation sectors not limited to pineapples in Malaysia and across Asia.

6.
Malaysian Journal of Medicine and Health Sciences ; : 72-80, 2018.
Article in English | WPRIM | ID: wpr-732625

ABSTRACT

@#Introduction: Cadmium (Cd) in urine and inhaled dust of the municipal waste operators was assessed. Methods: Urine spot samples were collected and analysed for Cd and creatinine of 60 municipal waste operators between April to June 2013. Respirable dust was collected using personal air sampling pump GilAir-3 and GilAir-5 for 8 working hours. Cd in urine and dust were analysed using the Flame Atomic Absorption Spectrometer (Perkin Elmer A Analyst 800) while urinary creatinine was measured using Reflotron® Plus creatinine. Results: The mean and standard deviation (SD) of Cd in the respirable dust (0.59 ± 50.27 μg/m3) was within the permissible exposure limit (PEL). The level of Cd in urine (0.015 ± 0.0097 μg/g Cr) was lower than the safe limit of 5 μg/g. The creatinine level (173.59 ± 50.27 mg/dl) was within the normal range (20 to 350 mg/dl). The multiple regression model shows smoking and years of smoking were the significant predictors for the Cd in the urine (R² = 0.216 F(3,56) = 5.150, p < 0.05). Conclusion: Municipal waste operators were exposed to minimal Cd exposure while handling waste and the accumulation of this metal urine was correlated with smoking habit.

7.
Malaysian Journal of Medicine and Health Sciences ; : 30-39, 2018.
Article in English | WPRIM | ID: wpr-732620

ABSTRACT

@#Introduction: This study determined nitrate concentration and identify the classifying sources of nitrate pollution in the alluvial deposit aquifer system in Bachok, Kelantan. Materials and Methods: A total of 300 groundwater samples were collected in two different areas; agricultural area (150 samples) and non-agricultural area (150 samples). The samples were analyzed for nitrate and other parameters such as pH, EC, NH4+, TDS, turbidity and salinity. The multivariate analyses were used to identify factors that govern the groundwater quality and potential nitrate sources in the study area. Results: Samples in the agricultural area were slightly acidic (5.89 ± 0.67), contained high nitrate (15.10 ± 15.90 mg/L NO3-N), NH4+ (0.82 ± 1.24 mg/L) and turbidity (3.25 ± 2.78 NTU). The principal component analysis (PCA) have identified the groundwater quality in the study area was influenced by the natural processes and anthropogenic activities. Based on the hierarchal cluster analysis (HCA), Cluster II in the agricultural area was identified to be most heavily nitrate contamination, while Cluster III in the non-agricultural area was identified to be strongly affected by seawater intrusion. Conclusion: The findings of this study are useful for developing protection alternatives of private well waters to prevent further deterioration of groundwater quality by nitrate such as control of nitrogen fertilizer use, manure applications and other agricultural practices in the agricultural area. In order to reduce the health risk of nitrate, private well water users in this area should be advised to treat their water or find alternative sources for drink

8.
Malaysian Journal of Medicine and Health Sciences ; : 2-11, 2018.
Article in English | WPRIM | ID: wpr-732617

ABSTRACT

@#Background: Prolonged exposure of heavy metals in the respirable particulate matter (PM10) from municipal solid waste (MSW) landfills may affect children health. Objective: To investigate the association of reported respiratory symptom with heavy metals in PM10, with heavy metals in fingernails among children residing close to MSW landfills. Methods: Two groups of children age 7 to 12 years old were involved in this cross-sectional study. Those residing within 3 km radius from a landfill were the exposed group and those residing more than 3 km radius as the unexposed group. Questionnaires adapted from American Thoracic Society were applied in the survey. Fingernails were used as biomarker. Ten heavy metals elements in PM and fingernail samples were analysed using inductively coupled plasma mass spectrometry (ICP-MS). Results: The cadmium, chromium, copper, manganese, nickel and lead concentrations in PM around the MSW landfills and residential areas exceeded the Canada and USEPA standard permissible limit. Heavy metals in fingernails (p<0.001) of exposed group were significantly higher than the unexposed group. Children with no pets have less reported respiratory symptoms. Elevated level of heavy metals in PM and fingernails were associated with high risk of reported respiratory symptoms. Conclusion: Heavy metals in PM10 and fingernails were associated with potential risk factor of respiratory health in children.

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