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Patient Satisfaction as an Indicator of Service Quality in Malaysian Public Hospitals

  • Manaf, Noor Hazilah Abd;Nooi, Phang Siew
    • International Journal of Quality Innovation
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    • v.10 no.1
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    • pp.77-87
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    • 2009
  • The main aim of the paper is to provide an empirical analysis on patient satisfaction as an indicator of service quality in Malaysian public hospitals. Self-administered questionnaires were administered to patients by convenience sampling. Two sets of questionnaires were used, one for inpatient and another one set for outpatient. Selection of hospitals was made according to states in Peninsular Malaysia. 23 hospitals covering all state level hospitals, the National Referral Centre and selected district hospitals were chosen as respondent hospitals. Two dimensions of service quality emerged, namely clinical and physical dimension of service. Both outpatient and inpatient were found to be more satisfied with clinical dimension of service than physical dimension. For outpatient satisfaction, there was positive correlation between waiting time and patient satisfaction. Patient satisfaction was also found to be higher in the smaller district hospitals than in the larger state hospitals. For clinical dimension of service, patients were satisfied with the services of doctors and nurses, while for physical dimension of service, patients were satisfied with the cleanliness of the facilities. The ability of the research to be conducted by random sampling was inhibited by the reluctance of patients to cooperate, which led to the use of convenience sampling. Studies have also shown that patients are reluctant to express their feelings on services provided by their caregivers. The study provides primary data for a nationwide study on patient satisfaction in Malaysian public hospitals, for both inpatient and outpatient.

Decomposition of fuzzy ideal continuity via fuzzy idealization

  • Zahran, Ahmed M.;El-Baki, S. Ahmed Abd;Saber, Yaser Mohammed
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.9 no.2
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    • pp.83-93
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    • 2009
  • Recently, El-Naschie has shown that the notion of fuzzy topology may be relevant to quantum paretical physics in connection with string theory and E-infinity space time theory. In this paper, we study the concepts of r-fuzzy semi-I-open, r-fuzzy pre-I-open, r-fuzzy $\alpha$-I-open and r-fuzzy $\beta$-I-open sets, which is properly placed between r-fuzzy openness and r-fuzzy $\alpha$-I-openness (r-fuzzy pre-I-openness) sets regardless the fuzzy ideal topological space in Sostak sense. Moreover, we give a decomposition of fuzzy continuity, fuzzy ideal continuity and fuzzy ideal $\alpha$-continuity, and obtain several characterization and some properties of these functions. Also, we investigate their relationship with other types of function.

Effect of firing temperatures on alkali activated Geopolymer mortar doped with MWCNT

  • Khater, H.M.;Gawwad, H.A. Abd El
    • Advances in nano research
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    • v.3 no.4
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    • pp.225-242
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    • 2015
  • The current investigation aims to study performance of geopolymer mortar reinforced with Multiwalled carbon nanotubes upon exposure to $200^{\circ}C$ to $1000^{\circ}C$ for 2 hrs. MWCNTs are doped into slag Geopolymer mortar matrices in the ratio of 0.0 to 0.4, % by weight of binder. Mortar composed of calcium aluminosilicate to sand (1:2), however, binder composed of 50% air cooled slag and 50% water cooled slag. Various water / binder ratios in the range of 0.114-0.129 used depending on the added MWCNT, while 6 wt., % sodium hydroxide used as an alkali activator. Results illustrate reduction in mechanical strength with temperature except specimens containing 0.1 and 0.2% MWCNT at $200^{\circ}C$, while further increase in temperature leads to decrease in strength values of the resulting geopolymer mortar. Also, decrease in firing shrinkage with MWCNT up to 0.1% at all firing temperatures up to $500^{\circ}C$ is observed, however the shrinkage values increase with temperature up to $500^{\circ}C$. Further increase on the firing temperature up to $1000^{\circ}C$ results in an increase in the volume due to expansion.

Modeling Differential Global Positioning System Pseudorange Correction

  • Mohasseb, M.;El-Rabbany, A.;El-Alim, O. Abd;Rashad, R.
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.1
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    • pp.21-26
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    • 2006
  • This paper focuses on modeling and predicting differential GPS corrections transmitted by marine radio-beacon systems using artificial neural networks. Various neural network structures with various training algorithms were examined, including Linear, Radial Biases, and Feedforward. Matlab Neural Network toolbox is used for this purpose. Data sets used in building the model are the transmitted pseudorange corrections and broadcast navigation message. Model design is passed through several stages, namely data collection, preprocessing, model building, and finally model validation. It is found that feedforward neural network with automated regularization is the most suitable for our data. In training the neural network, different approaches are used to take advantage of the pseudorange corrections history while taking into account the required time for prediction and storage limitations. Three data structures are considered in training the neural network, namely all round, compound, and average. Of the various data structures examined, it is found that the average data structure is the most suitable. It is shown that the developed model is capable of predicting the differential correction with an accuracy level comparable to that of beacon-transmitted real-time DGPS correction.

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Detection of Foliar Nutrients of Oil Palm Crop Using Remote Sensing

  • Ibrahim, Ab.Latif;Hashim, Mazlan;Rasib, Abd.Wahid;Ali, Mohamad Idris;Kadir, Wan Hazli Wan;Sumairi, Mohd Razif;Haron, Khalid
    • Proceedings of the KSRS Conference
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    • 2003.11a
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    • pp.558-560
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    • 2003
  • This paper examines the capability of remote sensing technique for detecting and quantifying the foliar nutrients of oil palm crop. Study has been carried out in the Malaysian Palm Oil Board (MPOB) Research Station in Kluang Johore, Malaysia. Result of the study shows a strong relationship between measured foliar nutrient and the spectral reflectance measured using spectroradiometer. Model that has been developed can be used to estimate the nutrient concentration in the oil palm plantation at micro level and also at macro -level using appropriate satellite data.

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Chronic non-bacterial osteomyelitis in the jaw

  • Kim, Soung Min;Lee, Suk Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.2
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    • pp.68-75
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    • 2019
  • Chronic recurrent multifocal osteomyelitis (CRMO) is one of the most severe form of chronic non-bacterial osteomyelitis (CNO), which could result in bone and related tissue damage. This autoinflammatory bone disorder (ABD) is very difficult for its clinical diagnosis because of no diagnostic criteria or biomarkers. CRMO in the jaw must be suspected in the differential diagnosis of chronic and recurrent bone pain in the jaw, and a bone biopsy should be considered in chronic and relapsing bone pain with swelling that is unresponsive to treatment. The early diagnosis of CRMO in the jaw will prevent unnecessary and prolonged antibiotic usage or unnecessary surgical intervention. The updated researches for the identification of genetic and molecular alterations in CNO/CRMO should be studied more for its correct pathophysiological causes and proper treatment guidelines. Although our trial consisted of reporting items from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), there are very few articles of randomized controlled trials. This article was summarized based on the author's diverse clinical experiences. This paper reviews the clinical presentation of CNO/CRMO with its own pathogenesis, epidemiology, recent research studies, and general medications. Treatment and monitoring of the jaw are essential for the clear diagnosis and management of CNO/CRMO patients in the field of dentistry and maxillofacial surgery.

Does Bilateral Trade Between China and ASEAN Countries Improve Its Firm's Efficiency?

  • HANIFA, Mohamed Hisham;CHAN, Sok Gee;SUKOR, Mohd Edil Abd
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.2
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    • pp.313-324
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    • 2022
  • The Chinese outward foreign direct investment (OFDI) involves various bilateral trade agreements and regional agreements signed between China and other countries. This study examines the impact of Chinese OFDI in ASEAN-5 countries through ASEAN-China Free Trade Agreement (ACFTA) namely Indonesia, Malaysia, Philippines, Singapore, and Thailand from 2000 to 2016. This study attempts to address three research objectives. The first is to examine the motives for China's investment in ASEAN-5. The second is to explore the different impacts of China's investment across countries. The third is to investigate whether the OFDI conducted by state-owned enterprises (SOEs) will produce different impacts on the firm's efficiency score. Using the DEA approach, this study finds evidence that the overall Chinese OFDI is relatively efficient. We find that the estimated efficiency score of this OFDI has improved in pre- and post ACFTA where a higher overall efficiency score was reported when comparing pre- and post ACFTA signing for both SOEs and NSOEs. Finally, China's parent firms' efficiencies showed higher scores among NSOEs compared to SOEs after the signing of ACFTA for all ASEAN countries except Malaysia. We highlight that the country's institutional infrastructure, earlier investment presence, and diplomatic ties help in shaping an effective trade agreement.

Emotional User Experience in Web-Based Geographic Information System: An Indonesian UX Analysis

  • Lokman, Anitawati Mohd;Isa, Indra Griha Tofik;Novianti, Leni;Ariyanti, Indri;Sadariawati, Rika;Aziz, Azhar Abd;Ismail Afiza
    • International Journal of Computer Science & Network Security
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    • v.22 no.9
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    • pp.271-279
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    • 2022
  • In the discipline of design science, the integration of cognitive, semantic, and affective elements is crucial in the conception and development of a product. Affective components in IT artefacts have attracted researchers' attention, but little attention has been given to Geographic Information Systems (GIS). This research was conducted to identify emotions in web-based GIS, and determine design influences on the emotions using Kansei engineering (KE). In the evaluation procedure, ten web-based GIS were used as specimens, and 20 Kansei words were used as emotional descriptors in the Kansei checklist. 50 participants were asked to rate their emotional responses towards the specimens on the Kansei checklist. Principal Component Analysis was used to discover the semantic structure of Kansei, in which dynamism and spaciousness were identified. Significant Kansei concepts were identified using Factor Analysis, in which dynamic & well-organized, refreshing, spacious, professional, and nautical-look were identified. Partial Least Square analysis has assisted the research in discovering the significant design influence to the Kansei. These findings provide designers and other stakeholders with valuable knowledge for strategizing future web-based GIS designs that incorporate user emotions.

Numerical investigations of reinforcement concrete beams with different types of FRP bars

  • Azza M. Al-Ashmawy;Osman Shallan;Tharwat A. Sakr;Hanaa E. Abd-EL-Mottaleb
    • Structural Engineering and Mechanics
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    • v.88 no.6
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    • pp.599-608
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    • 2023
  • The present study is focused on instigation of the nonlinear mechanical behavior of reinforced concrete beams considering different types of FRP bars through nonlinear finite element simulations. To explore the impact of the FRP reinforcement type and geometry on the nonlinear mechanical behavior of reinforced beam, intensive parametric studies are carried out and discussed. Twenty models were carried out based on the finite element software (ABAQUS). The concrete damage plasticity model was considered. Four types of fiber polymer bars, CFRP, GFRP, AFRP and BFRP as longitudinal reinforcement for concrete beam were used. The validation of numerical results was confirmed by experimental as well as numerical results, then the parametric study was conducted to evaluate the effect of change in different parameters, such as bar diameter size, type of FRP bars and shear span length. All results were analyzed and discussed through, load-deflection diagram. The results showed that the use of FRP bars in rebar concrete beam improves the beam stiffness and enhance the ultimate load capacity. The load capacity enhanced in the range of (20.44-244.47%) when using different types of FRP bars. The load-carrying capacity of beams reinforced with CFRP is the highest one, beams reinforced with AFRP is higher than that reinforced with BFRP but beams reinforced with GFRP recorded the lowest load of capacity compered with other beams reinforced with FRP Bars.

Studies on Mycoflora and Mycotoxins of Cowpea Cultivars (동부 콩열매에 있는 진균류와 균독소에 관한 연구)

  • Zohri, A.A.;Khayria, M.;Gawad, Abd. El.
    • The Korean Journal of Mycology
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    • v.20 no.3
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    • pp.252-258
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    • 1992
  • Thirty three species and two species varieties belonging to 14 genera of fungi were collected from 20 cowpea cultivars on glucose Czapek's agar (11 genera and 25 species+1 var.) and glucose-Czapek's agar supplemented with 10% NaCl (7 genera and 18 species+2 var.) at $28{\pm}2^{\circ}C$. The total count of fungi were 6716 colonies/g in all cowpea cultivars. On glucose-Czapek's agar and identified; Aspergillus flavus, A. niger, A. sydowii, A. flavus var. columnaris, A. terreus, Penicillium chrysogenum, Emericella nidutans and Rhizopus stolonifer. The total count of halotolerant or halophilic fungi was 3515 colonies/g on 10% NaCl-glueose-Czapek's agar and identified; the most common species were: A. flavus, A. sydowii, A. tamarii A. flavipes, A. niger, A. flavus var. columnaris, A. ochraceus, A. oryzae and P. chrvsogenusm. Thin layer chrormatographic analysis of chloroform extracts of the different seed samples revealed that four cultivars were naturally contaminated with aflatoxins $B_1,\;B_2,\;G_1$ and $G_2$, $(45-112\;{\mu}g/kg)$.

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