Hospital Kemaman

Abstract Online Sand Sampling (OSS) has become a critical monitoring procedure in mature oil fields to mitigate erosion risk and maintain production integrity especially in the Malaysian upstream sector. However, the application of conventional OSS systems in wax-prone crude environments is often compromised when operating temperatures approach or fall below the Wax Appearance Temperature (WAT). Under such conditions, wax nucleation can lead to the obstruction of sampling lines and mesh filters, resulting in unreliable or failed sand sampling and limiting the effectiveness of sand monitoring. This paper presents the offshore deployment of a Heated Online Sand Sampler as a solution designed to maintain the fluid temperature above the WAT throughout the sampling system. The Heated OSS was implemented on a Malaysian offshore platform producing low-API waxy crude, where previous conventional OSS attempts failed due to wax-induced blockage. By maintaining controlled thermal conditions along the sampling path, uninterrupted sampling was achieved, enabling reliable physical sand capture under operating conditions previously considered unsuitable for OSS. The field results demonstrate that the Heated OSS successfully eliminated wax-related clogging and provided representative sand samples across multiple wells, confirming its operational robustness and suitability for offshore deployment. Therefore, this study highlights the Heated OSS as an effective solution for restoring reliable sand monitoring capability in mature, low-API producing assets.

predisposing risk factors.Awareness and preventive strategies, including risk assessment and counselling on safe weight loss, are essential to avoid such catastrophic outcomes.

Among available workplace violence (WPV) interventions, only data-driven, worksite-based, and risk-based approach WPV interventions had moderate evidence for effectiveness in decreasing the risk of WPV. The Questionnaires to Assess Workplace Violence Risk Factors (QAWRF) had been previously developed to determine the level of WPV risk factors in each healthcare setting based on the tripartite perspective of key stakeholders to enable effective WPV interventions. This study aimed to determine the construct validity and test-retest validity of QAWRF. QAWRF, a three-component instrument consisting of QAWRF-Administrators, QAWRF-Workers, and QAWRF-Clients, had previously undergone content validation, face validation, and internal consistency reliability testing. 965 respondents were recruited to examine the construct validity of QAWRF, and a subset of these (n = 90) were retested again at an interval of three weeks to assess its test-retest reliability. Confirmatory factor analysis (CFA) was performed, and fitness indices, average variance extracted, correlation coefficient, composite reliability, and intraclass correlation coefficient were determined. QAWRF-Administrator, QAWRF-Worker, and QAWRF-Client had acceptable factor loadings (≥0.6), absolute fit (Root Mean Square Error of Approximation > 0.1), incremental fit (Confirmatory Fit Index and Tucker Lewis Index > 0.9), parsimonious fit (Chi-square/degree of freedom < 5), correlation coefficient between construct (≤0.85), discriminant validity index, and construct reliability (≥0.6). CFA supported a four-factor model for QAWRF-Administrator and QAWRF-Worker, and a two-factor model for QAWRF-Client. QAWRF holds good construct validity and test-retest reliability. By using QAWRF, healthcare managers can identify specific WPV risk factors that are perceived by stakeholders as prevalent at a particular workplace, and these findings can contribute towards data-driven, worksite-specific, and targeted WPV interventions in healthcare settings that are expected to be resource-efficient and more effective than general WPV interventions.

Unconsciously, all human activities have the potential to be exposed to uncertainties. These uncertainties are risks that could interrupt business growth and, consequently, influence better performance achievement. These risks can be overcome with the implementation of Enterprise Risk Management (ERM) within organisations. In Malaysia, few private higher educational institutions (PHEIs) were in trouble due to many causes such as management, finance and marketing. Concerning these issues, this study aims to develop a conceptual framework of ERM drivers and their impact on the performance of Malaysian PHEIs. The questionnaires were distributed to 510 respondents and 217 were returned. Results indicated that both internal factors and size and types of institutions were related to performance in the particular institutions, and the external factor showed a negative relationship with performance. It was also found that all drivers were moderated by the Board of Directors (BODs) and performances. It was suggested for future research to use multiple methods to avoid any possibility of common method bias and to enhance the findings to be generalised, which can prevent overestimating the structural model. At present, research in ERM is well established, but it is still in its infancy for educational institutions.

Kegiatan workshop yang dilaksanakan di Desa Bobojong bertujuan untuk memberikan edukasi kepada guru-guru pendidik anak usia dini mengenai pembelajaran project based learning, dengan harapan guru mampu memberikan pembelajaran sesuai dengan kebutuhan dan tahapan perkembangan anak. Untuk menentukan pembelajaran yang memenuhi kebutuhan anak guru harus memiliki metode yang bervariasi sehingga anak menikmati proses pembelajaran dengan antusias dan menyenangkan. Disamping hal tersebut masa transisi dari pandemi hingga andemi ini menjadi tantangan bagi pendidik untuk melakukan kegiatan pembelajaran yang normal. Metode yang digunakan dalam kegiatan workshop ini secara luring. Pendidik mendapatkan materi secara menyeluruh tentang Project Based Learning dan dilengkapi dengan praktek. Hasil kegiatan ini berupa pemahaman para pendidik dalam merancang Project Based Learning dan mengimplementasikannya dengan sesuai. Pembinaan program studi magister paud untuk membina lembaga paud yang membutuhkan pengembangan lebih lanjut yaitu program kegiatan pendampingan.

Occupational therapy is a client-centered health profession and is a part of an interdisciplinary team. Effective interdisciplinary practice occurs when each professional understands the role of another professional in the team. This resulted in optimal referral among the professionals that can benefit the clients to receive good care and service. However, it seems that referrals to occupational therapy are becoming lesser by day in specific settings and hospitals in Malaysia. This brings a perspective if other professions in the healthcare team understand the role of occupational therapists. This study is aimed at exploring the perception and misconceptions of allied health professionals on the roles of occupational therapists. A focus group discussion was conducted among seven allied health professionals using a heuristic approach. The interview data were analyzed thematically. Themes developed were (i) awareness of occupational therapy ecosystem, (ii) in cooperating togetherness for the benefit of the client, and (iii) addressing the limitation to enhance the occupational therapy visibility. Findings found that the knowledge of other healthcare practitioners and clients on the occupational therapist's role is still limited. Role confusion and overlapping are common among other allied health professionals. Occupational therapy needs to continually promote the profession's role and identity for the maximum benefit to the client and overall improvement.

Objective: To determine the association between Alvarado score and the severity of acute appendicitis in an East Coast Hospital, Malaysia. Methods: The cross-sectional study involved reviewing the record of all 177 Patients operated for suspected acute appendicitis in the hospital. Data were collected using a proforma. The severity of appendicitis was divided into perforated or non-perforated from the histo-pathological examination reports. Alvarado score recorded during the presentation to hospital was recorded. Simple and multiple logistic regression analysis were used to determine the association between Alvarado score and the severity of acute appendicitis. Results: Prevalence of perforated appendicitis was 25.1%. The mean of Alvarado score was 7.5 (SD: 1.35). Multiple logistic regression analysis showed a significant association between Alvarado score and severity of acute appendicitis after adjusting for age, gender and duration of pain before presentation. Conclusion: Higher Alvarado score is associated with higher odds of perforation. Therefore, Alvarado score could be used not just for diagnostic purpose, but also for predicting the severity of appendicitis.