Search Results (59)

Urban stray cats are often associated with ectoparasites and zoonotic pathogens due to their unsanitary living conditions and lack of veterinary care. Fleas, especially Ctenocephalides spp., are competent vectors of Bartonella spp., a genus of emerging bacterial pathogens with both public health and veterinary relevance. This study investigated the presence of Bartonella DNA in ectoparasitic fleas infesting stray cats in various urban habitats within the Klang Valley, Malaysia. A total of 204 fleas were collected from 89 stray cats. Fleas were identified morphologically using established taxonomic keys under a light microscope and further validated through PCR amplification of the mitochondrial cytochrome c oxidase subunit I (cox1) gene. Detection of Bartonella spp. was conducted by targeting the citrate synthase (gltA) gene. All fleas were confirmed as Ctenocephalides felis, with an infestation prevalence of 39.33% among the cats sampled. Of 118 C. felis specimens tested, 86.44% were positive for Bartonella DNA, one of the highest worldwide and significantly surpassing previous Malaysian reports. Sequencing of 12 positive samples showed identities with B. claridgeiae (58.3%), B. henselae (25.0%), an uncultured Bartonella species (8.3%) and a Bartonella isolate from a dog in Chile (8.3%). These results highlight the significant presence of Bartonella, causative agent of cat-scratch disease in stray cats, emphasizing their potential role as urban reservoirs and vectors. The findings underscore the need for ectoparasite surveillance and zoonotic pathogen control as integral components of stray animal management in Malaysia’s urban settings. Full article

Mixed-use development (MXD) is crucial for urban planning and travel. The COVID-19 outbreak had a significant impact on travel behaviour and MXD projects worldwide, particularly in high-income countries. However, limited studies have explored the predictors of MXD usage and travel patterns in low- and middle-income countries, including Malaysia, and how these events were affected by COVID-19. Using the Rowley and extended Hopenbrouwer and Louw models, this study investigates the travel patterns within MXD premises, their associated factors, and residents’ perspectives of internal and external trips before and during COVID-19 in Klang Valley, Malaysia. A mixed-method study was conducted by using a validated survey and performing a structured interview with MXD residents. A total of 134 and 52 respondents participated in the survey and qualitative interviews, respectively. Data were analysed using descriptive statistics, logistic regression models, and thematic analysis. A significantly higher proportion of MXD respondents engaged in external travel compared to internal travel before and during COVID-19. Before COVID-19, external travel was significantly higher among younger residents, government servants, higher-income earners, and those who owned a car and had recently moved to MXD areas. The odds of internal travel were significantly higher among private-sector employees, students, and low-income earners. During the pandemic, external travel frequency was significantly higher among male residents, older residents, government servants, high-income earners, and those with multiple vehicles. Residents with more parking lots tended to travel less internally compared to those with fewer parking lots allocated. Qualitative analyses revealed that cost-saving, convenience and comfort, social lifestyle, health and well-being, and green environment were the factors that shaped MXD residents’ perceived benefits of trip internalisation. Meanwhile, the barriers to internal trips included the lack of infrastructure, poor management, lifestyle activities/individual factors, and environmental factors. The recommended strategies to reduce external trips were to ensure diversified services and accessibility, inclusiveness in planning activities, promoting social interaction, and work-from-home policies. These findings reflect the strategies that can be incorporated to reduce external trips generated by MXD and enhance effective traffic management. Full article

Background/Objectives: Hospital wastewater has become a major hotspot for the spread of antimicrobial resistance and the accumulation of antibiotic-resistant genes. We focused on ESKAPE pathogens isolated from hospital wastewater and their antibiotic profiles, which are known to cause nosocomial infections in hospitals. Screening for antibiotic resistant genes in isolates and quantifying antibiotic residues in hospital wastewaters, which may reflect the amount of usage of antibiotics in Klang Valley city hospitals in Malaysia. Methods: Hospital wastewater treatment plants from Klang Valley city were selected based on the study criteria. ESKAPE pathogens were isolated and identified using 16S rRNA PCR, and antibiotic sensitivity testing was performed. Antibiotic resistant gene screenings were performed using quantitative PCR, and quantification of antibiotic residues in the effluent samples was performed using liquid chromatography-mass spectrometry (LC-MS). Results: Klebsiella pneumoniae with Multiple Antibiotics Resistance Index (MARi) ranging from low (0.29) to very high resistance (0.71) dominantly isolated among ESKAPE pathogens followed by Enterococcus faecium ranging from low (0.29) to critical resistance (1.0) from hospital wastewater in Klang Valley city. The ermB gene was the predominant antibiotic resistance gene identified in Klang Valley city hospitals and suburban hospitals, representing 45.5% of isolated E. faecium from suburban hospitals and 69% from city hospitals. Although the detection of antibiotic residues was minimal, vancomycin and ciprofloxacin were detected from the wastewater. Conclusions: These findings call for improved wastewater management and antibiotic stewardship to mitigate the spread of resistant pathogens from healthcare facilities into the environment. Full article

In light of escalating global environmental deterioration, studies on pro-environmental intention and behaviour with the ultimate goal of identifying contributing factors to minimise environmental issues are common. Theory of Planned Behaviour (TPB) is widely used to study environmental intentions and behaviours. However, how quality of life (QoL) influences these intentions and interactions among TPB’s own variables within a single research framework has not been thoroughly explored. Therefore, this study extends TPB by incorporating the four dimensions of QoL, as measured by the Control, Autonomy, Self-Realisation, and Pleasure (CASP-19) scale, to understand pro-environmental intentions from Malaysian viewpoints. In this study, quantitative approach was applied, and the data were collected from Malaysians aged 18 and above (N = 182) in Klang Valley, Malaysia. Using Partial Least Squares Structural Equation Modelling (PLS-SEM), a two-step approach was employed to assess the measurement and structural models. The findings confirmed Theory of Planned Behaviour (TPB) is a robust model for environmental studies showing that subjective norm and perceived behavioural control significantly influence attitudes toward pro-environmental behaviour, ultimately leading to pro-environmental intention. Interestingly, this study found no relationship between QoL dimensions and pro-environmental intention. Lastly, both theoretical and managerial implications were discussed, and research limitations and suggestions for future research directions were put forward. Full article

In response to the rising demand for sustainable transportation, electric vehicles (EVs) are increasingly regarded as viable alternatives to conventional vehicles. This study investigates the intention of Malaysian consumers to choose EVs as their preferred mode of transportation. Consumption values were conceptualized as a multi-dimensional construct comprising functional value, symbolic value, emotional value, novelty value, and conditional value. This study examines the relationships between these consumption values, consumer attitudes, and intention to purchase EVs. In addition, this study also examines the mediating role of attitude and the moderating role of infrastructure readiness. Data were gathered using a proportionate stratified sampling method from 264 respondents in Klang Valley, Malaysia. Of the twelve (12) hypotheses tested, four (4) were supported. The analysis indicates positive relationship between attitude and emotional value with consumers’ intention to purchase EVs. Consumers’ attitudes mediate the relationship between functional value, emotional value, and intention to purchase EVs. Infrastructure readiness does not moderate the relationship between consumers’ attitudes towards EVs and their purchase intentions. This study enhances the existing knowledge of consumers’ multifaceted value views about EVs and offers practical guidance for marketers and serves as a reference for policymakers to improve the marketability of EVs. Full article

Background/Objectives: The global health threat posed by antimicrobial resistance (AMR) is a cause for serious concern. Poultry farming in Asia, particularly with indiscriminate use, has been identified as a major contributor to AMR, resulting in the emergence of multidrug-resistant (MDR) bacteria, particularly Escherichia coli (E. coli). Considering the environment’s role in harboring pathogens, this study aimed to determine the distribution of MDR E. coli in the environments of broiler and indigenous farms in Klang Valley, Malaysia. Methods: Soil and effluent samples were collected from 30 poultry (19 broiler and 11 indigenous) farms. Selective chromogenic E. coli agar plates were used for the isolation of bacteria. The VITEX^® 2 system was employed for identification and susceptibility testing. Results: A total of 117 E. coli isolates were recovered. The isolates were highly resistant to ampicillin (76.1%), followed by trimethoprim-sulfamethoxazole (47.9%), and ampicillin-sulbactam (46.2%). AMR rates were higher in broiler farms (91.3%) than in indigenous farms (64.6%) (p < 0.05). The high multiple antibiotic resistance index in the environment of broiler farms (0.22) implies a higher risk of contamination compared to indigenous farms (0.10). Conclusions: The elevated levels of AMR observed in broiler farms underscore the need for collaborative efforts across sectors to address this issue. As AMR is a global One Health issue, monitoring AMR in the environment is essential to complement existing health programs. Implementing best practices, biosecurity, hygiene, continuous monitoring, and food safety management systems is crucial to reduce antimicrobial use and curb the rise of MDR bacteria. Full article

This study investigates the factors influencing the intention to humanize business practices among small and medium-sized enterprises (SMEs) in Malaysia. Drawing upon the Theory of Planned Behavior, four key factors were examined: attitude toward humanizing business practices, subjective norms, perceived behavioral control, and human practice knowledge. A quantitative research approach was employed, with data collected through self-administered questionnaires distributed to 250 SME owners and managers in the Klang Valley region. The results, analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM), revealed that all four factors significantly influenced the intention to humanize business practices among SMEs. Specifically, perceived behavioral control emerged as the strongest predictor, followed by attitude, human practice knowledge, and subjective norms. The findings underscore the importance of fostering positive attitudes, leveraging social influences, enhancing perceived control, and promoting knowledge of humane practices to facilitate the adoption of human-centered approaches in SME business operations. The study contributes to a deeper understanding of the drivers influencing the intention to humanize business practices and provides practical insights for policymakers and SME stakeholders in promoting sustainable and ethical business practices. Full article

Background: Venous thromboembolism (VTE) is a potentially severe medical problem among multiple myeloma (MM) patients, with evolving treatment regimens potentially increasing the thrombotic risk. Data on VTE incidence and risk factors in multiethnic Malaysian MM patients are limited. This study aimed to assess VTE incidence and risk factors in newly diagnosed MM (NDMM) patients at two tertiary centres in Klang Valley, Malaysia. Methods: This retrospective cohort study included NDMM patients, aged ≥18, diagnosed between January 2015 and December 2022 at Hospital Canselor Tuanku Muhriz and Hospital Ampang. Patient demographics, clinical characteristics, MM therapies, and thromboprophylaxis data were analysed. VTE is defined as deep vein thrombosis (DVT) or pulmonary embolism (PE), confirmed by imaging. Results: Among the 216 NDMM patients (mean age: 62.4 ± 10.6 years), 22 (10.2%) developed VTE (15 DVT, five PE, and two both). The median time from MM diagnosis to VTE was 3.5 months (IQR 5.3). A univariate analysis identified the female sex, an ECOG performance status ≥ 2, diabetes mellitus, a recent orthopaedic surgery (<6 months), a SAVED score ≥ 2, and an IMPEDE-VTE score > 3 as significant risk factors. In the multivariable logistic regression, the female sex (aOR 8.56, 95% CI: 1.95–37.48), an ECOG status ≥ 2 (aOR 12.74, 95% CI: 3.37–48.17), and a recent orthopaedic surgery (aOR 21.79, 95% CI: 3.10–153.38) were the independent risk factors of VTE among NDMM patients. Conclusions: VTE incidence in our NDMM cohort was 10.2%. Independent risk factors included the female sex, a poor performance status, and a recent orthopaedic surgery. Individualised thromboprophylaxis strategies are crucial, warranting further real-world studies to optimise anticoagulation regimens. Full article

The elderly are considered a high-risk group for severe outcomes and death from COVID-19 infection. Given the emergence of new COVID variants and the immunity provided by vaccines waning over time, booster doses of the vaccine have been advocated for those at risk to stay protected. This study aimed to determine the factors associated with hesitancy toward the second booster of the COVID-19 vaccine among the elderly residing in residential care homes. A cross-sectional study was conducted in 24 residential care homes in the Klang Valley using a face-to-face interview questionnaire. The study population included individuals aged 60 and above who had been fully vaccinated against COVID-19 up to the first booster dose. Second-booster hesitancy was assessed using the Oxford Vaccine Hesitancy Scale with seven items, the aggregate score of which ranges from seven to thirty-five; the higher the score, the greater the level of hesitancy. Multivariate linear regression was employed to determine factors associated with second-booster hesitancy, and a p-value < 0.05 was considered statistically significant. Data from 401 elderly individuals were included for analysis. The mean score of the Oxford Vaccine Hesitancy Scale was 21.6 ± 7.2. Predictors of second booster hesitancy were identified. Age, Indian ethnicity, being a recipient of the Sinovac vaccine as the first COVID-19 booster, experiencing the death of close friends or immediate family members following COVID-19 vaccination, and negative messages (indicating that taking a booster dose is harmful) from caregivers, friends, or family members were found to be associated with an increased second-booster-hesitancy score. Conversely, positive messages (indicating that taking a booster is helpful) from the government and caregivers, friends, or family members were identified as predictors associated with a reduction in the second-booster-hesitancy score. While vaccines effectively combat severe COVID-19, the majority of the elderly hesitate before taking the second booster. Their hesitancy, rooted in the perception of a low self risk and reliance on protection from the initial doses, emphasizes the need for intervention by relevant bodies. Taking into consideration the risk, albeit relatively low, of potentially serious side effects following COVID-19 vaccinations, it is imperative that transparent, appropriate, and positive messaging regarding booster vaccines, particularly in the context of the elderly from residential care homes, be available. Encouraging this high-risk group to embrace the second booster aligns with the goal of maximizing protection within the vulnerable elderly population. Full article

Permanent forest reserves (PFR) in urban areas are an integral aspect of the urban forest concept and the basis of a city’s green infrastructure. The preservation of natural forests in urban areas has become a widely researched topic due to the environmental, social, and economic benefits provided by it. Although several studies have shown that visual aesthetics play a role in preserving natural forests in urban areas, visual aesthetic value is typically not prioritized in preservation plans since it varies based on the physical characteristics of natural forests in urban areas, making it difficult to measure universally. Therefore, this research aims to identify the suitable variables for assessing the visual aesthetic quality of permanent forest reserves within urban areas in Malaysia. This study selected two permanent forest reserves based on four criteria. Data were collected via participant-generated images taken along selected forest trails based on participant visual aesthetic preferences. Researchers and experts analyzed and classified the data according to content to identify suitable visual aesthetic quality variables. This research identified 14 suitable variables for assessing the visual aesthetics of PFRs in urban areas, with a dominant preference for information-processing theory variables. Mystery was the most present variable for the visual aesthetic quality assessment of PFRs. Furthermore, participants’ educational and emotional backgrounds, categorized as design, environmental, social, and technical, impacted their visual aesthetic preferences. Our findings serve as a foundation for assessing the visual aesthetic quality of natural forests within urban areas in Malaysia. Full article

This study aims to assess the knowledge, attitude, and practice towards pureed diet preparation among food handlers using a newly developed questionnaire for dysphagia management. A descriptive cross-sectional design study with purposive sampling was conducted in three government hospitals in the Klang Valley, Malaysia. A newly developed questionnaire, comprised of 40 quantitative items, was used and distributed to 161 food handlers from three hospitals who were directly involved in preparing pureed diets. The results demonstrated a low to moderate knowledge score among food handlers (57.54 ± 12.33), with scoring at 1.95% (very low), 28.6% (low), and 68.3% (moderate). Only 1.2% scored well in the knowledge section on pureed diet preparation. The attitude among food handlers showed that they were referred to the right source of reference before preparing the pureed diet (3.97 ± 1.35). The findings also clearly showed that the practice of using the right equipment (4.41 ± 1.19) is essential for pureed diet preparation. In conclusion, this study serves as a prognosis for future improvement in knowledge, attitude, and practice among food handlers toward pureed diet preparation. Knowledge among food handlers needs to be enhanced, and a comprehensive guideline and reference module will aid in refining dysphagia management, specifically in food preparation by food handlers. Full article

Food waste is a problem that has resulted in a variety of situations in which it is one of the primary causes of food insecurity. Changes in household behaviors, such as overbuying, are important drivers of food waste, particularly following the emergence of COVID-19. Studies on what drives household consumer engagement in various food-waste strategies have been limited. Thus, this paper aims to study the factors that lead to food-waste behavior at the household level in the Klang Valley area. Out of the 431 questionnaires distributed, 404 were useful, and the respondents for this study were from various ethnicities. A quantitative design was employed in this study, with descriptive and inference statistics derived from the questionnaire, which was distributed via Google Forms. The data were analyzed using Statistical Package for Social Science version 26.0 and Smart PLS version 3.0, to test the reliability, validity, and hypotheses of this study. A significant relationship exists between food-waste behavior, namely food expenditure, and waste reuse, but food-waste behavior has no relationship with food choice. The study’s conclusions highlight the significance of understanding and planning one’s food-buying behaviors, to achieve benefits additional to simply lowering the number of those who are at risk of being hungry. The study also found that male respondents wasted more food than their female counterparts. Full article

Over the last few decades, the time adolescents spend using electronic devices has increased significantly. The aim of this study was to evaluate the impact of screen time and physical activity on eating behaviour in adolescents. This study used the Physical Activity Questionnaire for Adolescents (PAQ-A) Malay version and the Dutch Eating Behaviour Questionnaire (DEBQ) Malay version methods with secondary students around the Klang Valley. The sampling technique used was purposive sampling. With parents’ consent, an online survey was conducted among adolescent school children aged between 13 and 17 years during the COVID-19 pandemic in the Klang Valley, Malaysia. There were 372 respondents participating in this study. The results showed that 99.4% of them had more than 4 h screen time a day, and that 38.5% have more than three devices at home. Moreover, there was a significant mean difference in screen time for console games without a handheld device between male and female adolescents (p < 0.05). There was also a significant mean difference in the emotional, restricted and external eating behaviour scores between male and female adolescents (p < 0.001). There was a significant relationship between physical activity and the time duration spent on a television, telephone and laptop during weekends (p < 0.05). There was a significant relationship between eating behaviour and time spent watching television and using laptops during weekends (p < 0.05). Based on the moderation model, gender as a moderator variable indicated that there was a significant relationship between screen time and interaction screen time and gender with emotional eating (p < 0.001). Female adolescents had a stronger relationship between screen time and emotional eating compared to male adolescents (p < 0.05). Meanwhile, for physical activity level as a moderator variable, the results showed that there was a significant interaction between screen time and physical activity for emotional eating behaviour (p < 0.05). In conclusion, this study indicates that screen time was higher among female adolescents and significantly related to emotional eating behaviour. Therefore, the educational sector should emphasise the motivation of adolescents to engage in physical activity, reduce their screen time and eat healthy foods such as fruits and vegetables. Full article

The shift towards sustainable and digital practices in organizations is transforming employees’ mindsets and work performance. The digital transformation in academia is leading to meaningful changes in the behaviors and responsibilities of non-academic employees within organizations toward sustainable and responsible practices. By expounding insights into these views through social exchange theory (SET), this study aims to examine the key predictors of employee engagement (EE); namely, knowledge sharing (KS), employee mobility (EM), training and development (TD), and psychological empowerment (PE) in a digital workplace scenario. A quantitative survey based on convenience sampling was conducted to validate the research framework through partial least squares structural equation modelling (PLS-SEM). Accordingly, 205 responses were collected from the non-academic staff of universities in Klang Valley, Malaysia. Data analysis results showed that all hypotheses were significantly accepted. The impact of the model variables on employee engagement in digital transformation was found to be 75%, with employee mobility and knowledge sharing being the most prominent factors. Multigroup analysis (MGA) and importance-performance map analysis (IPMA) were additional analytical tools applied to reinforce the survey findings further and provide more comprehensive insights into employee engagement across different departments within the organization. The findings also showed the robustness of social exchange theory in digital business practices. This research offers novel and innovative perspectives on the impact of various factors (KS, EM, TD, PE) on employee engagement during digital transformation and how they mold employee behavior toward driving productive and responsible outcomes. Full article

The proliferation of digital payments has paved the way for the greater use of E-wallets or mobile payments in over-the-counter (OTC) retail transactions. Nevertheless, given its economic and accessibility benefits over NFC forms of mobile payment, relatively little is known about QR-code E-wallet (QREW) adoption from the consumer–brand relationship perspective. The study aims to address this knowledge void by augmenting brand equity elements (perceived value, brand image, and brand awareness) to comprehensively analyze consumers’ QREW usage intention in the OTC retail environment. A structural equation modeling analysis was performed on 305 consumers in the greater Klang Valley, Malaysia. The empirical findings suggest that brand awareness positively affects QREW usage intention and mediates the effects of both perceived quality and brand image on the outcome. Moreover, the results reveal a serial mediation effect involving all of the examined factors. Theoretically, this study supplements the literature on mobile payments from the consumer–brand relationship view, in which the predictive nature of brand equity factors is examined separately. In practical terms, considering that the Malaysian market QREW is in a relatively early growth stage, the findings should offer QREW providers insights into how to capitalize on brand equity mechanisms for attracting consumers to utilize their offerings. Full article