1.Chemical Profiling of Electronic Cigarette Liquids from the Klang Valley: GC–MS Analysis and Decision Tree Identification of Flavour Markers
Noor Hazfalinda Hamzah ; Mohd Rashidi Abdull Manap ; Farah Natasha Mohd Aris ; Atikah Mohd Nasir ; Nur Mahiza Md Isa
Malaysian Journal of Health Sciences 2026;24(No. 2):167-174
This study sought to characterise the chemical composition of electronic cigarette liquids (e-liquids) available
on the Klang Valley market, with a focus on identifying toxic compounds and understanding the key factors that
determine flavour categories. The work addresses growing public health concerns regarding the proliferation
of unregulated vaping products. Two hundred e-liquid samples collected from the Klang Valley were analysed
using Gas Chromatography-Mass Spectrometry (GC-MS) to identify and quantify their chemical constituents.
Decision Tree Analysis (DTA) was then applied to investigate associations between specific toxic compounds
and different flavour profiles. Nicotine was detected in 196 of 200 samples (98.0%), with a mean relative
concentration of 48.79% (SD 20.69; range 4.99–92.67) based on GC–MS peak-area estimation. GC–MS profiling
identified 459 compounds in total, including 11 chemicals of potential toxicological concern. Decision Tree
Analysis identified ethyl vanillin as the most significant variable for flavour classification (χ² = 80.688, df =
3, p < 0.001), with concentrations above 0.07154% more commonly associated with coffee, dessert, nut and
tea profiles. Concentrations below 0.07154% were primarily linked to sweet, fruity flavours, whereas higher
levels were characteristic of richer, dessert-like profiles. These findings indicate that the Klang Valley e-liquid
market is heavily dominated by nicotine-containing products and flavour additives, with ethyl vanillin being a
particularly prevalent flavouring agent. Of particular concern is the widespread presence of ethyl vanillin, as
flavour aldehydes may undergo thermal transformation during vaping and contribute to inhalation exposure
to potentially harmful degradation products. This underscores an urgent need for evidence-based regulatory
standards, including limits on specific flavour additives to mitigate potential inhalation health risks.
2.Quality Assessment Of Alternative Patent Fingerprint Method Using Alcohol Gel And Thermal Paper
Chialeexian Chelladurai ; Hamzah Noor Hazfalinda ; Gabriel Gina Francesca ; Khairunnisa Zaidan ; Khairul Osman
Malaysian Journal of Health Sciences 2024;22(No.1):1-9
Fingerprints are unique structures made up of a combination of friction ridges. Due to the individual characteristics of
fingerprints, it is used commonly used for identification. Traditionally, patent fingerprints are obtained using an ink pad.
Unfortunately, the print takes time to dry on paper and sometimes the fingerprint will leave streaks on a finger and
nearby surfaces. Alcohol gel and thermal paper could address this problem as the alcohol component in gel is a weak
acid that can reacts with the leuco dyes present on thermal paper. Hence forth, this study intends to find an alternative
method of obtaining patent fingerprints using various combinations of alcohol gels and thermal papers. Six donors were
requested to deposit their fingerprints on different types of thermal paper using different brands of alcohol gel hand
sanitisers. Quality scores based on CAST’s grading scheme were used to determine the fingerprint quality using various
combinations of thermal paper and hand sanitisers. The result showed that patent fingerprints developed using hand
sanitiser and thermal paper were of lower quality than the standard (ink pad). Combination of alcohol-based hand
sanitiser, which consists of 70% alcohol concentration and ATM receipt paper was found to be able to produce the best
quality fingerprint among the studied combinations. Despite this result, it still indicates that fingerprints using an ink
pad is still the best method to record a fingerprint.
3.Sex Determination Using Direct Photography Technique: a Mobile-phone Camera: A Digital Approach for Lip Prints Analysis in Malaysian Malay Population (Klang Valley) (Penentuan Jantina Menggunakan Teknik Fotografi Terus: Kamera telefon bimbit: Pendekatan Digital untuk Analisis Cetakan Bibir dalam Penduduk Melayu Malaysia (Lembah Klang)
Noor Hazfalinda Hamzah ; Yee Ze Goh ; Gina Francesca Gabriel ; Khairul Osman ; Nur Mahiza Md Isa
Malaysian Journal of Health Sciences 2023;21(No.1):105-114
Cheiloscopy may not be as well-known as other techniques of identification, such as fingerprint or DNA analysis, but it
has its own impact in the appropriate circumstances. Cheiloscopy has been recognized as an important tool for human
identification. A manual approach of studying lip prints was utilised by many researchers (magnifying glasses).
Nonetheless, the current study relied solely on a mobile phone camera to visually capture lip prints for sex determination.
377 samples of lip prints were analysed with Adobe Photoshop software and classified into six different types of lip print
patterns, according to Suzuki and Tsuchihashi classifications. Lip prints were divided into six sections including upper
left, upper middle, upper right, lower left, lower middle and lower right. Pearson's Chi-square test revealed significant
differences between male and female lip prints (p < 0.05) among the Malaysian Malay population of the Klang Valley,
with Type V (irregular pattern) lip prints being the most prevalent. In comparison to magnifying glasses, our studies
proved the ability to record and examine lip prints utilising a digital approach.
4.Kesan Tembakan Jarak Dekat ke atas Bahan Binaan Kapal Nelayan Resak, Seraya dan Balau (The Effects of Close-Range Firearm Shooting on the Structures of Resak, Seraya, and Balau Fishing Vessels)
KHAIRUL OSMAN ; MOHD NAJIB SAM ; GLENNA TAN JIE YEE ; MOHD ZULKARNAIN EMBI ; AHMAD ZAMRI MD REJAB ; GINA FRANCESCA GABRIEL ; NOOR HAZFALINDA HAMZAH
Malaysian Journal of Health Sciences 2023;21(No.2):61-71
The incidence of close-range firearm shootings on fishing vessels in Malaysia has been increasing every year. The
challenge faced by law enforcement agencies is to demonstrate how these shooting crimes are carried out. To address
this problem, a model of shooting angles and ricochets within a confined space needs to be constructed. This study
examines the effects of shooting with the CZ 75 SP-01 Shadow semi-automatic pistol, manufactured by the Czech
Republic, using 9mm FMJ bullets weighing 7.45 grams on three types of wood commonly used in fishing vessel
construction: Resak, Seraya, and Balau. The factors of shooting distance (1, 3, 5, and 10 meters), shooting angles (15°,
30°, 45°, 60°, 75°, and 90°), ricochet angles, and the type of wood material (Resak, Seraya, and Balau) are investigated.
The results indicate that only 114 out of 432 shots resulted in ricochets. Shots on Resak wood produced several bullet
ricochets at shooting angles of 15° and 30° and a distance of 1 meter. An equation model relating ricochet angles and
successful shots was developed. For Seraya wood, only a few ricochets were observed at a shooting angle of 15° and a
distance of 1 meter, and statistical tests showed that an equation model could not be constructed. For Balau wood, an
equation model relating ricochet angles and shooting distance was successfully established. Validation tests on the
Resak and Balau wood models showed that the Resak model achieved an accuracy of 90%. However, the Balau wood
model did not yield any reliable results and thus cannot be trusted. In conclusion, the three factors examined are
insufficient to explain bullet ricochet occurrences when shooting is performed at close range in an enclosed space.
5.Effects of Layered Clothing on the Post-mortem Decomposition of Rat Carcasses on Grass Bushes and Dead Leaves (Kesan Pakaian Berlapis Terhadap Penguraian Postmortem Bangkai Tikus di atas Dedaun Rumput yang Telah Mati)
NOOR HAZFALINDA HAMZAH ; DARISHINI MANIMARAN ; KHAIRUL OSMAN ; NUR MAHIZA MD ISA ; GINA FRANCESCA GABRIEL
Malaysian Journal of Health Sciences 2022;20(No.1):97-107
A post-mortem decomposition is defined by the evaluation of the physical and chemical changes of a cadaver or a
carcass in order to estimate the cause of death and the time of death. The purpose of this study is not to replicate a real
crime scene but to enhance knowledge of the effects of clothing in a decomposition process, mainly, the effects of layered
cotton clothing on the post-mortem decomposition of adult female rat carcasses. Fifteen rats were divided into three
groups: control, one-layered and two-layered clothed. The control subjects were unclothed and used to compare the
post-mortem changes with the clothed subjects, one-layered and two-layered rat carcasses. All subjects were placed
outdoor, 2.5 meters away from each other on grass bushes and dead leaves. Ambient temperature and humidity were
recorded to observe if it associates with the post-mortem changes of the rats. Insect activity on each subject was
observed. Post-mortem changes were measured using the Total Body Score system. The results showed that the control
group underwent a faster decomposition compared to the clothed groups. The different layers of clothing did not show
a vast difference in post-mortem changes. The ambient temperature of 28°C influences the post-mortem decomposition.
The decomposition was rapid under the dominance of maggots compared to ants as ant colonies delayed the
decomposition process. The study gave the knowledge of the effect of clothing in decomposition of female rats in forensic
science.
6.Digital Approach for Lip Prints Analysis in Malaysian Malay population (Klang Valley): Scanning Technique (Analisis Cap Bibir Populasi Melayu di Lembah Klang secara Digital: Teknik Imbasan)
NOOR HAZFALINDA HAMZAH ; UMI KALSOM JAMALUDIN ; KHAIRUL OSMAN ; GINA FRANCESCA GABRIEL
Malaysian Journal of Health Sciences 2021;19(No.1):31-38
Lip print is useful in forensic investigations for individual identification. The present study aimed to discriminate sex
based on lip print patterns in Malaysian Malay population in Klang Valley using a scanning technique. Lip prints of 360
subjects (180 males and 180 females) were taken using the lipstick-cellophane tape technique, pasted onto A4 papers.
These papers were then scanned using Brother DCP-J100 printer (300dpi resolution). The images were analysed using
a software based on Suzuki and Tsuchihashi’s classification. The lip print images were divided into six sections which
are upper left, upper middle, upper right, lower right, lower middle and lower left. The Pearson chi-square test showed
that there are significant differences (p < 0.05) between sexes in each section except for the upper middle section. In
males, type V (irregular pattern) was the dominant pattern for upper left, upper right, lower right and lower left sections
(ranging from 71.1% to 86.7%) while type IV (reticular pattern) was dominant at upper and middle sections (ranging
from 57.2% to 66.1%). Type IV (48.3%) was dominant in upper middle section for female, while for the rest of the
sections, type V was the dominant lip print pattern (ranging from 40% to 82.8%). These results showed that sex
differentiation between males and females in Malaysian Malay population, Klang Valley can be suggested to be used for
identification in forensic investigation.
7.Lip Print Analysis in Malaysian Chinese Population (Klang Valley): Lipstick-Cellophane Tape Technique (Analisis Cap Bibir Populasi Cina Malaysia di Lembah Klang: Teknik Gincu-Pita Selofan)
NOOR HAZFALINDA HAMZAH ; AMALINA FARHATUL FARIDA MOHAMAD SELIMAN ; KHAIRUL OSMAN ; GINA FRANCESCA GABRIEL
Malaysian Journal of Health Sciences 2020;18(No.2):31-38
Cheiloscopy is recognized as a tool for personal identification due to its strength in criminalistics. In this study, the lip print of Malaysian Chinese population in Klang Valley was used for gender determination using lipstick-cellophane technique. 412 subjects (203 males and 209 females) were selected conveniently. Lipstick was first applied on the lips and the lip print was lifted using cellophane tape prior to pasting them onto a plain A4 paper and analysis using magnifying glass. Six topography areas of lip prints were classified using Suzuki and Tsuchihashi’s classification, including upper left, upper middle, upper right, lower right, lower middle and lower left. Chi-square test showed that all lip sections were significantly different from each other (p < 0.05). Type II was the dominant pattern in four lip sections for both genders: upper left (male 81.3%, female 57.4%), upper right (male 71.9%, female 42.9%), lower left (male 98.0%, female 90.0%) and lower right (male 96.1%, female 86.1%). Type IV was the dominant pattern for both middle part of the lips; upper middle (male 56.2%, female 50.7%) and lower middle (male 62.6%, female 50.2%). The results showed that gender can be differentiated based on lip print patterns. This finding suggested that cheiloscopy could be used in aiding personal identification for forensic investigation.
8.Incidence of Suicide by Hanging in Klang Valley from 2007 to 2016
Siti Rahmah Abd Karim ; Sri Pawita Albakri Amir Hamzah ; Noor Hazfalinda HAMZAH
Malaysian Journal of Health Sciences 2018;16(2):77-84
Malaysia was ranked at 148 by World Health Organization (WHO) in suicide statistic for 2012, where males had a highertendency to commit suicide, recording a 4.7 per 100,000 in comparison to female (1.5 per 100,000). As hanging is one ofthe most common methods to commit suicide, this retrospective study was conducted to observe the incidence of suicideby hanging in Klang Valley from four different hospitals. The current study is conducted to provide local database ofsuicide occurrence by hanging in Klang Valley. A total of 893 suicide cases by hanging from 2007 to 2016 were recordedfrom post mortem records and analysed. Suicide rates in Klang Valley showed a rising trend from 2007 to 2016. Malesfrom age group 30 to 34 years old and females from 20 to 24 years old have the highest number of suicide fatalitiescompared to other age groups. Meanwhile, fatalities from the age group of 10 to 14 years old and 80 years old and aboveshowed similar result which is only 7%. 78% of the fatalities were recognized as Malaysian and half of them were Indian.Majority of the victims/cases (45%) who committed suicide by hanging are of Hindu religious denomination. Non-citizenin Malaysia that have the highest suicide rates were from Nepal, Indonesia and Myanmar. Victims also committed suicidemore during the day and the peak hours being at 12.00 pm to 5.59 pm.
9.Incidence Of Firearm-Related Deaths And Epidemiology In Klang Valley, Malaysia From 2006 To 2016: A Retrospective Study
Rabiatul Adawiyah, ; Noor Hazfalinda Hamzah ; Sri Pawita Albakri Amir Hamzah ; Nur Hamizah Md Udin
Malaysian Journal of Public Health Medicine 2018;18(Special Volume (1)):51-61
Death due to firearm is more common in countries with higher gun ownership such as United States of America compared to countries with restrictive gun ownership such as European countries and Malaysia. However, the increasing number of shooting cases in Malaysia recently should not be overlooked. This study was carried out to investigate the incidence of firearm-related deaths and epidemiology in Klang Valley for 11-year period. The demographic data on the incidence of firearm-related deaths from 2006 to 2016 was collected retrospectively from four government hospitals in Klang Valley. 204 cases of firearm-related deaths were reported with irregular trend of the incidence throughout the 11-year period. The results revealed that most victims were male, aged between 30 to 34 years old and Malaysian citizen. Firearms fatalities were higher among Malaysian specifically Indian, as compared to non-Malaysian. Most firearms fatalities were homicides and took place during late night between 12.00 am to 5.59 am. The highest cause of death was head injury due to gunshot wound. It is hoped that this study will raise awareness to Malaysian citizen regarding firearm-related cases and to develop strategies to overcome the issue of gun violence in Malaysia with appropriate authorities.
firearm fatalities
;
firearms epidemiology
;
firearms demographic data
;
gun violence Klang Valley
;
gunshot wound
10.Blunt force trauma to skull with various instruments
Nur Amirah Sulaiman ; Khairul Osman ; Noor Hazfalinda Hamzah ; Sri Pawita Albakri Amir Hamzah
The Malaysian Journal of Pathology 2014;36(1):33-39
Deaths due to blunt force trauma to the head as a result of assault are some of the most common
cases encountered by the practicing forensic pathologist. Previous studies have shown inflicting
injury to the head region is one of the most effective methods of murder. The important factors
that determine severity of trauma include the type of weapon used, type and site of skull fracture,
intracranial haemorrhage and severity of brain injury. The aim of this study was to determine the
characteristics of blunt force trauma to the skull produced by different instruments. Nine adult
monkeys (Macaca fascicularis) skulls were used as models. Commonly found blunt objects
comprising of Warrington hammer, hockey stick and open face helmet were used in this study. A
machine calibrated force generator was used to hold the blunt object in place and to hit the skulls
at forces of 12.5N and 25N. Resultant traumatic effects and fractures (linear, depressed, basilar,
comminuted, and distastic) were analyzed according to type of blunt object used; surface area of
contact and absolute force (N/cm2) delivered. Results showed that all investigated instruments were
capable of producing similar injuries. The severity of trauma was not related to the surface area of
contact with the blunt objects. However, only high absolute forces produced comminuted fractures.
These findings were observational, as the samples were too small for statistical conclusions.


Result Analysis
Print
Save
E-mail