Browse publications by year: 2012

  1. Mehrnoush A, Mustafa S, Yazid AM
    Int J Mol Sci, 2012;13(3):2939-50.
    PMID: 22489134 DOI: 10.3390/ijms13032939
    Response surface methodology (RSM) along with central composite design (CCD) was applied to optimize the freeze drying conditions for purified pectinase from mango (Mangifera indica cv. Chokanan) peel. The effect of pectinase content (-2.66, 62.66 mg/mL), Arabic gum (-1.21, 10.21%, w/v), and maltodextrin (0.73, 7.26%, w/v) as independent variables on activity, yield, and storage stability of freeze-dried enzyme was evaluated. Storage stability of pectinase was investigated after one week at 4 °C and yield percentage of the enzyme after encapsulation was also determined. The independent variables had the most significant (p < 0.05) effect on pectinase activity and yield of the enzyme. It was observed that the interaction effect of Arabic gum and maltodextrin improved the enzymatic properties of freeze-dried pectinase. The optimal conditions for freeze-dried pectinase from mango peel were obtained using 30 mg/mL of pectinase content, 4.5 (%, w/v) of Arabic gum, and 4 (%, w/v) of maltodextrin. Under these conditions, the maximum activity (11.12 U/mL), yield (86.4%) and storage stability (84.2%) of encapsulated pectinase were achieved.
    MeSH terms: Enzyme Stability; Freeze Drying/methods*; Fruit/enzymology; Gum Arabic; Plant Proteins/isolation & purification*; Plant Proteins/metabolism; Polygalacturonase/isolation & purification*; Polygalacturonase/metabolism; Polysaccharides; Mangifera/enzymology*
  2. Erejuwa OO
    Int J Mol Sci, 2012;13(3):2965-72.
    PMID: 22489136 DOI: 10.3390/ijms13032965
    The primary aim of the current management of diabetes mellitus is to achieve and/or maintain a glycated hemoglobin level of ≤6.5%. However, recent evidence indicates that intensive treatment of hyperglycemia is characterized by increased weight gain, severe hypoglycemia and higher mortality. Besides, evidence suggests that it is difficult to achieve and/or maintain optimal glycemic control in many diabetic patients; and that the benefits of intensively-treated hyperglycemia are restricted to microvascular complications only. In view of these adverse effects and limitations of intensive treatment of hyperglycemia in preventing diabetic complications, which is linked to oxidative stress, this commentary proposes a hypothesis that "simultaneous targeting of hyperglycemia and oxidative stress" could be more effective than "intensive treatment of hyperglycemia" in the management of diabetes mellitus.
    MeSH terms: Antioxidants/therapeutic use; Blood Glucose/metabolism; Diabetes Mellitus/blood; Diabetes Mellitus/drug therapy*; Humans; Hyperglycemia/blood; Hyperglycemia/drug therapy; Hypoglycemia/blood; Hypoglycemia/prevention & control; Hypoglycemic Agents/adverse effects; Hypoglycemic Agents/therapeutic use; Weight Gain/drug effects; Oxidative Stress; Diabetes Complications/blood; Diabetes Complications/prevention & control
  3. Lee KH, Chow YL, Sharmili V, Abas F, Alitheen NB, Shaari K, et al.
    Int J Mol Sci, 2012;13(3):2985-3008.
    PMID: 22489138 DOI: 10.3390/ijms13032985
    Our preliminary screening has shown that curcumin derivative BDMC33 [2,6-bis(2,5-dimethoxybenzylidene)cyclohexanone] exerted promising nitric oxide inhibitory activity in activated macrophages. However, the molecular basis and mechanism for its pharmacological action is yet to be elucidated. The aim of this study was to investigate the anti-inflammatory properties of BDMC33 and elucidate its underlying mechanism action in macrophage cells. Our current study demonstrated that BDMC33 inhibits the secretion of major pro-inflammatory mediators in stimulated macrophages, and includes NO, TNF-α and IL-1β through interference in both nuclear factor kappaB (NF-κB) and mitogen activator protein kinase (MAPK) signaling cascade in IFN-γ/LPS-stimulated macrophages. Moreover, BDMC33 also interrupted LPS signaling through inhibiting the surface expression of CD-14 accessory molecules. In addition, the inhibitory action of BDMC33 not only restricted the macrophages cell (RAW264.7), but also inhibited the secretion of NO and TNF-α in IFN-γ/LPS-challenged microglial cells (BV-2). The experimental data suggests the inflammatory action of BDMC33 on activated macrophage-like cellular systems, which could be used as a future therapeutic agent in the management of chronic inflammatory diseases.
    MeSH terms: Animals; Anti-Inflammatory Agents, Non-Steroidal/pharmacology*; Benzylidene Compounds/pharmacology*; Cell Line; Curcumin/analogs & derivatives*; Curcumin/pharmacology; Cyclohexanones/pharmacology*; Macrophage Activation/drug effects; Macrophages/drug effects*; Macrophages/immunology; Macrophages/metabolism*; Nitric Oxide/biosynthesis; Phosphorylation; RNA, Messenger/genetics; RNA, Messenger/metabolism; Tumor Necrosis Factor-alpha/biosynthesis; Tumor Necrosis Factor-alpha/genetics; Signal Transduction/drug effects; Down-Regulation/drug effects; NF-kappa B/antagonists & inhibitors*; NF-kappa B/metabolism; Microglia/drug effects; Microglia/metabolism; Transcription Factor AP-1/metabolism; Inflammation Mediators/metabolism; Antigens, CD14/metabolism; MAP Kinase Signaling System/drug effects*; Toll-Like Receptor 4/metabolism; Mice; Nitric Oxide Synthase Type II/antagonists & inhibitors; Interleukin-1beta/biosynthesis; Interleukin-1beta/genetics
  4. Ghanbari R, Anwar F, Alkharfy KM, Gilani AH, Saari N
    Int J Mol Sci, 2012;13(3):3291-3340.
    PMID: 22489153 DOI: 10.3390/ijms13033291
    The Olive tree (Olea europaea L.), a native of the Mediterranean basin and parts of Asia, is now widely cultivated in many other parts of the world for production of olive oil and table olives. Olive is a rich source of valuable nutrients and bioactives of medicinal and therapeutic interest. Olive fruit contains appreciable concentration, 1-3% of fresh pulp weight, of hydrophilic (phenolic acids, phenolic alchohols, flavonoids and secoiridoids) and lipophilic (cresols) phenolic compounds that are known to possess multiple biological activities such as antioxidant, anticarcinogenic, antiinflammatory, antimicrobial, antihypertensive, antidyslipidemic, cardiotonic, laxative, and antiplatelet. Other important compounds present in olive fruit are pectin, organic acids, and pigments. Virgin olive oil (VOO), extracted mechanically from the fruit, is also very popular for its nutritive and health-promoting potential, especially against cardiovascular disorders due to the presence of high levels of monounsaturates and other valuable minor components such as phenolics, phytosterols, tocopherols, carotenoids, chlorophyll and squalene. The cultivar, area of production, harvest time, and the processing techniques employed are some of the factors shown to influence the composition of olive fruit and olive oil. This review focuses comprehensively on the nutrients and high-value bioactives profile as well as medicinal and functional aspects of different parts of olives and its byproducts. Various factors affecting the composition of this food commodity of medicinal value are also discussed.
    MeSH terms: Olive Oil; Fatty Acids/chemistry; Fruit/chemistry; Humans; Nutritive Value; Phytosterols/chemistry; Plant Oils/isolation & purification; Plant Oils/chemistry; Plants/chemistry; Seeds/chemistry; Wood/chemistry; Molecular Structure; Plant Leaves/chemistry; Olea/chemistry*; Phytochemicals/isolation & purification; Phytochemicals/chemistry*
  5. Rothan HA, Teh SH, Haron K, Mohamed Z
    Int J Mol Sci, 2012;13(3):3549-62.
    PMID: 22489167 DOI: 10.3390/ijms13033549
    Adiponectin is one of the most bioactive substances secreted by adipose tissue and is involved in the protection against metabolic syndrome, artherosclerosis and type II diabetes. Research into the use of adiponectin as a promising drug for metabolic syndromes requires production of this hormone in high quantities considering its molecular isoforms. The objective of this study is to produce recombinant human adiponectin by Pichia pastoris (P-ADP) as a cheap and convenient eukaryotic expression system for potential application in pharmaceutical therapy. For comparison, adiponectin was also expressed using the Escherichia coli (E-ADP) expression system. Adiponectin was constructed by overlap-extension PCR, and cloned in standard cloning vector and hosts. Recombinant expression vectors were cloned in the P. pastoris and E. coli host strains, respectively. SDS-PAGE and western blotting were used to detect and analyse expressed recombinant protein in both systems. Adiponectin was purified by affinity chromatography and quantified using the Bradford Assay. The results of this study indicated that P-ADP quantity (0.111 mg/mL) was higher than that of E-ADP (0.04 mg/mL) and both were produced in soluble form. However, P-ADP was able to form high molecular weights of adiponectin molecules, whilst E-ADP was not able to form isoforms higher than trimer. In addition, P-ADP was more active in lowering blood glucose compared with E-ADP. The two types of proteins were equally efficient and significantly decreased blood triglyceride and increased high density lipoprotein. We conclude that P. pastoris is able to produce high quantity of bioactive adiponectin for potential use in treatment of metabolic syndromes.
    MeSH terms: Cardiovascular Diseases/therapy; Cloning, Molecular/methods; Diabetes Mellitus, Type 2/therapy; Escherichia coli/genetics; Escherichia coli/metabolism*; Genetic Vectors/genetics; Genetic Vectors/metabolism; Humans; Pichia/genetics; Pichia/metabolism*; Recombinant Proteins/biosynthesis*; Recombinant Proteins/genetics; Gene Expression; Protein Isoforms; Adiponectin/analysis; Adiponectin/biosynthesis*; Adiponectin/genetics*
  6. Mehrnoush A, Mustafa S, Sarker MZ, Yazid AM
    Int J Mol Sci, 2012;13(3):3636-49.
    PMID: 22489172 DOI: 10.3390/ijms13033636
    Mango peel is a good source of protease but remains an industrial waste. This study focuses on the optimization of polyethylene glycol (PEG)/dextran-based aqueous two-phase system (ATPS) to purify serine protease from mango peel. The activity of serine protease in different phase systems was studied and then the possible relationship between the purification variables, namely polyethylene glycol molecular weight (PEG, 4000-12,000 g·mol(-1)), tie line length (-3.42-35.27%), NaCl (-2.5-11.5%) and pH (4.5-10.5) on the enzymatic properties of purified enzyme was investigated. The most significant effect of PEG was on the efficiency of serine protease purification. Also, there was a significant increase in the partition coefficient with the addition of 4.5% of NaCl to the system. This could be due to the high hydrophobicity of serine protease compared to protein contaminates. The optimum conditions to achieve high partition coefficient (84.2) purification factor (14.37) and yield (97.3%) of serine protease were obtained in the presence of 8000 g·mol(-1) of PEG, 17.2% of tie line length and 4.5% of NaCl at pH 7.5. The enzymatic properties of purified serine protease using PEG/dextran ATPS showed that the enzyme could be purified at a high purification factor and yield with easy scale-up and fast processing.
    MeSH terms: Chromatography, Liquid/methods*; Dextrans/chemistry; Hydrogen-Ion Concentration; Polyethylene Glycols/chemistry; Water/chemistry; Mangifera/enzymology*; Serine Proteases/isolation & purification*; Serine Proteases/chemistry
  7. Kassem AA, Abu Bakar MZ, Yong Meng G, Mustapha NM
    ScientificWorldJournal, 2012;2012:851437.
    PMID: 22489205 DOI: 10.1100/2012/851437
    The objective of this paper is to study the effects of varying dietary levels of n-6 : n-3 fatty acid ratio on plasma and tissue fatty acid composition in rat. The treatment groups included control rats fed chow diet only, rats fed 50% soybean oil (SBO): 50% cod liver oil (CLO) (1 : 1), 84% SBO: 16% CLO (6 : 1), 96% SBO: 4% CLO (30 : 1). Blood samples were taken at day 15 of pregnancy, and the plasma and tissue were analyzed for fatty acid profile. The n-3 PUFA in plasma of Diet 1 : 1 group was significantly higher than the other diet groups, while the total n-6 PUFA in plasma was significantly higher in Diet 30 : 1 group as compared to the control and Diet 1 : 1 groups. The Diet 1 : 1 group showed significantly greater percentages of total n-3 PUFA and docosahexaenoic acid in adipose and liver tissue, and this clearly reflected the contribution of n-3 fatty acids from CLO. The total n-6 PUFA, linoleic acid, and arachidonic acid were significantly difference in Diet 30 : 1 as compared to Diet 1 : 1 and control group. These results demonstrated that the dietary ratio of n-6 : n-3 fatty acid ratio significantly affected plasma and tissue fatty acids profile in pregnant rat.
    MeSH terms: Adipose Tissue/drug effects; Adipose Tissue/metabolism; Animals; Chromatography, Gas; Dietary Fats/administration & dosage; Dietary Fats/pharmacology*; Fatty Acids/blood; Fatty Acids/metabolism*; Female; Liver/drug effects; Liver/metabolism; Pregnancy; Fatty Acids, Omega-3/administration & dosage; Fatty Acids, Omega-3/pharmacology*; Rats, Sprague-Dawley; Fatty Acids, Omega-6/administration & dosage; Fatty Acids, Omega-6/pharmacology*; Rats
  8. Lim E, Dokos S, Salamonsen RF, Rosenfeldt FL, Ayre PJ, Lovell NH
    Artif Organs, 2012 May;36(5):E125-37.
    PMID: 22489771 DOI: 10.1111/j.1525-1594.2012.01448.x
    Numerical models, able to simulate the response of the human cardiovascular system (CVS) in the presence of an implantable rotary blood pump (IRBP), have been widely used as a predictive tool to investigate the interaction between the CVS and the IRBP under various operating conditions. The present study investigates the effect of alterations in the model parameter values, that is, cardiac contractility, systemic vascular resistance, and total blood volume on the efficiency of rotary pump assistance, using an optimized dynamic heart-pump interaction model previously developed in our laboratory based on animal experimental measurements obtained from five canines. The effect of mean pump speed and the circulatory perturbations on left and right ventricular pressure volume loops, mean aortic pressure, mean cardiac output, pump assistance ratio, and pump flow pulsatility from both the greyhound experiments and model simulations are demonstrated. Furthermore, the applicability of some of the previously proposed control parameters, that is, pulsatility index (PI), gradient of PI with respect to pump speed, pump differential pressure, and aortic pressure are discussed based on our observations from experimental and simulation results. It was found that previously proposed control strategies were not able to perform well under highly varying circulatory conditions. Among these, control algorithms which rely on the left ventricular filling pressure appear to be the most robust as they emulate the Frank-Starling mechanism of the heart.
    MeSH terms: Algorithms; Animals; Blood Volume*; Computer Simulation; Dogs; Heart Failure/therapy; Heart-Assist Devices*; Humans; Models, Cardiovascular*; Myocardial Contraction*; Pressure; Pulsatile Flow; Vascular Resistance*
  9. Lim E, Dokos S, Salamonsen RF, Rosenfeldt FL, Ayre PJ, Lovell NH
    Artif Organs, 2012 May;36(5):E110-24.
    PMID: 22489799 DOI: 10.1111/j.1525-1594.2012.01449.x
    A heart-pump interaction model has been developed based on animal experimental measurements obtained with a rotary blood pump in situ. Five canine experiments were performed to investigate the interaction between the cardiovascular system and the implantable rotary blood pump over a wide range of operating conditions, including variations in cardiac contractility and heart rate, systemic vascular resistance (SVR), and total blood volume (V(total) ). It was observed in our experiments that SVR decreased with increasing mean pump speed under the healthy condition, but was relatively constant during the speed ramp study under reduced cardiac contractility conditions. Furthermore, we also found a significant increase in pulmonary vascular resistance with increasing mean pump speed and decreasing total blood volume, despite a relatively constant SVR. Least squares parameter estimation methods were utilized to fit a subset of model parameters in order to achieve better agreement with the experimental data and to evaluate the robustness and validity of the model under various operating conditions. The fitted model produced reasonable agreement with the experimental measurements, both in terms of mean values and steady-state waveforms. In addition, all the optimized parameters were within physiological limits.
    MeSH terms: Animals; Blood Volume*; Dogs; Heart Failure/therapy; Heart Rate*; Heart-Assist Devices*; Humans; Metaraminol/pharmacology; Metoprolol/pharmacology; Models, Cardiovascular*; Myocardial Contraction*; Nitroprusside/pharmacology; Plasma Substitutes; Polygeline; Vascular Resistance*; Vasodilator Agents/pharmacology; Least-Squares Analysis; Adrenergic alpha-1 Receptor Agonists/pharmacology; Adrenergic beta-1 Receptor Antagonists/pharmacology
  10. Yusoff MS
    Med Teach, 2012;34(7):595-6.
    PMID: 22489970 DOI: 10.3109/0142159X.2012.675104
    MeSH terms: Cross-Sectional Studies; Education, Medical, Undergraduate/standards*; Female; Humans; Malaysia; Male; Psychometrics/methods; Students, Medical/psychology; Students, Medical/statistics & numerical data*; Reproducibility of Results
  11. Zokaeifar H, Balcázar JL, Kamarudin MS, Sijam K, Arshad A, Saad CR
    J Antibiot (Tokyo), 2012 Jun;65(6):289-94.
    PMID: 22491136 DOI: 10.1038/ja.2012.17
    In this study, potential probiotic strains were isolated from fermented pickles based on antagonistic activity against two shrimp pathogens (Vibrio harveyi and Vibrio parahaemolyticus). Two strains L10 and G1 were identified by biochemical tests, followed by16S ribosomal RNA gene sequence analysis as Bacillus subtilis, and characterized by PCR amplification of repetitive bacterial DNA elements (Rep-PCR). Subsequently, B. subtilis L10 and G1 strains were tested for antibacterial activity under different physical conditions, including culture medium, salinity, pH and temperature using the agar well diffusion assay. Among the different culture media, LB broth was the most suitable medium for antibacterial production. Both strains showed the highest level of antibacterial activity against two pathogens at 30 °C and 1.0% NaCl. Under the pH conditions, strain G1 showed the greatest activity against V. harveyi at pH 7.3-8.0 and against V. parahaemolyticus at pH 6.0-8.0, whereas strain L10 showed the greatest activity against two pathogens at pH 7.3. The cell-free supernatants of both strains were treated with four different enzymes in order to characterize the antibacterial substances against V. harveyi. The result showed considerable reduction of antibacterial activity for both strains, indicating the proteinaceous nature of the antibacterial substances. A wide range of tolerance to NaCl, pH and temperature was also recorded for both strains. In addition, both strains showed no virulence effect in juvenile shrimp Litopenaeus vannamei. On the basis of these results and safety of strains to L. vannamei, they may be considered for future challenge experiments in shrimp as a very promising alternative to the use of antibiotics.
    MeSH terms: Animals; Bacillus subtilis/classification*; Bacillus subtilis/genetics; Bacillus subtilis/isolation & purification; DNA, Bacterial/genetics; DNA, Bacterial/chemistry; Fermentation; Microbial Sensitivity Tests; RNA, Ribosomal, 16S/genetics; RNA, Ribosomal, 16S/chemistry; Spectrophotometry, Ultraviolet; Vibrio/growth & development*; Polymerase Chain Reaction; Aquaculture; Probiotics/classification*; Probiotics/isolation & purification; Probiotics/pharmacology; Penaeidae/microbiology*
  12. Afzan A, Abdullah NR, Halim SZ, Rashid BA, Semail RH, Abdullah N, et al.
    Molecules, 2012 Apr 10;17(4):4326-42.
    PMID: 22491681 DOI: 10.3390/molecules17044326
    Carica papaya L. leaves have been used in ethnomedicine for the treatment of fevers and cancers. Despite its benefits, very few studies on their potential toxicity have been described. The aim of the present study was to characterize the chemical composition of the leaf extract from 'Sekaki' C. papaya cultivar by UPLC-TripleTOF-ESI-MS and to investigate the sub-acute oral toxicity in Sprague Dawley rats at doses of 0.01, 0.14 and 2 g/kg by examining the general behavior, clinical signs, hematological parameters, serum biochemistry and histopathology changes. A total of twelve compounds consisting of one piperidine alkaloid, two organic acids, six malic acid derivatives, and four flavonol glycosides were characterized or tentatively identified in the C. papaya leaf extract. In the sub-acute study, the C. papaya extract did not cause mortality nor were treatment-related changes in body weight, food intake, water level, and hematological parameters observed between treatment and control groups. Some biochemical parameters such as the total protein, HDL-cholesterol, AST, ALT and ALP were elevated in a non-dose dependent manner. Histopathological examination of all organs including liver did not reveal morphological alteration. Other parameters showed non-significant differences between treatment and control groups. The present results suggest that C. papaya leaf extract at a dose up to fourteen times the levels employed in practical use in traditional medicine in Malaysia could be considered safe as a medicinal agent.
    MeSH terms: Administration, Oral; Animals; Female; Male; Plant Extracts/administration & dosage; Plant Extracts/toxicity*; Plant Extracts/chemistry; Time Factors; Toxicology; Rats, Sprague-Dawley; Plant Leaves/chemistry*; Carica/chemistry*; Rats
  13. Wu YL, Kim JH, Park K, Zaatar A, Klingelschmitt G, Ng C
    Lung Cancer, 2012 Aug;77(2):339-45.
    PMID: 22494567 DOI: 10.1016/j.lungcan.2012.03.012
    Maintenance therapy, commenced immediately after the completion of first-line chemotherapy, is a promising strategy for improving treatment outcomes in patients with non-small-cell lung cancer (NSCLC). The global phase III SequentiAl Tarceva in UnResectable NSCLC (SATURN) study evaluated the efficacy and safety of the epidermal growth factor receptor (EGFR) tyrosine-kinase inhibitor erlotinib as maintenance treatment in NSCLC patients without progression after first-line chemotherapy. We report a retrospective subanalysis of Asian patients enrolled in SATURN. Patients with advanced NSCLC with no evidence of progression after four cycles of chemotherapy were randomized to receive erlotinib 150 mg/day or placebo, until progressive disease or limiting toxicity. The co-primary endpoints of SATURN were progression-free survival (PFS) in all patients and in those with positive EGFR immunohistochemistry (IHC) status. Secondary endpoints included overall survival (OS), disease control rate, safety, quality of life (QoL) and biomarker analyses. In total, 126 patients from East and South-East Asian centers were randomized (14% of the intent-to-treat population): 88 from Korea, 28 from China and 10 from Malaysia; one patient was excluded from this analysis due to Indian ethnicity. PFS was significantly prolonged in the erlotinib treatment arm, both overall (hazard ratio [HR]: 0.57; p=0.0067) and in patients with EGFR IHC-positive disease (HR=0.50; p=0.0057). There was a trend towards an increase in OS, which reached statistical significance in the EGFR IHC-positive subgroup (p=0.0233). The overall response rate was significantly higher with erlotinib compared with placebo (24% versus 5%; p=0.0025). Erlotinib was generally well tolerated and had no negative impact on QoL in this subpopulation. The most common treatment-related adverse events were rash, diarrhea and pruritus. Erlotinib was effective and well tolerated in Asian patients, producing benefits consistent with those observed in the overall SATURN population. Maintenance treatment with erlotinib appears to be a useful option for the management of Asian patients with advanced NSCLC without progression after first-line chemotherapy.
    MeSH terms: Erlotinib Hydrochloride; Adult; Aged; Aged, 80 and over; Antineoplastic Agents/adverse effects; Antineoplastic Agents/therapeutic use*; Carcinoma, Non-Small-Cell Lung/drug therapy*; Carcinoma, Non-Small-Cell Lung/mortality; Carcinoma, Non-Small-Cell Lung/pathology*; Female; Humans; Lung Neoplasms/drug therapy*; Lung Neoplasms/mortality; Lung Neoplasms/pathology*; Male; Middle Aged; Neoplasm Staging; Quality of Life; Quinazolines/adverse effects; Quinazolines/therapeutic use*; Survival Analysis; Treatment Outcome; Asian Continental Ancestry Group; Protein Kinase Inhibitors/adverse effects; Protein Kinase Inhibitors/therapeutic use*; Maintenance Chemotherapy
  14. Iqbal FR, Goh BS, Mazita A
    Otolaryngol Head Neck Surg, 2012 Aug;147(2):329-34.
    PMID: 22496101 DOI: 10.1177/0194599812444528
    To establish the efficacy of proton pump inhibitors (PPI) in the treatment of adenoid hypertrophy in children.
    MeSH terms: Adenoids/pathology*; Child; Child, Preschool; Double-Blind Method; Female; Humans; Hypertrophy/drug therapy; Male; Omeprazole/therapeutic use*; Prospective Studies; Proton Pump Inhibitors
  15. Kumar N, Lewis DJ
    BMJ, 2012;344:e2400.
    PMID: 22496299 DOI: 10.1136/bmj.e2400
    MeSH terms: Adult; Animals; Dengue/complications*; Dengue/diagnosis*; Dengue/immunology; Diagnosis, Differential; Exanthema/virology*; Fever/virology*; Headache/virology; Humans; Malaysia; Male; Culicidae; Nausea/virology; Singapore; Travel*; Tropical Medicine
  16. Seak CK, Kooi XJ, Seak CJ
    J Emerg Med, 2012 Sep;43(3):468-71.
    PMID: 22497894 DOI: 10.1016/j.jemermed.2012.02.014
    Meprobamate tablets contain microcrystalline cellulose, a potent embolic agent that has been shown to cause gangrene in animal studies. Microvascular embolization caused by microcrystalline cellulose can contribute to the ischemic process.
    MeSH terms: Acute Disease; Adult; Amputation; Anti-Inflammatory Agents/therapeutic use; Anticoagulants/therapeutic use; Dexamethasone/therapeutic use; Dextrans/therapeutic use; Hand/blood supply*; Hand/surgery; Humans; Hyperbaric Oxygenation; Hypnotics and Sedatives/administration & dosage; Hypnotics and Sedatives/adverse effects*; Injections, Intra-Arterial/adverse effects; Ischemia/chemically induced*; Ischemia/therapy; Male; Meprobamate/administration & dosage; Meprobamate/adverse effects*; Powders; Substance Abuse, Intravenous/complications; Drug Users; Young Adult
  17. Chong SA, Abdin E, Vaingankar JA, Heng D, Sherbourne C, Yap M, et al.
    Ann Acad Med Singap, 2012 Feb;41(2):49-66.
    PMID: 22498852
    INTRODUCTION: Mental illnesses are not only a growing public health concern but also a major social and economic issue affecting individuals and families throughout the world. The prevalence of mental disorders, the extent of disability caused by these disorders, and services utilisation of these patients has been well studied in developed countries. The aim of this study was to establish the prevalence of select mental disorders and their associated sociodemographic correlates in the adult Singapore resident population.

    MATERIALS AND METHODS: This was a cross-sectional, populationbased, epidemiological study of adult Singapore residents aged 18 years and above. The subjects were randomly selected using a disproportionate stratified sampling method. The diagnoses of selected mental disorders including major depressive disorder (MDD), dysthymia, bipolar (bipolar I & II) disorders, generalised anxiety disorder (GAD), obsessive compulsive disorder (OCD), alcohol abuse and alcohol dependence were established using the Composite International Diagnostic Interview, which is a fully structured diagnostic instrument that assesses lifetime and 12-month prevalence of mental disorders.

    RESULTS: Among the 6616 respondents (response rate of 75.9%), 12.0% had at least one lifetime affective, anxiety, or alcohol use disorders. The lifetime prevalence of MDD was 5.8% and that of bipolar disorder was 1.2%. The combined lifetime prevalence of the 2 anxiety disorders, GAD and OCD was 3.6%, with the latter being more common than GAD (0.9% and 3.0% respectively). The lifetime prevalence of alcohol abuse and dependence were found to be 3.1% and 0.5% respectively. Age, gender, ethnicity, marital status and chronic physical illnesses were all significant correlates of mental disorders.

    CONCLUSION: The identified associated factors would help guide resource allocation, policy formulation and programme development in Singapore.

    MeSH terms: Adolescent; Adult; Aged; China/ethnology; Cross-Sectional Studies; Female; Health Surveys; Humans; India/ethnology; Malaysia/ethnology; Male; Middle Aged; Singapore/epidemiology; Risk Assessment; Young Adult
  18. Erejuwa OO, Sulaiman SA, Ab Wahab MS
    Molecules, 2012 Apr 12;17(4):4400-23.
    PMID: 22499188 DOI: 10.3390/molecules17044400
    The global prevalence of chronic diseases such as diabetes mellitus, hypertension, atherosclerosis, cancer and Alzheimer's disease is on the rise. These diseases, which constitute the major causes of death globally, are associated with oxidative stress. Oxidative stress is defined as an "imbalance between oxidants and antioxidants in favor of the oxidants, potentially leading to damage". Individuals with chronic diseases are more susceptible to oxidative stress and damage because they have elevated levels of oxidants and/or reduced antioxidants. This, therefore, necessitates supplementation with antioxidants so as to delay, prevent or remove oxidative damage. Honey is a natural substance with many medicinal effects such as antibacterial, hepatoprotective, hypoglycemic, reproductive, antihypertensive and antioxidant effects. This review presents findings that indicate honey may ameliorate oxidative stress in the gastrointestinal tract (GIT), liver, pancreas, kidney, reproductive organs and plasma/serum. Besides, the review highlights data that demonstrate the synergistic antioxidant effect of honey and antidiabetic drugs in the pancreas, kidney and serum of diabetic rats. These data suggest that honey, administered alone or in combination with conventional therapy, might be a novel antioxidant in the management of chronic diseases commonly associated with oxidative stress. In view of the fact that the majority of these data emanate from animal studies, there is an urgent need to investigate this antioxidant effect of honey in human subjects with chronic or degenerative diseases.
    MeSH terms: Animals; Antioxidants/pharmacology*; Antioxidants/chemistry; Honey*; Humans; Preventive Medicine; Oxidative Stress/drug effects
  19. Zabidi MA, Yusoff NM, Kader ZS
    Indian J Pathol Microbiol, 2012 Jan-Mar;55(1):47-51.
    PMID: 22499300 DOI: 10.4103/0377-4929.94855
    Platelets release more than 30 cytokines to provide primary hemostatic function. In addition, platelets are also known to release antimicrobial peptides upon activation by thrombin.
    MeSH terms: Blood Platelets/chemistry*; Gram-Negative Bacteria/drug effects*; Gram-Positive Bacteria/drug effects*; Humans; Microbial Sensitivity Tests; Antimicrobial Cationic Peptides/metabolism*; Antimicrobial Cationic Peptides/pharmacology*
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