Browse publications by year: 2018

  1. Usman UZ, Bakar ABA, Mohamed M
    BMC Complement Altern Med, 2018 Dec 05;18(1):324.
    PMID: 30518366 DOI: 10.1186/s12906-018-2391-6
    BACKGROUND: This study assessed the effects of propolis alone or combined with insulin on maternal status, pregnancy outcomes and placental oxidative stress in streptozotocin-induced diabetic rats.

    METHODS: Forty female rats were randomly assigned into five groups (n = 8/group) i.e. non-DM (non-diabetes), DM (diabetes), DM + Propolis (diabetes on propolis orally); DM + Insulin (diabetes on insulin subcutaneously) and DM + Combined (diabetes on propolis and insulin) groups. Propolis and insulin were given at 300 mg/kg/day orally and 5.0 IU/kg/day subcutaneously, respectively, for 4 weeks.

    RESULTS: Fasting blood glucose, conception period, implantation losses, foetal blood glucose and placental oxidative stress markers such as malonaldehyde and protein carbonyl were significantly higher while maternal weight gain, foetal body weight and total antioxidant capacity were significantly lower in DM group compared with non-DM group. These changes were significantly improved in rats treated with propolis or insulin alone with greater significant effects in rats treated with both propolis and insulin.

    CONCLUSION: This study may suggest the protective effects of propolis against DM-induced impaired pregnancy outcomes and placental oxidative stress with greater effects when combined with insulin.

    MeSH terms: Animals; Antioxidants/pharmacology*; Diabetes Mellitus, Experimental*; Female; Placenta/drug effects*; Pregnancy; Pregnancy Outcome*; Propolis/pharmacology*; Streptozocin; Oxidative Stress/drug effects; Rats
  2. Yap NJ, Vythilingam I, Hoh BP, Goh XT, Muslim A, Ngui R, et al.
    Parasit Vectors, 2018 Dec 05;11(1):626.
    PMID: 30518419 DOI: 10.1186/s13071-018-3234-5
    BACKGROUND: The merozoite surface protein-1 (MSP-1) gene encodes for a leading malaria vaccine candidate antigen. However, its extensive polymorphic nature represents a major obstacle to the development of a protective vaccine. Previously, a pilot study was carried out to explore the sequence variation of the C-terminal 42 kDa fragment within P. knowlesi MSP-1 gene (PkMSP-142) based on 12 clinical samples; however, further study on an adequate sample size is vital in estimating the genetic diversity of the parasite population.

    METHODS: In the present study, we included a larger sample size of P. knowlesi (83 samples) covering eight states of Malaysia to determine the genetic polymorphism, natural selection and haplotype groups of the gene fragment coding PkMSP-142. The region flanking PkMSP-142 was amplified by PCR and directly sequenced. Genetic diversity, haplotype diversity, population genetic differentiation and natural selection were determined in order to study the polymorphic characteristic of PkMSP-142.

    RESULTS: A high level of genetic diversity (Hd = 0.970 ± 0.007; л = 0.01079 ± 0.00033) was observed among the 83 P. knowlesi samples, confirming the extensive genetic polymorphism exhibited among the P. knowlesi population found in Malaysia. A total of 18 distinct haplotypes with 17 amino acid changes were identified, whereby 15 were new haplotypes. High population differentiation values were observed within samples from Peninsular Malaysia and Malaysian Borneo. The 42 kDa fragments of P. knowlesi from Malaysian Borneo were found to be acting on balancing selection whilst purifying selection was suggested to act on isolates from Peninsular Malaysia. The separation of PkMSP-142 haplotypes into two main groups based on geographical separation has further supported the existence of two distinct P. knowlesi lineages.

    CONCLUSIONS: A high level of genetic diversity was observed among PkMSP-142 in Malaysia, whereby most of the polymorphisms were found within the 33 kDa region. Taken together, these data will be useful in order to understand the nature of P. knowlesi population in Malaysia as well as the design and development of a MSP-142 based knowlesi malaria vaccine.

    MeSH terms: Amino Acid Sequence; Base Sequence; Genetics, Population; Geography; Haplotypes; Malaria/parasitology*; Malaysia; Phylogeny*; Polymorphism, Genetic; Selection, Genetic; Protozoan Proteins/genetics*; DNA, Protozoan/genetics; Plasmodium knowlesi/classification*; Plasmodium knowlesi/genetics*; Sequence Analysis, DNA; Merozoite Surface Protein 1/genetics*
  3. Mokhsin A, Mokhtar SS, Mohd Ismail A, M Nor F, Shaari SA, Nawawi H, et al.
    BMJ Open, 2018 12 04;8(12):e021580.
    PMID: 30518581 DOI: 10.1136/bmjopen-2018-021580
    OBJECTIVES: To determine the prevalence of metabolic syndrome (MS), ascertain the status of coronary risk biomarkers and establish the independent predictors of these biomarkers among the Negritos.

    SETTINGS: Health screening programme conducted in three inland settlements in the east coast of Malaysia and Peninsular Malaysia.

    SUBJECTS: 150 Negritos who were still living in three inland settlements in the east coast of Malaysia and 1227 Malays in Peninsular Malaysia. These subjects were then categorised into MS and non-MS groups based on the International Diabetes Federation (IDF) consensus worldwide definition of MS and were recruited between 2010 and 2015. The subjects were randomly selected and on a voluntary basis.

    PRIMARY AND SECONDARY OUTCOME MEASURES: This study was a cross-sectional study. Serum samples were collected for analysis of inflammatory (hsCRP), endothelial activation (sICAM-1) and prothrombogenesis [lp(a)] biomarkers.

    RESULTS: MS was significantly higher among the Malays compared with Negritos (27.7%vs12.0%). Among the Malays, MS subjects had higher hsCRP (p=0.01) and sICAM-1 (p<0.05) than their non-MS counterpart. There were no significant differences in all the biomarkers between MS and the non-MS Negritos. However, when compared between ethnicity, all biomarkers were higher in Negritos compared with Malays (p<0.001). Binary logistic regression analysis affirmed that Negritos were an independent predictor for Lp(a) concentration (p<0.001).

    CONCLUSIONS: This study suggests that there may possibly be a genetic influence other than lifestyle, which could explain the lack of difference in biomarkers concentration between MS and non-MS Negritos and for Negritos predicting Lp(a).

    MeSH terms: Cross-Sectional Studies; Diabetes Mellitus; Health Promotion; Life Style; Malaysia; Biomarkers; Prevalence; Logistic Models; Outcome Assessment (Health Care); Consensus
  4. Sam SS, Teoh BT, Chee CM, Mohamed-Romai-Noor NA, Abd-Jamil J, Loong SK, et al.
    Sci Rep, 2018 12 05;8(1):17632.
    PMID: 30518924 DOI: 10.1038/s41598-018-36043-6
    Getah virus (GETV), a mosquito-borne alphavirus, is an emerging animal pathogen causing outbreaks among racehorses and pigs. Early detection of the GETV infection is essential for timely implementation of disease prevention and control interventions. Thus, a rapid and accurate nucleic acid detection method for GETV is highly needed. Here, two TaqMan minor groove binding (MGB) probe-based quantitative reverse transcription-polymerase chain reaction (qRT-PCR) assays were developed. The qRT-PCR primers and TaqMan MGB probe were designed based on the conserved region of nsP1 and nsP2 genes of 23 GETV genome sequences retrieved from GenBank. Only the qRT-PCR assay using nsP2-specific primers and probe detected all two Malaysia GETV strains (MM2021 and B254) without cross-reacting with other closely related arboviruses. The qRT-PCR assay detected as few as 10 copies of GETV RNA, but its detection limit at the 95% probability level was 63.25 GETV genome copies (probit analysis, P ≤ 0.05). Further validation of the qRT-PCR assay using 16 spiked simulated clinical specimens showed 100% for both sensitivity and specificity. In conclusion, the qRT-PCR assay developed in this study is useful for rapid, sensitive and specific detection and quantification of GETV.
    MeSH terms: Alphavirus/genetics; Alphavirus/isolation & purification*; Animals; Horse Diseases/diagnosis; Horse Diseases/virology; Horses; Humans; RNA, Viral/analysis; RNA, Viral/blood; RNA, Viral/genetics; Saliva/virology; Swine; Swine Diseases/diagnosis; Swine Diseases/virology; Alphavirus Infections/blood; Alphavirus Infections/diagnosis*; Alphavirus Infections/veterinary; Alphavirus Infections/virology*; Reverse Transcriptase Polymerase Chain Reaction/methods*; Limit of Detection
  5. Bukhsh A, Khan TM, Nawaz MS, Ahmed HS, Chan KG, Lee LH, et al.
    Patient Prefer Adherence, 2018;12:2377-2385.
    PMID: 30519003 DOI: 10.2147/PPA.S177314
    Objective: Association of various self-care activities on glycemic control of people with diabetes (PWD) in Pakistan is yet to be explored. The current study aimed to evaluate the association of various diabetes-related self-care activities with glycated hemoglobin (HbA1c) levels and to examine the predictive relationship of patients' demographic variables with their self-care activities.

    Patients and methods: A cross-sectional study was conducted on adult PWD (N=218) who were diagnosed with type 2 diabetes mellitus of at least 1 year duration. Self-care activities were examined by using the Urdu version of Diabetes Self-management Questionnaire. Linear regression analysis was conducted to examine the significant predictors for diabetes-related self-care activities and glycemic control.

    Results: Mean age of the patients was 50.77±13.3 years. Poor glycemic control (HbA1c $7%) was observed in majority of the patients (83%). Linear regression analysis revealed that glucose management (β=-0.44; 95% CI -0.438, -0.209; P<0.001) was the strongest predictor for low levels of patients' HbA1c, followed by dietary control (β=-0.19; 95% CI -0.248, -0.018; P=0.024) and physical activity (β=-0.17; 95% CI -0.165, -0.023; P=0.010), respectively. Linear regression analysis showed that use of oral hypoglycemic agents only (β=-0.218; 95% CI -0.956, -0.200; P=0.003) and higher education level (β=0.204; 95% CI 0.138, 0.777; P=0.005) were significant predictors for higher scores of patients' self-care activities.

    Conclusion: The findings support that PWD having better self-reported self-care activities achieve better glycemic control. Patients' self-care activities should be monitored on a regular basis, especially for those who are at risk of poor glycemic control.
    MeSH terms: Cross-Sectional Studies; Diabetes Mellitus, Type 2*; Humans; Pakistan; Self Care
  6. Storey S, Ashaari MM, Clipson N, Doyle E, de Menezes AB
    Front Microbiol, 2018;9:2815.
    PMID: 30519226 DOI: 10.3389/fmicb.2018.02815
    Bioremediation offers a sustainable approach for removal of polycyclic aromatic hydrocarbons (PAHs) from the environment; however, information regarding the microbial communities involved remains limited. In this study, microbial community dynamics and the abundance of the key gene (PAH-RHDα) encoding a ring hydroxylating dioxygenase involved in PAH degradation were examined during degradation of phenanthrene in a podzolic soil from the site of a former timber treatment facility. The 10,000-fold greater abundance of this gene associated with Gram-positive bacteria found in phenanthrene-amended soil compared to unamended soil indicated the likely role of Gram-positive bacteria in PAH degradation. In contrast, the abundance of the Gram-negative PAHs-RHDα gene was very low throughout the experiment. While phenanthrene induced increases in the abundance of a small number of OTUs from the Actinomycetales and Sphingomonadale, most of the remainder of the community remained stable. A single unclassified OTU from the Micrococcaceae family increased ~20-fold in relative abundance, reaching 32% of the total sequences in amended microcosms on day 7 of the experiment. The relative abundance of this same OTU increased 4.5-fold in unamended soils, and a similar pattern was observed for the second most abundant PAH-responsive OTU, classified into the Sphingomonas genus. Furthermore, the relative abundance of both of these OTUs decreased substantially between days 7 and 17 in the phenanthrene-amended and control microcosms. This suggests that their opportunistic phenotype, in addition to likely PAH-degrading ability, was determinant in the vigorous growth of dominant PAH-responsive OTUs following phenanthrene amendment. This study provides new information on the temporal response of soil microbial communities to the presence and degradation of a significant environmental pollutant, and as such has the potential to inform the design of PAH bioremediation protocols.
    MeSH terms: Actinomycetales; Biodegradation, Environmental; Environmental Pollutants; Micrococcaceae; Phenanthrenes; Phenotype; Soil; Sphingomonas; Dioxygenases; Microbiota
  7. Tan BL, Norhaizan ME, Chan LC
    PMID: 30519270 DOI: 10.1155/2018/7826576
    Manilkara zapota (L.) P. Royen, called sapodilla, or locally known as ciku, belongs to the family Sapotaceae. We found that Manilkara zapota leaf water extract has cytotoxic effect against human hepatocellular carcinoma (HepG2) cell line in our earlier study. Therefore, this study aimed to explore the anticancer properties of Manilkara zapota leaf water extract in HepG2 cells. We also aimed to unravel yet undiscovered mechanisms and identified several expressed genes whose functions in cytotoxicity activity of Manilkara zapota leaf water extract in HepG2 cells have not been well-studied. The apoptosis and intracellular reactive oxygen species (ROS) activities were analyzed using Annexin V-propidium iodide staining and dichlorodihydrofluorescein diacetate, respectively, by NovoCyte Flow Cytometer. Bax and Bcl-2 expression were assessed using Enzyme-Linked Immunosorbent Assay. The associated molecular pathways were evaluated by quantitative real-time PCR. Overall analyses revealed that Manilkara zapota leaf water extract can increase percentage of early apoptotic cells, induce the formation of ROS, upregulate c-Jun N-terminal kinase 1 (JNK1) and inducible nitric oxide synthase (iNOS), and reduce Akt1 and vascular endothelial growth factor A (VEGFA) transcriptional activities. Our data suggest that Manilkara zapota leaf water extract can suppress the growth of HepG2 cells via modulation of ERK1/2/Akt1/JNK1 transcriptional expression.
    MeSH terms: Cell Line; Enzyme-Linked Immunosorbent Assay; Carcinoma, Hepatocellular; Humans; Liver Neoplasms; Propidium; Staining and Labeling; Water; Apoptosis; Annexin A5; Reactive Oxygen Species; Plant Leaves; Sapotaceae; Manilkara; Vascular Endothelial Growth Factor A; Mitogen-Activated Protein Kinase 3; Mitogen-Activated Protein Kinase 8; Nitric Oxide Synthase Type II; Hep G2 Cells; Real-Time Polymerase Chain Reaction
  8. Kadir FA, Kassim NM, Abdulla MA, Yehye WA
    PMID: 30519271 DOI: 10.1155/2018/8464628
    [This corrects the article DOI: 10.1155/2013/739850.].
    MeSH terms: Humans
  9. Razak AM, Khor SC, Jaafar F, Karim NA, Makpol S
    Genes Nutr, 2018;13:31.
    PMID: 30519366 DOI: 10.1186/s12263-018-0618-2
    Background: Several muscle-specific microRNAs (myomiRs) are differentially expressed during cellular senescence. However, the role of dietary compounds on myomiRs remains elusive. This study aimed to elucidate the modulatory role of tocotrienol-rich fraction (TRF) on myomiRs and myogenic genes during differentiation of human myoblasts. Young and senescent human skeletal muscle myoblasts (HSMM) were treated with 50 μg/mL TRF for 24 h before and after inducing differentiation.

    Results: The fusion index and myotube surface area were higher (p 

    MeSH terms: Aging; Cell Differentiation; Humans; Up-Regulation; Muscle, Skeletal; Muscle Fibers, Skeletal; Tocotrienols; Muscle Development; Myoblasts, Skeletal; MicroRNAs
  10. Adnan AAZ, Khan NR, Rosdi SAB, Yunus NKY, Ghouri AM, Haq MA
    Data Brief, 2018 Dec;21:1880-1885.
    PMID: 30519611 DOI: 10.1016/j.dib.2018.10.169
    Data were collected from administration officers ranging from middle-management to top management of the five universities of Malaysia. The data was collected through a standardized and structured questionnaire. The variables of the study were religiosity, personality and work behavior of Muslims. Muslim work behavior construct formulated on the basis on collected data.
    MeSH terms: Islam; Malaysia; Personality; Personality Disorders; Surveys and Questionnaires; Universities
  11. Tam CY, Zong Y, Xiong H, Zheng Z
    Data Brief, 2018 Dec;21:1886-1889.
    PMID: 30519612 DOI: 10.1016/j.dib.2018.10.156
    The data presented here are related to the research paper entitled "A below-the-present late Holocene relative sea level and the glacial isostatic adjustment during the Holocene in the Malay Peninsula" (Tam et al., 2018) [1]. The diatoms and pollen data are collected from surface sediments of the Merang wetlands, Kuala Terengganu, Malaysia, and are presented as percentages of total diatoms or total land pollen respectively. Ground elevations of the sampling sites are levelled to the national datum and expressed as elevations above or below mean sea level. These diatom and pollen data can be used for indicative meaning calibration of sea-level index points and for the development of diatom-based or pollen-based tidal level transfer functions. These data have been used for calibrating the indicative meanings for sea-level index points in the reconstruction of Holocene sea-level history of the Peninsular Malaysia.
    MeSH terms: Calibration; Malaysia; Pollen; Research; Diatoms; Wetlands
  12. Abiodun OI, Jantan A, Omolara AE, Dada KV, Mohamed NA, Arshad H
    Heliyon, 2018 Nov;4(11):e00938.
    PMID: 30519653 DOI: 10.1016/j.heliyon.2018.e00938
    This is a survey of neural network applications in the real-world scenario. It provides a taxonomy of artificial neural networks (ANNs) and furnish the reader with knowledge of current and emerging trends in ANN applications research and area of focus for researchers. Additionally, the study presents ANN application challenges, contributions, compare performances and critiques methods. The study covers many applications of ANN techniques in various disciplines which include computing, science, engineering, medicine, environmental, agriculture, mining, technology, climate, business, arts, and nanotechnology, etc. The study assesses ANN contributions, compare performances and critiques methods. The study found that neural-network models such as feedforward and feedback propagation artificial neural networks are performing better in its application to human problems. Therefore, we proposed feedforward and feedback propagation ANN models for research focus based on data analysis factors like accuracy, processing speed, latency, fault tolerance, volume, scalability, convergence, and performance. Moreover, we recommend that instead of applying a single method, future research can focus on combining ANN models into one network-wide application.
  13. Rajasegaran P, Shazali N, Khan FAA
    Zoolog Sci, 2018 12 04;35(6):521-527.
    PMID: 30520355 DOI: 10.2108/zs170144
    Bats play crucial ecological and economic roles. However, this group of mammals is largely threatened due to anthropogenic activities inside or around their caves. In the present study, we investigate the effects of cave microclimate and physiological parameters on bat roost preference in Fairy Cave Nature Reserve (Fairy Cave NR). The microclimate and physiological parameters including temperature (°C), relative humidity (RH), light intensity (lux), air flow, passage dimension (m), roost height (m) and distance of roost from nearest entrance (m) were measured. Results showed that Emballonura monticola, Hipposideros diadema, Hipposideros larvatus and Penthetor lucasi roost in Fairy Cave NR. These bats can be distinguished by their colony size, roost posture, spatial arrangement and position of their roost. Penthetor lucasi makes up the largest colony in the bright zone, whereas E. monticola has the smallest colony, occupying the twilight zone throughout the cave. Members from the family Hipposideridae roost in the dark portion of the cave with zero light intensity. Emballonura monticola utilizes the hottest roost in the cave compared to the other microbats, whereas H. diadema inhabits the coolest roost. Physiological parameters such as light intensity, passage dimension, and distance from nearest entrance are significant parameters in roosting preferences. These parameters should be monitored to ensure the sustainability of not only the aforementioned species, but also other species that roost in nearby caves of Bau limestone (Wind Cave Nature Reserve: with 13 recorded species).
    MeSH terms: Animals; Borneo; Chiroptera/physiology*; Conservation of Natural Resources*; Microclimate; Temperature; Ecosystem; Caves*
  14. Rajamoorthy Y, Radam A, Taib NM, Rahim KA, Wagner AL, Mudatsir M, et al.
    PLoS One, 2018;13(12):e0208402.
    PMID: 30521602 DOI: 10.1371/journal.pone.0208402
    BACKGROUND: Malaysia has a comprehensive, publicly-funded immunization program for hepatitis B (HepB) among infants, but adults must pay for the vaccine. The number of HepB carriers among adults is expected to increase in the future; therefore, we examined the impact of five constructs (cues to action, perceived barriers, perceived benefit, perceived severity, and perceived susceptibility) on adults' willingness to pay (WTP) for HepB vaccine; secondarily, we examined the association between perceived barriers and perceived benefits.

    METHODS: Adults were selected through a stratified, two-stage cluster community sample in Selangor, Malaysia. The reliability, convergent validity, and discriminant validity of the measurement model were assessed before implementing a partial least squares structural equation model (PLS-SEM) to evaluate the significance of the structural paths.

    RESULTS: A total of 728 participants were enrolled. The five constructs all showed adequate internal reliability, convergent validity, and discriminant validity. There was a significant, positive relationship to WTP from constructs (perceived barriers [Path coefficient (β) = 0.082, P = 0.036], perceived susceptibility [β = 0.214, P<0.001], and cues to action [β = 0.166, P<0.001]), and the model all together accounted for 8.8% of the variation in WTP. There was a significant, negative relationship between perceived barriers and perceived benefit [β = -0.261, P<0.001], which accounted for 6.8% of variation in perceived benefit.

    CONCLUSIONS: Policy and programs should be targeted that can modify individuals' thoughts about disease risk, their obstacles in obtaining the preventive action, and their readiness to obtain a vaccine. Such programs include educational materials about disease risk and clinic visits that can pair HepB screening and vaccination.

    MeSH terms: Adult; Algorithms; Cross-Sectional Studies; Female; Humans; Malaysia/epidemiology; Male; Middle Aged; Models, Theoretical; Patient Compliance/psychology*; Patient Compliance/statistics & numerical data; Surveys and Questionnaires; Vaccination/economics; Vaccination/psychology; Vaccination/statistics & numerical data*; Discriminant Analysis; Medically Uninsured; Hepatitis B Vaccines/economics*
  15. Chan YY, Sooryanarayana R, Mohamad Kasim N, Lim KK, Cheong SM, Kee CC, et al.
    Arch Gerontol Geriatr, 2018 11 26;81:74-83.
    PMID: 30521992 DOI: 10.1016/j.archger.2018.11.012
    Malaysia has an increasingly aging population. Despite the substantial benefits of physical activity for healthy aging, older adults are considered the most physically inactive segment of the Malaysian population. The purpose of this study was to determine the prevalence of physical inactivity among older adults in Malaysia and its correlates. We analysed data on adults aged ≥60 years (n = 3790) from the National Health and Morbidity Survey (NHMS) 2015, a cross-sectional, nationwide population-based survey covering information on socio-demographic characteristics, physical activity and other lifestyle-related variables, health conditions, and functional limitations. Individuals included in this study were classified as physically active or physically inactive. Logistic regression was used to determine factors associated with physical inactivity. The overall prevalence of physical inactivity among older adults aged ≥60 years old was 48.8%. Physical inactivity was significantly more prevalent among females, older age groups, Indians, those being single/widowed/divorced, those with no formal education, those who reported high sedentary time (≥7 h/day), those with diabetes, anaemia, and functional limitations (p 
    MeSH terms: Age Factors; Aged; Aged, 80 and over; Anemia/epidemiology; Cross-Sectional Studies; Diabetes Mellitus/epidemiology; Diet; Educational Status; Female; Health Surveys; Humans; Income; Malaysia/epidemiology; Male; Middle Aged; Sex Factors; Prevalence; Marital Status; Mobility Limitation; Sedentary Lifestyle*
  16. Mahmood, K., Fazilah, A., Yang, T.A., Sulaiman, S., Kamilah, H
    MyJurnal
    Tropical fruits are of great significance in human diet due to abundant nutritional and antioxidants components. The processing or consumption of these fruits generates waste,which is generally disposed of into the ecosystem. However, efforts are in line to evaluate the nutritional worth and possible reuse of fruit processing waste by valorizing the waste in an optimal way. In this review, by-products of rambutan fruit waste, i.e., seed and peel, are signified with respect to their nutritional values and possible applications. Peel and seed cumulatively share almost around 50% of whole rambutan fruit by weight. Peel that is rich in phenolics and ellagitannins have applications as a natural antioxidant system. However, abundant fat content (14−41%) with high oleic acid, renders the seed a novel source of vegetable fat. Besides, possibilities of using seed fat in chocolate (30 wt.% substitute) and personal care products are also one of the focus. Nanostructured seed fat is reported for encapsulation off at-soluble vitamins (e.g., vitamin E). Additionally, the seed contains the most of the essential and non-essential amino acids that are concentrated as protein concentrate. The physico-functional properties of defatted seed flour and seed mucilage are also elaborated. Similarly, rambutan seed oil and peel utility as filler in packaging, bio-coagulant, bio-sorbent and alternative biodiesel are also mentioned. Despite diverse applications, gaps are still there to further evaluate and validate the potential of rambutan processing by-products. Thus, to avail the manifold potential, fruit by-products’ applications should be scaled up to transform the maximum waste into best.
  17. Mohd Shafik Abd Majid, Fadzrul Hafiz Johani, Wan Rosmawati Wan Ismail, Diyana Mohd Mokhtar, Qistina Mohd Ghazali, Norfazilah Ahmad, et al.
    Int J Public Health Res, 2018;8(2):1005-1024.
    MyJurnal
    Introduction Strongyloides stercoralis is an intestinal helminth that infects humans
    through contact with soil containing the larvae.
    Methods A systematic search was performed for relevant titles, abstract and keywords
    in database from Cochrane Library, PLOS One, PubMed and several other
    sources in October 2017 based on PICO strategy. Out of 511 papers that were
    evaluated for possible inclusion, final assessment for eligibility has yielded a
    total of 17 papers to be included which were found suitable for analysis
    covering period from 2012 till 2016.
    Results A major challenge of giving an overview of prevalence data for S. stercoralis
    lies in the low sensitivity of diagnostic method used which resulted in very
    low prevalence in certain countries. Cambodia and Laos presented with high
    prevalence ranging from 17.4% to 45.9% by using high sensitivity of
    diagnostic methods. The current prevalence situation of S. stercoralis in
    Southeast Asia still have wide gaps remains due to several reasons.
    Conclusions The information we have today only scratches the surface which cannot truly
    reflect the true burden of S. stercoralis in Southeast Asia The main risk factor
    is personal hygiene practices especially amongst males.
    MeSH terms: Animals; Asia, Southeastern; Cambodia; Helminths; Humans; Hygiene; Laos; Larva; Libraries; Male; Risk Factors; Soil; Strongyloidiasis; Prevalence; Strongyloides stercoralis; PubMed
  18. Siti Nor Mat, Norzaher Ismail, Syafiq Taib, Hasanain Faisal Ghazi, Zahir Izuan Azhar, Mohammad Saffree Jeffre, et al.
    Int J Public Health Res, 2018;8(2):1006-1014.
    MyJurnal
    Introduction Pneumococcal disease causes considerable morbidity and mortality,
    including among adults. Adult pneumococcal vaccines help to prevent these
    burdens, yet, they are underutilized. Our objective is to systematically collect
    and summarize the available evidence on the potential factors that lead to
    pneumococcal vaccination acceptance among of adult community.
    Methods A systematic literature search was conducted involving studies published
    from January 1999 to December 2015. The studies were identified by
    searching electronic resources (PubMed/MEDLINE and Pro Quest database)
    and manual searches of references. The keywords “vaccine/ immunization”,
    “uptake/ coverage”, “determinant/ factor”, and “Streptococcus pneumoniae/
    pneumococcus/ pneumococcal” were used. Final studies result and data were
    reviewed by two independent authors. Disagreement was resolved through
    discussion and consensus.
    Results A total of 171 studies were identified, only 17 studies were included in final
    discussion with 10 domains identified in the paper. 7 studies (41%) had
    reported that the provider domain, patients’ perception and
    socio-demographic factor have had the most effect on the pneumococcal
    vaccination acceptance rate. In addition, only 18% (3) of reviewed papers had
    highlighted that socio-economic was a factor influenced the pneumococcal
    vaccination acceptance while 24% (4 studies) were attributed to the comorbid
    domains.
    Conclusions Healthcare provider and patients’ perception about pneumococcal vaccination
    for adult population are significant domains which influence the acceptance
    towards vaccination. Strong recommendations from healthcare provider for
    pneumococcal vaccination would be an important step to increase vaccination
    acceptance among the population.
  19. Safurah Khairul Fadzil, Marhanis Salihah Omar, Noorlaili Mohd Tohit
    Int J Public Health Res, 2018;8(2):998-105.
    MyJurnal
    Introduction The use of dietary supplements had risen over the years among chronic
    disease patients with most of it were of patients' own initiative. This study
    aimed to describe the supplements use, assess the knowledge and attitude
    towards supplements and its interaction with prescribed medication, and
    determine whether knowledge and attitude towards supplements could
    influence treatment adherence in chronic disease patients.
    Methods A cross-sectional study was conducted among chronic disease patients in
    Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur from
    September to November 2016 upon their written informed consent. This
    study consists of a collection of validated instruments that measured the use
    of dietary supplements and its reason; the knowledge and attitude on dietary
    supplements and supplements-drug interaction and medication adherence.
    Results A total number of 250 respondents were interviewed and 72.4% was found to
    use supplements of own initiatives. Most of the respondents were using
    supplements to maintain health (78.8%), prevent health problems (72.4%)
    and improve overall health (63.2%). It was found that respondents'
    knowledge on supplement-drug interactions were not at the satisfactory level.
    The treatment adherence was found not to be associated with knowledge and
    attitude towards supplements nor numbers of supplements use.
    Conclusions Chronic disease patients mainly knew on the purpose of supplements for
    health and wellness, but had less knowledge on supplement-drug interactions,
    warranting patients' education on that particular field.
    MeSH terms: Chronic Disease; Cross-Sectional Studies; Diet; Drug Interactions; Humans; Informed Consent; Malaysia; Surveys and Questionnaires; Dietary Supplements; Medication Adherence; Prescription Drugs
  20. Natrah Rani, Faiz Daud, Hamidah Alias
    Int J Public Health Res, 2018;8(2):988-997.
    MyJurnal
    Introduction. The care of children with leukemia requires a high degree of observation and attention to ensure that the recommended treatment by the specialists is well implemented. This could somehow affect the social functionality, increase stress, anxiety and depression among caregivers of children with leukemia. Thus, this cross-sectional study was conducted to examine the prevalence and factors influencing stress, depression and anxiety among caregivers of
    children with leukemia.
    Methods. Number of sample is 54 respondents. Data were measured using the Bahasa Malaysia version of DASS-21 which was validated in previous study.
    Results The results showed that prevalence of low level stress among caregivers to children with leukemia was 88.9% while prevalence of high level stress was 11.1%. The prevalence of low level anxiety was 90.7% and the prevalence of
    high level anxiety was 9.3%. The prevalence of low level depression was 96.3% and the prevalence of high level depression was 3.7%. There were several factors that significantly influenced the stress and depression among
    the caregivers (p <0.05). Among the factors associated with stress status were the religion of caregivers and gender of the patients (p <0.05). Factors associated with depression status were the sex of caregivers and the relationship between caregivers and family members (p <0.05).
    Conclusions. In conclusion, socio demographic factors and the relationship between caregivers and family members affect stress and depression among caregivers while factors of knowledge-level do not affect stress, anxiety and depression among caregivers. Strategies are needed to help reduce stress, anxiety and depression among caregivers of children with leukemia.
    Keywords: Stress - Anxiety - Depression - Caregivers - Children with leukemia.
    MeSH terms: Anxiety; Child; Cross-Sectional Studies; Depression; Humans; Leukemia; Malaysia; Stress, Psychological; Prevalence; Caregivers
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