Browse publications by year: 2018

  1. Carr AC, Piunova VA, Maarof H, Rice JE, Swope WC
    J Phys Chem B, 2018 05 31;122(21):5356-5367.
    PMID: 29385796 DOI: 10.1021/acs.jpcb.7b10539
    We present an all-atom molecular dynamics study of the effect of a range of organic solvents (dichloromethane, diethyl ether, toluene, methanol, dimethyl sulfoxide, and tetrahydrofuran) on the conformations of a nanogel star polymeric nanoparticle with solvophobic and solvophilic structural elements. These nanoparticles are of particular interest for drug delivery applications. As drug loading generally takes place in an organic solvent, this work serves to provide insight into the factors controlling the early steps of that process. Our work suggests that nanoparticle conformational structure is highly sensitive to the choice of solvent, providing avenues for further study as well as predictions for both computational and experimental explorations of the drug-loading process. Our findings suggest that when used in the drug-loading process, dichloromethane, tetrahydrofuran, and toluene allow for a more extensive and increased drug-loading into the interior of nanogel star polymers of the composition studied here. In contrast, methanol is more likely to support shallow or surface loading and, consequently, faster drug release rates. Finally, diethyl ether should not work in a formulation process since none of the regions of the nanogel star polymer appear to be sufficiently solvated by it.
    MeSH terms: Drug Carriers/chemistry*; Pharmaceutical Preparations/metabolism; Pharmaceutical Preparations/chemistry*; Polyethylene Glycols/chemistry*; Polyethyleneimine/chemistry*; Polymers/chemistry*; Solvents/chemistry*; Nanoparticles/chemistry; Drug Liberation
  2. Ng KT, Velayit A, Khoo DKY, Mohd Ismail A, Mansor M
    J Cardiothorac Vasc Anesth, 2018 10;32(5):2303-2310.
    PMID: 29454528 DOI: 10.1053/j.jvca.2018.01.004
    OBJECTIVE: Fluid overload is a common phenomenon seen in intensive care units (ICUs). However, there is no general consensus on whether continuous or bolus furosemide is safer or more effective in these hemodynamically unstable ICU patients. The aim of this meta-analysis was to examine the clinical outcomes of continuous versus bolus furosemide in a critically ill population in ICUs.

    DATA SOURCES: MEDLINE, EMBASE, PubMed, and the Cochrane Database of Systematic reviews were searched from their inception until June 2017.

    REVIEW METHODS: All randomized controlled trials, observational studies, and case-control studies were included. Case reports, case series, nonsystematic reviews, and studies that involved children were excluded.

    RESULTS: Nine studies (n = 464) were eligible in the data synthesis. Both continuous and bolus furosemide resulted in no difference in all-cause mortality (7 studies; n = 396; I2 = 0%; fixed-effect model [FEM]: odds ratio [OR] 1.15 [95% confidence interval (CI) 0.67-1.96]; p = 0.64). Continuous furosemide was associated with significant greater total urine output (n = 132; I2 = 70%; random-effect model: OR 811.19 [95% CI 99.84-1,522.53]; p = 0.03), but longer length of hospital stay (n = 290; I2 = 40%; FEM: OR 2.84 [95% CI 1.74-3.94]; p < 0.01) in comparison to the bolus group. No statistical significance was found in the changes of creatinine and estimated glomerular filtration rate between both groups.

    CONCLUSIONS: In this meta-analysis, continuous furosemide was associated with greater diuretic effect in total urine output as compared with bolus. Neither had any differences in mortality and changes of renal function tests. However, a large adequately powered randomized clinical trial is required to fill this knowledge gap.

    MeSH terms: Diuretics/administration & dosage; Furosemide/administration & dosage*; Humans; Infusions, Intravenous; Global Health; Survival Rate/trends; Critical Illness/epidemiology; Critical Illness/therapy*; Treatment Outcome
  3. Afroz R, Cao Y, Rostam MA, Ta H, Xu S, Zheng W, et al.
    Pharmacol Ther, 2018 07;187:88-97.
    PMID: 29454855 DOI: 10.1016/j.pharmthera.2018.02.005
    Atherosclerosis commences with the trapping of low density lipoproteins (LDLs) in blood vessels by modified proteoglycans (PGs) with hyperelongated glycosaminoglycan (GAG) chains. GAG chain synthesis and growth factor mediated hyperelongation regulates the composition and size of PGs in a manner that would cause low density lipoprotein (LDLs) retention in vessel wall. Galactosaminoglycans are a class of GAGs, commonly observed on PGs. Multiple enzymes are involved in galactosaminoglycan biosynthesis. Galactosaminoglycan synthesis is regulated by various signalling pathways which are amenable to pharmacological manipulation to treat atherosclerosis. Receptor mediated signalling pathways including protein tyrosine kinase receptors (PTKRs), serine/threonine kinase receptors (S/TKRs) and G-protein coupled receptors (GPCRs) pathways regulate galactosaminoglycan synthesizing enzyme expression. Increased expression of these enzymes modify galactosaminoglycan chain structure by making them hyperelongated. This review focuses on the signalling pathways regulating the expression of genes involved in galactosaminoglycan synthesis and modification. Furthermore, there are multiple other processes for inhibiting the interactions between LDL and galactosaminoglycans such as peptide mimetics of ApoB100 and anti-galactosaminoglycan antibodies and the therapeutic potential of these strategies is also addressed.
    MeSH terms: Animals; Humans; Lipoproteins/metabolism*; Muscle, Smooth, Vascular/metabolism*; Polysaccharides/metabolism*; Polysaccharides/chemistry; Signal Transduction; Atherosclerosis/drug therapy; Atherosclerosis/metabolism*; Atherosclerosis/prevention & control
  4. Thiha A, Ibrahim F, Muniandy S, Dinshaw IJ, Teh SJ, Thong KL, et al.
    Biosens Bioelectron, 2018 Jun 01;107:145-152.
    PMID: 29455024 DOI: 10.1016/j.bios.2018.02.024
    Nanowire sensors offer great potential as highly sensitive electrochemical and electronic biosensors because of their small size, high aspect ratios, and electronic properties. Nevertheless, the available methods to fabricate carbon nanowires in a controlled manner remain limited to expensive techniques. This paper presents a simple fabrication technique for sub-100 nm suspended carbon nanowire sensors by integrating electrospinning and photolithography techniques. Carbon Microelectromechanical Systems (C-MEMS) fabrication techniques allow fabrication of high aspect ratio carbon structures by patterning photoresist polymers into desired shapes and subsequent carbonization of resultant structures by pyrolysis. In our sensor platform, suspended nanowires were deposited by electrospinning while photolithography was used to fabricate support structures. We have achieved suspended carbon nanowires with sub-100 nm diameters in this study. The sensor platform was then integrated with a microfluidic chip to form a lab-on-chip device for label-free chemiresistive biosensing. We have investigated this nanoelectronics label-free biosensor's performance towards bacterial sensing by functionalization with Salmonella-specific aptamer probes. The device was tested with varying concentrations of Salmonella Typhimurium to evaluate sensitivity and various other bacteria to investigate specificity. The results showed that the sensor is highly specific and sensitive in detection of Salmonella with a detection limit of 10 CFU mL-1. Moreover, this proposed chemiresistive assay has a reduced turnaround time of 5 min and sample volume requirement of 5 µL which are much less than reported in the literature.
    MeSH terms: Carbon/chemistry*; Equipment Design; Food Analysis/instrumentation*; Food Contamination/analysis; Salmonella/isolation & purification*; Salmonella Infections/microbiology; Biosensing Techniques/instrumentation*; Nanotechnology/methods; Aptamers, Nucleotide/chemistry*; Nanowires/ultrastructure; Nanowires/chemistry*; Electrochemical Techniques/instrumentation; Lab-On-A-Chip Devices*; Limit of Detection
  5. Raghavendra U, Gudigar A, Maithri M, Gertych A, Meiburger KM, Yeong CH, et al.
    Comput Biol Med, 2018 04 01;95:55-62.
    PMID: 29455080 DOI: 10.1016/j.compbiomed.2018.02.002
    Ultrasound imaging is one of the most common visualizing tools used by radiologists to identify the location of thyroid nodules. However, visual assessment of nodules is difficult and often affected by inter- and intra-observer variabilities. Thus, a computer-aided diagnosis (CAD) system can be helpful to cross-verify the severity of nodules. This paper proposes a new CAD system to characterize thyroid nodules using optimized multi-level elongated quinary patterns. In this study, higher order spectral (HOS) entropy features extracted from these patterns appropriately distinguished benign and malignant nodules under particle swarm optimization (PSO) and support vector machine (SVM) frameworks. Our CAD algorithm achieved a maximum accuracy of 97.71% and 97.01% in private and public datasets respectively. The evaluation of this CAD system on both private and public datasets confirmed its effectiveness as a secondary tool in assisting radiological findings.
    MeSH terms: Adult; Aged; Diagnosis, Computer-Assisted/methods*; Female; Humans; Image Processing, Computer-Assisted/methods*; Male; Middle Aged; Ultrasonography; Databases, Factual*; Support Vector Machine*
  6. Ansari M, Othman F, Abunama T, El-Shafie A
    Environ Sci Pollut Res Int, 2018 Apr;25(12):12139-12149.
    PMID: 29455350 DOI: 10.1007/s11356-018-1438-z
    The function of a sewage treatment plant is to treat the sewage to acceptable standards before being discharged into the receiving waters. To design and operate such plants, it is necessary to measure and predict the influent flow rate. In this research, the influent flow rate of a sewage treatment plant (STP) was modelled and predicted by autoregressive integrated moving average (ARIMA), nonlinear autoregressive network (NAR) and support vector machine (SVM) regression time series algorithms. To evaluate the models' accuracy, the root mean square error (RMSE) and coefficient of determination (R2) were calculated as initial assessment measures, while relative error (RE), peak flow criterion (PFC) and low flow criterion (LFC) were calculated as final evaluation measures to demonstrate the detailed accuracy of the selected models. An integrated model was developed based on the individual models' prediction ability for low, average and peak flow. An initial assessment of the results showed that the ARIMA model was the least accurate and the NAR model was the most accurate. The RE results also prove that the SVM model's frequency of errors above 10% or below - 10% was greater than the NAR model's. The influent was also forecasted up to 44 weeks ahead by both models. The graphical results indicate that the NAR model made better predictions than the SVM model. The final evaluation of NAR and SVM demonstrated that SVM made better predictions at peak flow and NAR fit well for low and average inflow ranges. The integrated model developed includes the NAR model for low and average influent and the SVM model for peak inflow.
    MeSH terms: Machine Learning*; Forecasting; Malaysia; Models, Theoretical*; Sewage/chemistry*; Time Factors; Waste Disposal, Fluid/methods*; Support Vector Machine
  7. Ghasemzadeh A, Karbalaii MT, Jaafar HZE, Rahmat A
    Chem Cent J, 2018 Feb 17;12(1):17.
    PMID: 29455357 DOI: 10.1186/s13065-018-0382-9
    BACKGROUND: In the recent years, the health benefits of the pigmented rice varieties have reported due to the presence of bioactive compounds. In this study, the phytochemical constituents (total phenolic, flavonoid and anthocyanin content) and individual phenolics and flavonoids of the extracts of sixteen genotypes of pigmented rice bran were evaluated using spectrophotometric and ultra-high performance liquid chromatography method. Antioxidative properties of the free and bound fractions were evaluated using nitric oxide and 1,1-diphenyl-2-picrylhydrazyl scavenging assays. Extracts were evaluated for antiproliferative activity against breast cancer cell lines (MCF-7 and MDA-MB-231) using the MTT assay.

    RESULTS: Signifficant diferences were observed in the concentrations of phytochemicals and biological activities among different pigmented rice brans. The highest phytochemical content was observed in black rice bran followed by red and brown rice bran. The concentration of free individual flavonoids and phenolic compounds were significantly higher than those of bound compounds except those of ferulic acid and p-coumaric acid. Highest antioxidant activities were observed in black rice bran, followed by red and brown rice bran extracts. Extracts of black rice bran exhibited potent antiproliferative activity, with half maximal inhibitory concentrations (IC50) of 148.6 and 119.2 mg/mL against MCF-7 and MDA-MB-231 cell lines, respectively, compared to the activity of the extracts of red rice bran (175.0 and 151.0 mg/mL, respectively) and brown rice bran (382.3 and 346.1 mg/mL, respectively).

    CONCLUSIONS: Black rice bran contains high levels of phytochemicals, and thus has potent pharmaceutical activity. This highlights opportunities for researcher to breed new genotypes of rice with higher nutritional values, which the food industry can use to develop new products that will compete in expanding functional food markets.

  8. Golkarian A, Naghibi SA, Kalantar B, Pradhan B
    Environ Monit Assess, 2018 Feb 17;190(3):149.
    PMID: 29455381 DOI: 10.1007/s10661-018-6507-8
    Ever increasing demand for water resources for different purposes makes it essential to have better understanding and knowledge about water resources. As known, groundwater resources are one of the main water resources especially in countries with arid climatic condition. Thus, this study seeks to provide groundwater potential maps (GPMs) employing new algorithms. Accordingly, this study aims to validate the performance of C5.0, random forest (RF), and multivariate adaptive regression splines (MARS) algorithms for generating GPMs in the eastern part of Mashhad Plain, Iran. For this purpose, a dataset was produced consisting of spring locations as indicator and groundwater-conditioning factors (GCFs) as input. In this research, 13 GCFs were selected including altitude, slope aspect, slope angle, plan curvature, profile curvature, topographic wetness index (TWI), slope length, distance from rivers and faults, rivers and faults density, land use, and lithology. The mentioned dataset was divided into two classes of training and validation with 70 and 30% of the springs, respectively. Then, C5.0, RF, and MARS algorithms were employed using R statistical software, and the final values were transformed into GPMs. Finally, two evaluation criteria including Kappa and area under receiver operating characteristics curve (AUC-ROC) were calculated. According to the findings of this research, MARS had the best performance with AUC-ROC of 84.2%, followed by RF and C5.0 algorithms with AUC-ROC values of 79.7 and 77.3%, respectively. The results indicated that AUC-ROC values for the employed models are more than 70% which shows their acceptable performance. As a conclusion, the produced methodology could be used in other geographical areas. GPMs could be used by water resource managers and related organizations to accelerate and facilitate water resource exploitation.
    MeSH terms: Algorithms; Desert Climate; Environmental Monitoring/methods*; Iran; Models, Theoretical*; Regression Analysis; ROC Curve; Multivariate Analysis; Geographic Information Systems; Rivers/chemistry*; Groundwater/analysis*
  9. Sharma G, Hanipah ZN, Aminian A, Punchai S, Bucak E, Schauer PR, et al.
    Obes Surg, 2018 08;28(8):2225-2232.
    PMID: 29455405 DOI: 10.1007/s11695-018-3120-4
    BACKGROUND: Perioperative management of chronically anti-coagulated patients undergoing bariatric surgery requires a balance of managing hemorrhagic and thromboembolic risks. The aim of this study is to evaluate the incidence of hemorrhagic complications and their management in chronically anticoagulated (CAT) patients undergoing bariatric surgery.

    METHODS: A retrospective review of CAT patients undergoing bariatric surgery at an academic center from 2008 to 2015 was studied.

    RESULTS: A total of 153 patients on CAT underwent surgery [Roux-en-Y gastric bypass (n = 79), sleeve gastrectomy (n = 63), and adjustable gastric banding (n = 11)] during the study period: 85 patients (55%) were females; median age was 56 years (interquartile range [IQR] 49-64), and median BMI was 49 kg/m2 (IQR 43-56). The most common indications for CAT were venous thromboembolism (n = 87) and atrial fibrillation (n = 83). Median duration of procedure and estimated intraoperative blood loss was 150 min (IQR 118-177) and 50 ml (IQR 25-75), respectively. Thirty-day postoperative complications were reported in 33 patients (21.6%) including postoperative bleeding (n = 19), anastomotic leak (n = 3), and pulmonary embolism (n = 1). Nineteen patients (12%) with early postoperative bleeding were further categorized to intra-abdominal (n = 10), intraluminal (n = 6), and at the port site or abdominal wall (n = 3). All-cause readmissions within 30 days of surgery occurred in 19 patients (12%). There was no 30-day mortality.

    CONCLUSION: In our experience, patients who require chronic anticoagulation medication are higher than average risk for postoperative complications and all-cause readmission rates. Careful surgical technique and close attention to postoperative anticoagulation protocols are essential to decrease perioperative risk in this high-risk cohort.

    MeSH terms: Adult; Female; Gastrectomy/adverse effects; Humans; Male; Middle Aged; Postoperative Complications/epidemiology; Pulmonary Embolism/etiology; Retrospective Studies; Gastric Bypass/methods; Incidence; Postoperative Hemorrhage/etiology; Venous Thromboembolism/etiology; Anastomotic Leak/etiology
  10. Nazli MH, Halim RA, Abdullah AM, Hussin G, Samsudin AA
    Trop Anim Health Prod, 2018 Jun;50(5):1119-1124.
    PMID: 29455428 DOI: 10.1007/s11250-018-1538-2
    The potential of using whole corn crop silage and rice straw as an alternative feed for the beef cattle based on the intake and growth performance were evaluated. Using randomised completely block design, nine adult Mafriwal cattle were blocked intro three groups and treated with three different forage diets supplemented with 20% pelleted palm kernel cake on dry matter basis. The treatments were 100% rice straw (RS), 100% corn silage (CS) and an equal mixture of rice straw and corn silage (MIX) fed ad libitum. The animals were housed in individual pens, and the feeding trial was conducted for 12 weeks with 2 weeks of adaptation period. The results showed that CS had the best feed nutritive composition with the lowest concentration of highly indigestible fibre and the highest concentration of organic matter and energy. The CS also had the highest intake, and the corn silage inclusion in MIX managed to improve the intake on par with CS in terms of the dry matter intake of body weight (DMI of BW), voluntary intake (VI) and crude protein (CP) intake. Cattle fed with CS gave the highest and most stable BW gain with an average daily gain (ADG) of 808 g/day rivalling cross-bred cattle fed with high amount of concentrates. The all straw diet (RS) supplemented with PKC recorded a positive ADG of 133 g/day while the MIX gave 383 g/day matching total Napier grass diet.
    MeSH terms: Red Meat; Animals; Animal Feed; Cattle/growth & development*; Cattle/metabolism; Zea mays/metabolism; Zea mays/chemistry*; Diet/veterinary*; Dietary Fiber/analysis; Digestion; Malaysia; Random Allocation; Oryza/metabolism; Oryza/chemistry*; Silage/analysis*; Dietary Supplements
  11. Abdulhay E, Mohammed MA, Ibrahim DA, Arunkumar N, Venkatraman V
    J Med Syst, 2018 Feb 17;42(4):58.
    PMID: 29455440 DOI: 10.1007/s10916-018-0912-y
    Blood leucocytes segmentation in medical images is viewed as difficult process due to the variability of blood cells concerning their shape and size and the difficulty towards determining location of Blood Leucocytes. Physical analysis of blood tests to recognize leukocytes is tedious, time-consuming and liable to error because of the various morphological components of the cells. Segmentation of medical imagery has been considered as a difficult task because of complexity of images, and also due to the non-availability of leucocytes models which entirely captures the probable shapes in each structures and also incorporate cell overlapping, the expansive variety of the blood cells concerning their shape and size, various elements influencing the outer appearance of the blood leucocytes, and low Static Microscope Image disparity from extra issues outcoming about because of noise. We suggest a strategy towards segmentation of blood leucocytes using static microscope images which is a resultant of three prevailing systems of computer vision fiction: enhancing the image, Support vector machine for segmenting the image, and filtering out non ROI (region of interest) on the basis of Local binary patterns and texture features. Every one of these strategies are modified for blood leucocytes division issue, in this manner the subsequent techniques are very vigorous when compared with its individual segments. Eventually, we assess framework based by compare the outcome and manual division. The findings outcome from this study have shown a new approach that automatically segments the blood leucocytes and identify it from a static microscope images. Initially, the method uses a trainable segmentation procedure and trained support vector machine classifier to accurately identify the position of the ROI. After that, filtering out non ROI have proposed based on histogram analysis to avoid the non ROI and chose the right object. Finally, identify the blood leucocytes type using the texture feature. The performance of the foreseen approach has been tried in appearing differently in relation to the system against manual examination by a gynaecologist utilizing diverse scales. A total of 100 microscope images were used for the comparison, and the results showed that the proposed solution is a viable alternative to the manual segmentation method for accurately determining the ROI. We have evaluated the blood leucocytes identification using the ROI texture (LBP Feature). The identification accuracy in the technique used is about 95.3%., with 100 sensitivity and 91.66% specificity.
    MeSH terms: Artificial Intelligence; Humans; Image Interpretation, Computer-Assisted/methods*; Image Processing, Computer-Assisted/methods*; Leukocytes/cytology*; Microscopy; Pattern Recognition, Automated/methods*; Reproducibility of Results; Support Vector Machine*
  12. Shabbir M, Zon AMY, Thuppil V
    Evol Psychol, 2018;16(1):1474704918754782.
    PMID: 29455569 DOI: 10.1177/1474704918754782
    Animals attend to what is relevant in order to behave in an effective manner and succeed in their environments. In several nonhuman species, there is an evolved bias for attending to patterns indicative of threats in the natural environment such as dangerous animals. Because skins of many dangerous animals are typically repetitive, we propose that repetition is the key feature enabling recognition of evolutionarily important threats. The current study consists of two experiments where we measured participants' reactions to pictures of male and female models wearing clothing of various repeating (leopard skin, snakeskin, and floral print) and nonrepeating (camouflage, shiny, and plain) patterns. In Experiment 1, when models wearing patterns were presented side by side with total fixation duration as the measure, the repeating floral pattern was the most provocative, with total fixation duration significantly longer than all other patterns. Leopard and snakeskin patterns had total fixation durations that were significantly longer than the plain pattern. In Experiment 2, we employed a visual-search task where participants were required to find models wearing the various patterns in a setting of a crowded airport terminal. Participants detected leopard skin pattern and repetitive floral pattern significantly faster than two of the nonpatterned clothing styles. Our experimental findings support the hypothesis that repetition of specific visual features might facilitate target detection, especially those characterizing evolutionary important threats. Our findings that intricate, but nonthreatening repeating patterns can have similar attention-grabbing properties to animal skin patterns have important implications for the fashion industry and wildlife trade.
    MeSH terms: Adolescent; Adult; Attention/physiology; Female; Humans; Male; Pattern Recognition, Visual/physiology*; Photic Stimulation; Reaction Time/physiology*; Young Adult; Attentional Bias/physiology*
  13. Voigt M, Wich SA, Ancrenaz M, Meijaard E, Abram N, Banes GL, et al.
    Curr Biol, 2018 03 05;28(5):761-769.e5.
    PMID: 29456144 DOI: 10.1016/j.cub.2018.01.053
    Unsustainable exploitation of natural resources is increasingly affecting the highly biodiverse tropics [1, 2]. Although rapid developments in remote sensing technology have permitted more precise estimates of land-cover change over large spatial scales [3-5], our knowledge about the effects of these changes on wildlife is much more sparse [6, 7]. Here we use field survey data, predictive density distribution modeling, and remote sensing to investigate the impact of resource use and land-use changes on the density distribution of Bornean orangutans (Pongo pygmaeus). Our models indicate that between 1999 and 2015, half of the orangutan population was affected by logging, deforestation, or industrialized plantations. Although land clearance caused the most dramatic rates of decline, it accounted for only a small proportion of the total loss. A much larger number of orangutans were lost in selectively logged and primary forests, where rates of decline were less precipitous, but where far more orangutans are found. This suggests that further drivers, independent of land-use change, contribute to orangutan loss. This finding is consistent with studies reporting hunting as a major cause in orangutan decline [8-10]. Our predictions of orangutan abundance loss across Borneo suggest that the population decreased by more than 100,000 individuals, corroborating recent estimates of decline [11]. Practical solutions to prevent future orangutan decline can only be realized by addressing its complex causes in a holistic manner across political and societal sectors, such as in land-use planning, resource exploitation, infrastructure development, and education, and by increasing long-term sustainability [12]. VIDEO ABSTRACT.
    MeSH terms: Natural Resources/supply & distribution; Animals; Borneo; Conservation of Natural Resources*; Indonesia; Malaysia; Pongo pygmaeus/physiology*; Population Dynamics; Endangered Species/trends*
  14. Zamiah SAKS, Draman CR, Seman MR, Safhan AF, Rozalina R, Nik Ruzni NI
    Saudi J Kidney Dis Transpl, 2018 2 20;29(1):114-119.
    PMID: 29456216 DOI: 10.4103/1319-2442.225185
    Cardiovascular (CV) event is the most common cause of death in dialysis patients. Both traditional and nontraditional CV risk factors related to malnutrition, inflammation, and anemia are commonly found in this population. This study was conducted to evaluate the burden factors of CV risk factors and its management in our regularly dialyzed patients. It was a single-center, cross-sectional analysis of prevalent intermittent hemodialysis (IHD) and continuous ambulatory peritoneal dialysis (CAPD) patients followed up in our hospital. Both the traditional and non-traditional CV risk factors were recorded and compared between the two groups. Eighty-eight patients were recruited. Forty-five were treated with CAPD and 43 patients were treated with IHD. The mean age was 49.5 ± 15.17 years old and 54.5% were females. Eighty percent were Malay followed by Chinese (14.7%) and Indian (5.7%). Thirty-eight percent were hypertensive and 17% were diabetic. The mean age of CAPD patients was 48.9 ± 16.9 compared to 50 ± 13.5 years old for IHD patients (P > 0.05). The body mass index (BMI) of CAPD patients was 23.9 kg/m2 versus 21.7 kg/m2 of the IHD (P = 0.04). The systolic and diastolic blood pressure of CAPD patients were 158 and 89 mm Hg in comparison to 141 and 72 mm Hg in IHD patients (P <0.001) and their total and low-density lipoprotein cholesterol level were 5.93 mmol/L and 3.84 mmol/L versus 4.79 mmol/L and 2.52 mmol/L, respectively (P≤0.001). The CAPD patients were hyperglycemic more than IHD patients, although it was not statistically significant. All the nontraditional CV risk factors except serum albumin were comparable between the two groups. Serum albumin in CAPD patients was 35.5 g/L compared to 40.8 g/L in the IHD patients (P <0.001). In our prevalent dialysis-dependent patients, both traditional and non-traditional CV risk factors are common. Due to the prolonged and continuous glucose exposure from the peritoneal dialysis fluid, the CAPD patients had highly atherogenic serum, higher BMI, and intensified inflammation which pre-disposed them to higher CV events.
    MeSH terms: Adult; Aged; Cardiovascular Diseases/diagnosis; Cardiovascular Diseases/epidemiology*; Cross-Sectional Studies; Female; Renal Dialysis/adverse effects*; Humans; Kidney Failure, Chronic/diagnosis; Kidney Failure, Chronic/epidemiology; Kidney Failure, Chronic/therapy*; Malaysia/epidemiology; Male; Middle Aged; Peritoneal Dialysis, Continuous Ambulatory/adverse effects*; Risk Factors; Time Factors; Comorbidity; Prevalence; Treatment Outcome; Risk Assessment
  15. Fuah KW, Lim CTS, Pang DCL, Wong JS
    Saudi J Kidney Dis Transpl, 2018 2 20;29(1):207-209.
    PMID: 29456232 DOI: 10.4103/1319-2442.225177
    Tranexamic acid (TXA) is an antifibrinolytic agent commonly used to achieve hemostasis. However, there have been a few case reports suggesting that high-dose intravenous TXA has epileptogenic property. In patients with renal impairment, even administering the usual recommended dose of TXA can induce seizure episodes. We present here a patient on hemodialysis who developed seizures after receiving two doses of TXA over 5 h period.
    MeSH terms: Aged; Anticonvulsants/therapeutic use; Antifibrinolytic Agents/administration & dosage; Antifibrinolytic Agents/adverse effects*; Catheterization, Central Venous/adverse effects*; Renal Dialysis*; Hemorrhage/drug therapy*; Hemorrhage/etiology; Humans; Male; Seizures/chemically induced*; Seizures/diagnosis; Seizures/drug therapy; Tranexamic Acid/administration & dosage; Tranexamic Acid/adverse effects*; Treatment Outcome; Renal Insufficiency, Chronic/diagnosis; Renal Insufficiency, Chronic/therapy*; Administration, Intravenous
  16. Zakaria A, Jais MR, Ishak R
    J Nat Sci Biol Med, 2018;9(1):23-26.
    PMID: 29456388 DOI: 10.4103/jnsbm.JNSBM_131_17
    BACKGROUND: This study investigates the analgesic properties of the aqueous extracts of Nigella sativa and Eucheuma cottonii in mice. The analgesic properties of both extracts were evaluated in an experimental model of acetic acid-induced writhing test.

    MATERIALS AND METHODS: The mice were divided into four different groups and received the test extracts and the standard drug (aspirin) for 14 days via force-feeding. On day 15, the mice were injected with 5% acetic acid, and the number of abdominal constriction and elongation of hind limb (writhes) were counted for 20 min.

    RESULTS: The numbers of writhes were counted starting after 5 min of the acetic acid injection. The N. sativa extracts significantly reduced the number of writhes as compared to the control group. Both of the extracts revealed a comparable result as referred to the aspirin effects in the mice.

    CONCLUSIONS: These findings indicate that N. sativa and E. cottonii may possess protective active constituent that is effective in reducing the sensation of pain in mice.

  17. Rahim SA, Goh BS, Zainor S, Rahman RA, Abdullah A
    PMID: 29456939 DOI: 10.1007/s12070-017-1193-3
    The cross sectional study was conducted in Universiti Kebangsaan Malaysia Medical Center (UKMMC), Malaysia from August 2012 to December 2013. All patients implanted with in UKMMC from December 2001 until December 2012 was included. Glasgow Benefit Inventory (GBI) questionnaires and UKMMC questionnaires were used as part of the assessment tool. The GBI is a scoring which measures the change in health status produced by surgical interventions. UKMMC questionnaires was invented by our department to assess questions related to social and life style of patients and also the cosmetic perspective Baha implant and other daily related activities. The audiological assessment was assessed using hearing aid gain threshold. Complication with regards to skin reaction was graded using Holger Skin Classification. A total of 40 patients underwent Baha implant were recruited but only 35 patients fulfilled the criteria and included in this study for analysis. Age of patients ranged from 5 year old to 38 year old, with median of 13 years old. There were 22 patients (62.8%) were male and 13 patients (37.1%) were females. Almost all cases were canal atresia except one adult patient was a case of bilateral chronic discharging ear with chronic irritation with ear mould. Majority of patients 21 (60%) have hearing level of moderate to severe hearing loss (40-89 dB) and 14 patients (40%) have mild to moderate hearing loss (20-39 dB). The level of hearing was retested post operatively. All of the patients have improvement in their aided hearing with the range of 10-25 dBL which is statistically significant at p value of <0.05. The GBI was scored positively in all subscales. Majority of patients (91.4%) used BAHA more than 4 h per day and 88.6% agreed that BAHA is cosmetically acceptable. All patients experienced some form of skin irritation (Holger grade 1-2) however only 20% required surgical intervention. All our patients have range of 10-25 dB improvement of their aided hearing which is statistically significant at p value of <0.05. BAHA has been proven to show significant benefit in audiological improvement and quality of life.
    MeSH terms: Adolescent; Adult; Audiometry; Child, Preschool; Cross-Sectional Studies; Female; Health Status; Hearing; Hearing Aids; Humans; Life Style; Malaysia; Male; Quality of Life; Surveys and Questionnaires; Hearing Loss
  18. Akbar N, Siddiqui R, Iqbal M, Sagathevan K, Khan NA
    Lett Appl Microbiol, 2018 May;66(5):416-426.
    PMID: 29457249 DOI: 10.1111/lam.12867
    Here, we hypothesized that the microbial gut flora of animals/pests living in polluted environments, produce substances to thwart bacterial infections. The overall aim of this study was to source microbes inhabiting unusual environmental niches for potential antimicrobial activity. Two cockroach species, Gromphadorhina portentosa (Madagascar) and Blaptica dubia (Dubia) were selected. The gut bacteria from these species were isolated and grown in RPMI 1640 and conditioned media were prepared. Conditioned media were tested against a panel of Gram-positive (Methicillin-resistant Staphylococcus aureus, Streptococcus pyogenes, Bacillus cereus) and Gram-negative (Escherichia coli K1, Salmonella enterica, Serratia marcescens, Pseudomonas aeruginosa, Klebsiella pneumoniae) bacteria, as well as the protist pathogen, Acanthamoeba castellanii. The results revealed that the gut bacteria of cockroaches produce active molecule(s) with potent antibacterial properties, as well as exhibit antiamoebic effects. However, heat-inactivation at 95°C for 10 min had no effect on conditioned media-mediated antibacterial and antiamoebic properties. These results suggest that bacteria from novel sources i.e. from the cockroach's gut produce molecules with bactericidal as well as amoebicidal properties that can ultimately lead to the development of therapeutic drugs.

    SIGNIFICANCE AND IMPACT OF THE STUDY: The bacteria isolated from unusual dwellings such as the cockroaches' gut are a useful source of antibacterial and antiamoebal molecules. These are remarkable findings that will open several avenues in our search for novel antimicrobials from unique sources. Furthermore studies will lead to the identification of molecules to develop future antibacterials from insects.

    MeSH terms: Gastrointestinal Microbiome/physiology*; Animals; Antibiosis/physiology*; Anti-Bacterial Agents/metabolism; Anti-Bacterial Agents/pharmacology*; Cockroaches/microbiology*; Gram-Negative Bacteria/drug effects*; Gram-Positive Bacteria/drug effects*; Microbial Sensitivity Tests; Culture Media, Conditioned/pharmacology*
  19. NikNadia N, Tan CW, Ong KC, Sam IC, Chan YF
    J Med Virol, 2018 06;90(6):1164-1167.
    PMID: 29457642 DOI: 10.1002/jmv.25061
    Enterovirus A71 (EV-A71) neutralization escape mutants were generated with monoclonal antibody MAB979 (Millipore). The VP2-T141I and VP1-D14N substitutions were identified. Using reverse genetics, infectious clones with these substitutions were constructed and tested by neutralization assay with immune sera from mice and humans. The N-terminus VP1-14 is more important than EF loop VP2-141 in acute human infection, mainly because it recognised IgM present in acute infection. The N-terminus VP1 could be a useful target for diagnostics and therapeutic antibodies in acute infection.
    MeSH terms: Adult; Animals; Antibodies, Viral/immunology*; Epitopes/genetics; Epitopes/immunology*; Humans; Immunodominant Epitopes/immunology; Epitope Mapping; Mutation, Missense; Enterovirus A, Human/immunology*; Capsid Proteins/genetics; Capsid Proteins/immunology*; Mice; Antibodies, Neutralizing/immunology*
  20. Chen WT, Wang CW, Lu CW, Chen CB, Lee HE, Hung SI, et al.
    J Invest Dermatol, 2018 07;138(7):1546-1554.
    PMID: 29458119 DOI: 10.1016/j.jid.2018.02.004
    Dapsone-induced hypersensitivity reactions may cause severe cutaneous adverse reactions, such as drug reaction with eosinophilia and systemic symptoms (DRESS). It has been reported that HLA-B*13:01 is strongly associated with dapsone-induced hypersensitivity reactions among leprosy patients. However, the phenotype specificity and detailed immune mechanism of HLA-B*13:01 remain unclear. We investigated the genetic predisposition, HLA-B*13:01 function, and cytotoxic T cells involved in the pathogenesis of dapsone-induced severe cutaneous adverse reactions. We enrolled patients from Taiwan and Malaysia with DRESS and maculopapular eruption with chronic inflammatory dermatoses. Our results showed that the HLA-B*13:01 allele was present in 85.7% (6/7) of patients with dapsone DRESS (odds ratio = 49.64, 95% confidence interval = 5.89-418.13; corrected P = 2.92 × 10-4) but in only 10.8% (73/677) of general population control individuals in Taiwan. The level of granulysin, the severe cutaneous adverse reaction-specific cytotoxic protein released from cytotoxic T cells, was increased in both the plasma of DRESS patients (36.14 ± 9.02 ng/ml, P < 0.05) and in vitro lymphocyte activation test (71.4%, 5/7 patients) compared with healthy control individuals. Furthermore, dapsone-specific cytotoxic T cells were significantly activated when co-cultured with HLA-B*13:01-expressing antigen presenting cells in the presence of dapsone (3.9-fold increase, compared with cells with no HLA-B*13:01 expression; P < 0.01). This study indicates that HLA-B*13:01 is strongly associated with dapsone DRESS and describes a functional role for the HLA-restricted immune mechanism induced by dapsone.
    MeSH terms: Adult; Aged, 80 and over; Alleles; Antigens, Differentiation, T-Lymphocyte/blood; Dapsone/adverse effects*; Female; Humans; Leprostatic Agents/adverse effects*; Leprosy/drug therapy*; Malaysia; Male; Skin/immunology; Skin/pathology; T-Lymphocytes, Cytotoxic/drug effects; T-Lymphocytes, Cytotoxic/immunology; Taiwan; Coculture Techniques; Genetic Predisposition to Disease; Young Adult; HLA-B13 Antigen/genetics*; HLA-B13 Antigen/immunology; Drug Hypersensitivity Syndrome/blood; Drug Hypersensitivity Syndrome/etiology; Drug Hypersensitivity Syndrome/genetics*; Drug Hypersensitivity Syndrome/immunology
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