Browse publications by year: 2019

  1. Aditi, Shariff M
    Epidemiol Infect, 2019 01;147:e95.
    PMID: 30869046 DOI: 10.1017/S0950268819000086
    Nipah virus (NiV) is an emerging bat-borne pathogen. It was first identified 20 years ago in Malaysia and has since caused outbreaks in other parts of South and Southeast Asia. It causes severe neurological and respiratory disease which is highly lethal. It is highly infectious and spreads in the community through infected animals or other infected people. Different strains of the virus show differing clinical and epidemiological features. Rapid diagnosis and implementation of infection control measures are essential to contain outbreaks. A number of serological and molecular diagnostic techniques have been developed for diagnosis and surveillance. Difficulties in diagnosis and management arise when a new area is affected. The high mortality associated with infection and the possibility of spread to new areas has underscored the need for effective management and control. However, no effective treatment or prophylaxis is readily available, though several approaches show promise. Given the common chains of transmission from bats to humans, a One Health approach is necessary for the prevention and control of NiV infection.
    MeSH terms: Nipah Virus/physiology*
  2. Inoue Y, Kaneko S, Hsieh PF, Meshram C, Lee SA, Aziz ZA, et al.
    Epilepsia, 2019 03;60 Suppl 1:60-67.
    PMID: 30869167 DOI: 10.1111/epi.14645
    This post hoc analysis assessed the long-term safety, tolerability, and efficacy of perampanel in Asian patients with refractory focal seizures; an additional analysis assessed the effect of perampanel on focal impaired awareness seizures (FIAS) with focal to bilateral tonic-clonic (FBTC) seizures. In this subanalysis, data from Asian patients ≥12 years of age who had focal seizures with FBTC seizures despite taking one to 3 concomitant antiepileptic drugs at baseline, and who had entered either the long-term extension phase of 3 phase-3 perampanel trials (study 307) or the 10-week extension phase of study 335, were analyzed for the effect of perampanel on duration of exposure, safety, and seizure outcomes. Of 874 Asian patients included in the analysis, 205 had previously received placebo during the double-blind phase-3 trials and 669 had previously received perampanel 2-12 mg/day; 313 had FIAS with FBTC seizures at core study baseline. The median duration of exposure to perampanel was 385.0 days, and the retention rate at one year was 62.6%. Overall, during the first 52 weeks of perampanel treatment, 777 patients (88.9%) had treatment-emergent adverse events (TEAEs), most of which were mild to moderate in severity. The most frequent TEAEs were dizziness (47.1%), somnolence (22.3%), and nasopharyngitis (17.4%). During the first 52 weeks of perampanel treatment, median percent change in seizure frequency per 28 days from pre-perampanel baseline for all focal seizures was -28.1%, and -51.7% for FIAS with FBTC seizures. The 50% responder rate relative to pre-perampanel baseline for all focal seizures was 33.8%, and 51.1% for FIAS with FBTC seizures. Long-term treatment with perampanel in Asian patients had safety, tolerability, and efficacy similar to that of the global population in the phase-3 trials and extension study 307. The safety profile and response rate suggest benefit for an Asian population of patients with refractory epilepsy.
    MeSH terms: Drug Resistant Epilepsy/drug therapy; Adolescent; Adult; Aged; Aged, 80 and over; Anticonvulsants/adverse effects*; Anticonvulsants/therapeutic use*; Child; Double-Blind Method; Epilepsy, Tonic-Clonic/drug therapy*; Female; Humans; Long-Term Care; Male; Middle Aged; Pyridones/adverse effects*; Pyridones/therapeutic use*; Seizures/drug therapy; Treatment Outcome; Asian Continental Ancestry Group; Young Adult; Patient Safety
  3. Khoo EJ, Chua SH, Kutzsche S
    Arch Argent Pediatr, 2019 04 01;117(2):e181-e187.
    PMID: 30869503 DOI: 10.5546/aap.2019.eng.e181
    The Neonatal Resuscitation Programme is a good example of an effective educational intervention that has improved perinatal mortality rates in many countries. This paper shares our experience of planning an undergraduate Neonatal Resuscitation Programme using basic principles of education theory of spiral curriculum, Bloom's taxonomy in planning learning outcomes, Kolb's learning model and Miller's model of clinical assessment. Engaging clinicians in pedagogical theories may not be well aligned with how clinicians traditionally thought they learnt best, yet it is key to improving learning concept and educational intervention outcomes in the healthcare professions. This article aims to illustrate the application of such educational theories into one example of practice. We structured this paper in the scope of content, delivery and assessment when planning a psychomotor learning activity.
    MeSH terms: Curriculum; Learning; Problem-Based Learning; Perinatal Mortality; Perinatal Death
  4. Nodeh HR, Kamboh MA, Wan Ibrahim WA, Jume BH, Sereshti H, Sanagi MM
    Environ Sci Process Impacts, 2019 Apr 17;21(4):714-726.
    PMID: 30869668 DOI: 10.1039/c8em00530c
    A novel nanocomposite of MGO-NGC, composed of magnetic Fe3O4 nanoparticles (M), graphene oxide (GO), and N-methyl-d-glucamine functionalized calix[4]arene (NGC), was synthesized and applied as an effective adsorbent for the removal of two selected pesticides, namely hexaconazole and chlorpyrifos from water samples. The adsorbent was characterized by FTIR, SEM, EDX, TEM, and XRD. The main parameters affecting the adsorption process such as adsorbent dosage, pH of sample solution, salt effect, pesticide concentration, and adsorption time were investigated. The data from kinetic studies fitted well to the pseudo-second order kinetic model with R2 > 0.99. Among the isotherm models of Langmuir, Freundlich, Temkin, and Dubinin-Radushkevich, the Langmuir isotherm fitted well to the adsorption process and demonstrated the monolayer adsorption pattern of the pesticides. Moreover, high adsorption capacities of 78.74 and 93.46 mg g-1 were obtained for chlorpyrifos and hexaconazole, respectively. Thermodynamic and free energy data indicated the physisorption mechanism for the adsorption process. The new adsorbent can be employed as an efficient, environment friendly, and highly reusable alternative for the removal of chlorinated pesticides from aqueous media.
    MeSH terms: Adsorption; Chlorpyrifos; Graphite; Kinetics; Magnetics; Oxides; Pesticides; Thermodynamics; Triazoles; Spectroscopy, Fourier Transform Infrared; Nanoparticles; Nanocomposites
  5. Sim DS, Navanesan S, Sim KS, Gurusamy S, Lim SH, Low YY, et al.
    J Nat Prod, 2019 04 26;82(4):850-858.
    PMID: 30869890 DOI: 10.1021/acs.jnatprod.8b00919
    Examination of the EtOH extract of the leaves of the Malayan Tabernaemontana corymbosa resulted in the isolation of four new (1-4) and two known bisindole alkaloids (5, 6) of the Aspidosperma- Aspidosperma type. The structures of these alkaloids were determined based on analysis of the spectroscopic data (NMR and HRESIMS). X-ray diffraction analyses of the related bisindole alkaloids conophylline (5) and conophyllinine (6) established the absolute configurations. Treatment of the bisindole alkaloid conophylline (5) with benzeneselenic anhydride gave, in addition to the known bisindole polyervinine (7) previously isolated from another Malayan Tabernaemontana, another bisindole product, 8, an isolable tautomer of 7. X-ray diffraction analyses yielded the absolute configurations of both bisindoles and in addition showed that polyervinine (7) exists primarily as the neutral dione structure. The bisindoles (1-8) and the related conophylline-type bisindoles (9-13) showed pronounced in vitro growth inhibitory activity against an array of human cancer cell lines, including KB, vincristine-resistant KB, PC-3, LNCaP, MCF7, MDA-MB-231, A549, HT-29, and HCT 116 cells, with IC50 values for the active compounds in the 0.01-5 μM range.
    MeSH terms: Drug Screening Assays, Antitumor; Humans; Spectrum Analysis/methods; Molecular Structure; Indole Alkaloids/pharmacology*; Indole Alkaloids/chemistry; Aspidosperma/chemistry*; Tabernaemontana/chemistry*; Cell Line, Tumor; Cell Proliferation/drug effects*
  6. Chin YSJ, De Pretto L, Thuppil V, Ashfold MJ
    PLoS One, 2019;14(3):e0212206.
    PMID: 30870439 DOI: 10.1371/journal.pone.0212206
    As in many nations, air pollution linked to rapid industrialization is a public health and environmental concern in Malaysia, especially in cities. Understanding awareness of air pollution and support for environmental protection from the general public is essential for informing governmental approaches to dealing with this problem. This study presents a cross-sectional survey conducted in the Klang Valley and Iskandar conurbations to examine urban Malaysians' perception, awareness and opinions of air pollution. The survey was conducted in two languages, English and Malay, and administered through the online survey research software, Qualtrics. The survey consisted of three sections, where we collected sociodemographic information, information on the public perception of air quality and the causes of air pollution, information on public awareness of air pollution and its related impacts, and information on attitudes towards environmental protection. Of 214 respondents, over 60% were positive towards the air quality at both study sites despite the presence of harmful levels of air pollution. The air in the Klang Valley was perceived to be slightly more polluted and causing greater health issues. Overall, the majority of respondents were aware that motor vehicles represent the primary pollution source, yet private transport was still the preferred choice of transportation mode. A generally positive approach towards environmental protection emerged from the data. However, participants showed stronger agreement with protection actions that do not involve individual effort. Nonetheless, we found that certain segments of the sample (people owning more than three vehicles per household and those with relatives who suffered from respiratory diseases) were significantly more willing to personally pay for environmental protection compared to others. Implications point to the need for actions for spreading awareness of air pollution to the overall population, especially with regards to its health risks, as well as strategies for increasing the perception of behavioural control, especially with regards to motor vehicles' usage.
    MeSH terms: Adolescent; Adult; Aged; Air Pollutants/analysis; Air Pollution/analysis; Air Pollution/prevention & control*; Attitude*; Awareness; Cities; Conservation of Natural Resources/methods; Cross-Sectional Studies; Environmental Exposure/statistics & numerical data; Female; Humans; Malaysia; Male; Middle Aged; Public Health; Public Opinion*; Surveys and Questionnaires; Particulate Matter/analysis; Young Adult; Environmental Policy
  7. Mazlan N, Abd-Rahman MR, Tingga RCT, Abdullah MT, Khan FAA
    Folia Primatol., 2019;90(3):139-152.
    PMID: 30870855 DOI: 10.1159/000496022
    The proboscis monkey, Nasalis larvatus, is an endemic species to the island of Borneo. It is listed in the IUCN Red List as Endangered with a decreasing population trend. Nevertheless, biological information, especially on the genetic diversity of the species, is still incomplete. Its fragmented distribution poses difficulties in gathering genetic samples along with its widespread distribution across Borneo. This study aims to determine the genetic variation and structure of N. larvatus with an emphasis on Malaysian Borneo populations to elucidate its gene flow. The genetic variation and structure of N. larvatus were examined using 50 sequences of the 1,434-bp cytochrome oxidase subunit I (COI) gene region of mitochondrial DNA. The COI sequences revealed low genetic variation among N. larvatus populations in Malaysian Borneo. This low genetic variability could be the result of inbreeding pressure that may have occurred due to the absence of population expansion in this species over the last 30,000 years. This is supported in our analysis of molecular variance, which showed that groups of N. larvatus are significantly differentiated possibly due to natural geographic barriers. This study provides baseline information on the genetic diversity among proboscis monkey populations in Borneo for the future genetic assessment of the species.
    MeSH terms: Animals; Borneo; Electron Transport Complex IV/analysis; DNA, Mitochondrial/analysis; Malaysia; Genetic Variation*; Colobinae/genetics*; Sequence Analysis, DNA; Endangered Species*
  8. Nayan N, van Erven G, Kabel MA, Sonnenberg AS, Hendriks WH, Cone JW
    J Sci Food Agric, 2019 Jun;99(8):4054-4062.
    PMID: 30737799 DOI: 10.1002/jsfa.9634
    BACKGROUND: White rot fungi have been used to improve the nutritive value of lignocellulose for ruminants. In feed analysis, the Van Soest method is widely used to determine the cell wall contents. To assess the reliability of this method (Method A) for determination of cell wall contents in fungal-treated wheat straw, we compared a combined monosaccharide analysis and pyrolysis coupled to gas chromatography with mass spectrometry (Py-GC/MS) (Method B). Ruminal digestibility, measured as in vitro gas production (IVGP), was subsequently used to examine which method explains best the effect of fungal pretreatment on the digestibility of wheat straw.

    RESULTS: Both methods differed considerably in the mass recoveries of the individual cell wall components, which changed on how we assess their degradation characteristics. For example, Method B gave a higher degradation of lignin (61.9%), as compared to Method A (33.2%). Method A, however, showed a better correlation of IVGP with the ratio of lignin to total structural carbohydrates, as compared to Method B (Pearson's r of -0.84 versus -0.69). Nevertheless, Method B provides a more accurate quantification of lignin, reflecting its actual modification and degradation. With the information on the lignin structural features, Method B presents a substantial advantage in understanding the underlying mechanisms of lignin breakdown. Both methods, however, could not accurately quantify the cellulose contents - among others, due to interference of fungal biomass.

    CONCLUSION: Method A only accounts for the recalcitrant residue and therefore is more suitable for evaluating ruminal digestibility. Method B allows a more accurate quantification of cell wall, required to understand and better explains the actual modification of the cell wall. The suitability of both methods, therefore, depends on their intended purposes. © 2019 The Authors. Journal of The Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

    MeSH terms: Animals; Animal Feed/analysis*; Animal Feed/microbiology; Basidiomycota/metabolism*; Cell Wall/metabolism; Cell Wall/microbiology; Cell Wall/chemistry*; Cellulose/analysis; Cellulose/metabolism; Digestion; Lignin/analysis; Lignin/metabolism; Gas Chromatography-Mass Spectrometry; Nutritive Value; Ruminants; Triticum/metabolism; Triticum/microbiology*; Triticum/chemistry; Plant Stems/metabolism; Plant Stems/microbiology; Plant Stems/chemistry
  9. Makmud MZH, Illias HA, Chee CY, Dabbak SZA
    Materials (Basel), 2019 Mar 11;12(5).
    PMID: 30861988 DOI: 10.3390/ma12050816
    This study provides a thorough investigation of partial discharge (PD) activities in nanofluid insulation material consisting of different types of nanoparticles, which are conductive and semiconductive when subjected to high voltage stress is presented. Nanofluids have become a topic of interest because they can be an alternative to liquid insulation in electrical apparatus due to their promising dielectric strength and cooling ability. However, during in-service operation, PDs can occur between conductors in the insulation system. Therefore, this study presents the behavior of PDs within nanofluid dielectric materials consisting of conductive and semiconductive nanoparticles. The results show that there is an improvement in the PD resistance and a reduction in the tan delta of nanofluids at power frequency after the incorporation of conductive or semiconductive nanoparticles in the nanofluid oil. However, the most suitable concentration of conductive and semiconductive nanoparticles in the base fluid was found to be, respectively, 0.01 g/L and 1.0 g/L at PD inception and PD steady-state conditions. The clustering of nanoparticles in a nanofluid suspension due to PD activities is also discussed in this study.
    MeSH terms: Electricity; Suspensions; Nanoparticles; Orientation, Spatial
  10. Joel ES, Maxwell O, Adewoyin OO, Olawole OC, Arijaje TE, Embong Z, et al.
    Sci Rep, 2019 03 12;9(1):4219.
    PMID: 30862825 DOI: 10.1038/s41598-019-40884-0
    Natural radioactivity in coastaline area soil of Ado-Odo/Ota has been carried out to ascertain the presence of radionuclides using gamma-ray spectroscopy (HPGe detector). The result showed that U-238, Th-232 and K-40 ranged from 24 ± 7-49 ± 10; 67 ± 6-120 ± 9 and 88 ± 17-139 ± 20 Bqkg-1 respectively. The radium equivalent for the samples ranged from 132.51 to 230.91 Bqkg-1 with mean value of 185.89 Bqkg-1. The mean value for the gamma dose rate for the soil samples was estimated to be 81.32 nGyh-1. The estimated values of annual effective dose equivalent ranged from 0.61 to 1.07 mSv y-1. The estimation of alpha index representative (Iα) ranged from 0.12 to 0.24 with mean value of 0.21 while the gamma representative index ranged between 0.465 and 0.810. The activity utilization index of the soil samples ranged from 1.09 to 1.89 with mean value of 1.53. The radiological implication in the study area has shown that the soil samples with gamma dose rate value of 89.99 nGyh-1, 94.39 nGyh-1, 97.40 nGyh-1 and 101.04 nGyh-1 respectively are higher than the recommended value of 80 nGyh-1 and may pose health implication for long term exposure.
    MeSH terms: Potassium Radioisotopes; Radioactivity; Radiography; Radioisotopes; Radium; Soil; Spectrum Analysis; Uranium
  11. De Silva L, Fu JY, Htar TT, Muniyandy S, Kasbollah A, Wan Kamal WHB, et al.
    Int J Nanomedicine, 2019;14:1101-1117.
    PMID: 30863048 DOI: 10.2147/IJN.S184912
    Background and purpose: Niosomes are nonionic surfactant-based vesicles that exhibit certain unique features which make them favorable nanocarriers for sustained drug delivery in cancer therapy. Biodistribution studies are critical in assessing if a nanocarrier system has preferential accumulation in a tumor by enhanced permeability and retention effect. Radiolabeling of nanocarriers with radioisotopes such as Technetium-99m (99mTc) will allow for the tracking of the nanocarrier noninvasively via nuclear imaging. The purpose of this study was to formulate, characterize, and optimize 99mTc-labeled niosomes.

    Methods: Niosomes were prepared from a mixture of sorbitan monostearate 60, cholesterol, and synthesized D-α-tocopherol polyethylene glycol 1000 succinate-diethylenetriaminepentaacetic acid (synthesis confirmed by 1H and 13C nuclear magnetic resonance spectroscopy). Niosomes were radiolabeled by surface chelation with reduced 99mTc. Parameters affecting the radiolabeling efficiency such as concentration of stannous chloride (SnCl2·H2O), pH, and incubation time were evaluated. In vitro stability of radiolabeled niosomes was studied in 0.9% saline and human serum at 37°C for up to 8 hours.

    Results: Niosomes had an average particle size of 110.2±0.7 nm, polydispersity index of 0.229±0.008, and zeta potential of -64.8±1.2 mV. Experimental data revealed that 30 µg/mL of SnCl2·H2O was the optimal concentration of reducing agent required for the radiolabeling process. The pH and incubation time required to obtain high radiolabeling efficiency was pH 5 and 15 minutes, respectively. 99mTc-labeled niosomes exhibited high radiolabeling efficiency (>90%) and showed good in vitro stability for up to 8 hours.

    Conclusion: To our knowledge, this is the first study published on the surface chelation of niosomes with 99mTc. The formulated 99mTc-labeled niosomes possessed high radiolabeling efficacy, good stability in vitro, and show good promise for potential use in nuclear imaging in the future.

  12. Rahman RA
    PhytoKeys, 2019;118:65-73.
    PMID: 30863195 DOI: 10.3897/phytokeys.118.32186
    A new species, Microchiritahairulii Rafidah (Gesneriaceae) from limestone hills in Perlis, Peninsular Malaysia, is described and illustrated. Diagnostic characters, description, detailed illustrations, geographical distribution, regional provisional conservation status assessment (Endangered) and ecological observations of the new taxon, as well as an updated key to Microchirita species in Peninsular Malaysia, are provided.
    MeSH terms: Lamiales; Calcium Carbonate; Ecology; Malaysia
  13. Sirunyan AM, Tumasyan A, Adam W, Ambrogi F, Asilar E, Bergauer T, et al.
    Eur Phys J C Part Fields, 2019;79(2):123.
    PMID: 30863200 DOI: 10.1140/epjc/s10052-019-6620-z
    Measurements of normalized differential cross sections as functions of the multiplicity and kinematic variables of charged-particle tracks from the underlying event in top quark and antiquark pair production are presented. The measurements are performed in proton-proton collisions at a center-of-mass energy of 13 Te , and are based on data collected by the CMS experiment at the LHC in 2016 corresponding to an integrated luminosity of 35.9 fb - 1 . Events containing one electron, one muon, and two jets from the hadronization and fragmentation of b quarks are used. These measurements characterize, for the first time, properties of the underlying event in top quark pair production and show no deviation from the universality hypothesis at energy scales typically above twice the top quark mass.
  14. Shariff NNM, Hamidi ZS
    Jamba, 2019;11(1):598.
    PMID: 30863510 DOI: 10.4102/jamba.v11i1.598
    Floods have caused inevitable major disasters around the world as well as in Malaysia. This paper demonstrates that lessons can be taken from the previous flood disasters when developing an effective flood preparedness plan. As a common practice, disaster management is based on a top-down approach or is government-centred. This article attempts to highlight the significance of developing a flood preparedness plan by involving the communities affected. Qualitative analysis was adopted in order to gain in-depth insight of the communities. Two flood-prone communities were chosen: (1) Machang, Kelantan; and (2) Kuala Lipis, Pahang. There were two important things executed by the community for the preparation: (1) community-based disaster risk management; and (2) intensive mutual assistance.
    MeSH terms: Disasters; Government; Malaysia; Risk Management; Floods
  15. Uebelhack R, Bongartz U, Seibt S, Bothe G, Chong PW, De Costa P, et al.
    J Obes, 2019;2019:3412952.
    PMID: 30863632 DOI: 10.1155/2019/3412952
    OBJECTIVE: This study was performed to determine the efficacy and tolerability/safety of IQP-AE-103 on body weight reduction in overweight to moderately obese adults.

    METHODS: A double-blind, randomized, placebo-controlled trial involved one hundred and eight subjects (BMI between 25 and 35 kg/m2) that were randomly assigned to either the low-dose or the high-dose IQP-AE-103 group, or the placebo group. Following a 2-week run-in period, subjects received two capsules of investigational product after three daily main meals for 12 weeks. Subjects were instructed to maintain a nutritionally balanced hypocaloric diet according to the individual's energy requirement. Body weight, body fat, and waist and hip circumference were measured at baseline, and after 2, 4, 8, and 12 weeks. Subjects also rated their feelings of hunger and fullness using visual analogue scales, and food craving on a 5-point scale at the same time intervals. Blood samplings for safety laboratory parameters were taken before and at the end of the study.

    RESULTS: After 12 weeks of intake, the high-dose IQP-AE-103 group had a significantly greater weight loss compared with the placebo (5.03 ± 2.50 kg vs. 0.98 ± 2.06 kg, respectively; p < 0.001) and the low-dose group (3.01 ± 2.19 kg; p=0.001). The high-dose group experienced a decrease in body fat of 3.15 ± 2.41 kg compared with a decrease of 0.23 ± 2.74 kg for the placebo group (p < 0.001). High-dose IQP-AE-103 also decreased the feeling of hunger in 66% subjects. A beneficial effect of IQP-AE-103 on the lipid metabolism was also demonstrated in the subgroup of subjects with baseline total cholesterol levels above 6.2 mmol/L. No side effects related to the intake of IQP-AE-103 were reported.

    CONCLUSIONS: These findings indicate that IQP-AE-103 could be an effective and safe weight loss intervention. This trial is registered with NCT03058367.

    MeSH terms: Adult; Body Weight/drug effects; Diet, Reducing; Double-Blind Method; Female; Humans; Inulin/pharmacology*; Male; Phytotherapy; Middle Aged; Obesity/drug therapy*; Obesity/physiopathology; Weight Loss/drug effects*; Weight Loss/physiology; Treatment Outcome; Anti-Obesity Agents/pharmacology*; Dietary Supplements; Abelmoschus/chemistry; Overweight/drug therapy*; Overweight/physiopathology; Young Adult
  16. Rashid MR, Nor Aripin KN, Syed Mohideen FB, Baharom N, Omar K, Md Taujuddin NMS, et al.
    J Nutr Metab, 2019;2019:3176018.
    PMID: 30863635 DOI: 10.1155/2019/3176018
    Background: Impaired fasting glucose (IFG) poses a higher risk of diabetes. Honey has been reported to improve metabolic abnormalities including lowering hyperglycemia. This study is sought at determining the effect of Malaysian Kelulut honey (KH) on fasting glucose levels and metabolic parameters in IFG patients.
    Methods: This quasi-experimental intervention study of 30-day duration was conducted among 60 adult patients with IFG. They were allocated into taking 30 g/day KH group (experimental group, n=30) and not taking KH group (control group, n=30). Body mass index (BMI), waist circumference, blood pressure (BP), fasting glucose, and lipid profile levels (total cholesterol, triglyceride, high-density lipoprotein, and low-density lipoprotein) were measured before and after treatment.
    Results: There was no significant difference in all measured variables at day 30 compared to day 1 within both groups. Similarly, all measured variables neither at day 1 nor at day 30 had shown a statistically significant difference between the groups.
    Conclusions: Daily intake of 30 g KH for 30 days resulted in insignificant effect on fasting glucose, fasting lipid profiles, and other metabolic parameters in patients with IFG. Further studies that employ longer study duration are needed to ascertain the finding.
    Study site: Universiti Sains Islam Malaysia (USIM) Specialist Centre, Negeri Sembilan, Malaysia, and Faculty of Medicine and Health Sciences, Kuala Lumpur in Malaysia.
    MeSH terms: Blood Glucose; Honey*; Humans; Malaysia; Prediabetic State*
  17. Naqvi AA, Hassali MA, Jahangir A, Nadir MN, Kachela B
    J Drug Assess, 2019;8(1):36-42.
    PMID: 30863660 DOI: 10.1080/21556660.2019.1579729
    Objective: This study aimed to translate the General Medication Adherence Scale (GMAS) into English language and validate it in patients suffering from chronic illnesses. Methods: A 1-month study (January 2018) was conducted in a random sample of patients suffering from chronic illnesses who visited the outpatient departments of four tertiary healthcare facilities in Karachi, Pakistan. Translation of the tool and its content, as well as face validity, was carried out. Factor structure was explored (i.e. exploratory and partial confirmatory factor analyses were carried out) and fit indices were calculated for model fitting. Test-re-test reliability and internal consistency were analyzed. Validity of GMAS-English was established by convergent, discriminant, and concurrent validity analysis. Sensitivity analysis was conducted. Data was analyzed through SPSS version 23. The study was ethically approved by concerned authorities (Letter# NOV:15). Results: The GMAS was translated into English language by standard procedure. Factor analysis indicated a 3-factor model. Fit indices, namely normed fit index, Tucker Lewis index, comparative fit index, and root mean square of error approximation, were calculated with satisfactory results (i.e. NFI, TLI, and CFI > 0.9 and RMSEA < 0.08). Internal consistency (α) was 0.82. A high response rate of 91.6% was reported. GMAS-English established convergent, discriminant, and concurrent validities. The tool was sensitive (>75%) in screening patients with partial-to-low adherence based on their education level. Conclusion: The tool was translated in English language and demonstrated adequate internal consistency. The results indicate that GMAS-English is a valid and reliable tool to measure medication adherence in patients with chronic illness.
  18. Jiruskova A, Motyka M, Bocek M, Bocak L
    PeerJ, 2019;7:e6511.
    PMID: 30863675 DOI: 10.7717/peerj.6511
    We investigated the spatial and temporal patterns of Cautires diversification on the Malay Peninsula and Sumatra to understand if the narrow and frequently dry Malacca Strait separates different faunas. Moreover, we analyzed the origin of Cautires in Malayan and Sumatran mountains. We sampled 18 localities and present the mtDNA-based phylogeny of 76 species represented by 388 individuals. The phylogenetic tree was dated using mtDNA evolution rates and the ancestral ranges were estimated using the maximum likelihood approach. The phylogeny identified multiple lineages on the Malay Peninsula since the Upper Eocene (35 million years ago, mya) and a delayed evolution of diversity in Sumatra since the Upper Oligocene (26 mya). A limited number of colonization events across the Malacca Strait was identified up to the Pliocene and more intensive faunal exchange since the Pleistocene. The early colonization events were commonly followed by in situ diversification. As a result, the Malacca Strait now separates two faunas with a high species-level turnover. The montane fauna diversified in a limited space and seldom took part in colonization events across the Strait. Besides isolation by open sea or a savannah corridor, mimetic patterns could decrease the colonization capacity of Cautires. The Malay fauna is phylogenetically more diverse and has a higher value if conservation priorities should be defined.
    MeSH terms: Animals; DNA, Mitochondrial; Indonesia; Malaysia; Oceans and Seas; Personnel Turnover; Phylogeny; Likelihood Functions; Mya
  19. Yeow GPV, Yeow DGE, Sankaran P, Maiyauen T, Sharif MS
    Ann Hepatobiliary Pancreat Surg, 2019 Feb;23(1):77-79.
    PMID: 30863813 DOI: 10.14701/ahbps.2019.23.1.77
    The recurrence of hepatocellular carcinoma (HCC) can mainly be divided into two phases or types: the intrahepatic recurrence (IHR) and the extrahepatic recurrence (EHR). Generally speaking, the EHR is usually referenced as being the less common of the two types or categories. In a post-hemihepatectomy patient with routine surveillance at 6 months, it was noted that the patient appeared to have an elevated alpha-fetoprotein, and also complained of vague lower abdominal pain. The accompanying computed tomography scan revealed a 6 cm-sized heterogeneous mass located at the pelvis region. Next, during a laparotomy for resection, the tumor was found to be bleeding from the omental deposition. In conclusion, a high index of suspicion and early surgical intervention can help in detecting possible bleeding extrahepatic recurrence in the background of a patient with history of HCC.
    MeSH terms: Abdomen; alpha-Fetoproteins; Carcinoma, Hepatocellular; Humans; Laparotomy; Liver Neoplasms; Neoplasm Recurrence, Local; Pelvis; Tomography, X-Ray Computed; Abdominal Pain
  20. Li BJ, Zhu ZX, Gu XH, Lin HR, Xia JH
    Mar Biotechnol (NY), 2019 Jun;21(3):384-395.
    PMID: 30863905 DOI: 10.1007/s10126-019-09888-9
    Body color is an interesting economic trait in fish. Red tilapia with red blotches may decrease its commercial values. Conventional selection of pure red color lines is a time-consuming and labor-intensive process. To accelerate selection of pure lines through marker-assisted selection, in this study, double-digest restriction site-associated DNA sequencing (ddRAD-seq) technology was applied to genotype a full-sib mapping family of Malaysia red tilapia (Oreochromis spp.) (N = 192). Genome-wide significant quantitative trait locus (QTL)-controlling red blotches were mapped onto two chromosomes (chrLG5 and chrLG15) explaining 9.7% and 8.2% of phenotypic variances by a genome-wide association study (GWAS) and linkage-based QTL mapping. Six SNPs from the chromosome chrLG5 (four), chrLG15 (one), and unplaced supercontig GL831288-1 (one) were significantly associated to the red blotch trait in GWAS analysis. We developed nine microsatellite markers and validated significant correlations between genotypes and blotch data (p 
    MeSH terms: Animals; Chromosome Mapping; Chromosomes; Color; Genotype; Genetic Linkage; Malaysia; Phenotype; Technology; Tilapia; Sequence Analysis, DNA; Microsatellite Repeats; Polymorphism, Single Nucleotide; Quantitative Trait Loci; Genome-Wide Association Study
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