Browse publications by year: 2020

Fulltext Biologics for the Management of Inflammatory Bowel Disease: A Review in Tuberculosis-Endemic Countries

Banerjee R, Ali RAR, Wei SC, Adsul S

Gut Liver, 2020 11 15;14(6):685-698.
PMID: 33191310 DOI: 10.5009/gnl19209

The advent of biologics and biologic therapy has transformed the management of inflammatory bowel disease (IBD) with enhanced early and adequate responses to treatment, fewer hospitalizations, a reduced need for surgery, and unprecedented outcomes including complete mucosal and histologic healing. However, an important issue with the use of anti-tumor necrosis factor (anti-TNF) agents in IBD is the increased risk of tuberculosis (TB). This is compounded by the diagnostic dilemma when differentiating between Crohn's disease and gastrointestinal TB, and the potentially serious consequences of initiating an incorrect treatment in the case of misdiagnosis. The interplay between IBD and TB is most relevant in Asia, where more than 60% of the 10.4 million new TB cases in 2016 were reported. A number of studies have reported an increased risk of TB with anti-TNF agents, including in patients who had tested negative for TB prior to treatment initiation. The limited evidence currently available regarding adhesion molecule antagonists such as vedolizumab suggests a comparatively lower risk of TB, thus making them a promising option for IBD management in TBendemic regions. This comprehensive review examines the available literature on the risk of TB with the use of biologics in the TB-endemic regions of Asia, focusing on the diagnostic dilemma, the risk of reactivation, and the optimized management algorithms for latent and active disease.

MeSH terms: Infliximab; Asia; Biological Products; Humans; Retrospective Studies; Tuberculosis*; Tumor Necrosis Factor-alpha; Inflammatory Bowel Diseases*
Fulltext The clinical spectrum of ocular bartonellosis: a retrospective study at a tertiary centre in Malaysia

Tey MS, Govindasamy G, Vendargon FM

J Ophthalmic Inflamm Infect, 2020 Nov 16;10(1):31.
PMID: 33191467 DOI: 10.1186/s12348-020-00224-0

BACKGROUND: Cat scratch disease (CSD) is a systemic illness caused by the gram-negative bacillus, Bartonella henselea, which can occasionally involve the ocular structures. The objective of this study is to evaluate the various clinical presentations of ocular bartonellosis at our institution. A retrospective review of the clinical records of 13 patients (23 eyes) with ocular manifestations of Bartonella infections over a 3-year period between January 2016 to December 2018 was undertaken at our institution.
RESULTS: The diagnosis was made based on clinical findings and in addition, with the support of the evidence of Bartonella hensalae IgG and/or IgM. Small retinal white lesions were the most common ocular findings in this series of patients (82.6% of eyes, 76.9% of patients). Neuroretinitis was the second most common finding (47.8% of eyes, 69.2% of patients), followed by exudative retinal detachment involving the macula (34.8% of eyes, 53.8% of patients) and Parinaud's oculoglandular syndrome (17.4% of eyes, 23.1% of patients). Other findings like isolated optic disc oedema without macular star (8.7% of eyes, 15.4% of patients) and vitritis (4.3% of eyes, 7.7% of patients) were also observed. Ten patients (76.9%) had bilateral ocular involvement. Most of the patients were young, immunocompetent and had systemic symptoms like fever prior to their ocular symptoms. The visual acuity (VA) at initial presentation ranged from 6/6 to hand movement (mean, 6/20), and at final visit 6/6 to 6/60, (mean, 6/9). 91.7% of patients were treated with antibiotics. Only 2 patients received oral corticosteroids together with antibiotics due to very poor vision on presentation. The visual prognosis of ocular bartonellosis is generally good with 16 (88.9%) of 23 eyes having VA of 6/12 or better at final follow-up visit.
CONCLUSION: Small foci of retinal white lesions were the most common manifestation of ocular bartonellosis in this series, followed by neuroretinitis, though an array of other ocular findings may also occur. Therefore, we should consider bartonella infection as a possible differential diagnosis in those patients.

MeSH terms: Adrenal Cortex Hormones; Anti-Bacterial Agents; Bartonella; Bartonella Infections; Cat-Scratch Disease; Diagnosis, Differential; Follow-Up Studies; Humans; Immunoglobulin M; Papilledema; Prognosis; Retina; Retinal Detachment; Retinitis; Retrospective Studies; Visual Acuity
Fulltext Responding to the COVID-19 Pandemic in Developing Countries: Lessons from Selected Countries of the Global South

Chowdhury AZ, Jomo KS

Development (Rome), 2020 Nov 10.
PMID: 33192031 DOI: 10.1057/s41301-020-00256-y

Reviewing selected policy responses in Asia and South America, this paper draws pragmatic lessons for developing countries to better address the COVID-19 pandemic. It argues that not acting quickly and adequately incurs much higher costs. So-called 'best practices', while useful, may be inappropriate, especially if not complemented by effective and suitable socio-economic measures. Public understanding, support and cooperation, not harsh and selective enforcement of draconian measures, are critical for successful implementation of containment strategies. This requires inclusive and transparent policy-making, and well-coordinated and accountable government actions that build and maintain trust between citizens and government. In short, addressing the pandemic crisis needs 'all of government' and 'whole of society' approaches under credible leadership.

MeSH terms: Asia; Developing Countries; Government; Humans; Leadership; Policy Making; Socioeconomic Factors; South America; Dissent and Disputes; Trust; Pandemics
Fulltext Taxonomy and phylogeny of the genus Gastrocentrum Gorham (Coleoptera, Cleridae, Tillinae), with the description of five new species

Yang G, Yang X, Shi H

Zookeys, 2020;979:99-132.
PMID: 33192133 DOI: 10.3897/zookeys.979.53765

The genus Gastrocentrum Gorham, 1876 is revised to include nine species. Five new species are described in this genus: G. magnumsp. nov. (NE India), G. regularesp. nov. (Cameron Highlands, Malaysia), G. xiaodongisp. nov. (Gyirong, Xizang, China), G. zayuensesp. nov. (Zayü, Xizang, China), and G. gaoligongensesp. nov. (Fugong, Yunnan, China). Gastrocentrum nitidum Schenkling, 1916 is transferred to the genus Tillus as a new combination. All the species in this genus are described (except G. brevicolle), and a key is provided for their identification. Illustrations of male genitalia, female reproductive organs, and other important structures are provided. An interspecific phylogeny-estimate of Gastrocentrum is presented based on morphological data, with two main clades recognized: a clade containing G. unicolor and G. laterimaculatum, and a clade containing the remaining six species (the latter a polytomy consisting of G. magnumsp. nov., G. dux, and G. regularesp. nov., and a well-supported sub-clade representing the remaining species). Additionally, the taxonomic and phylogenetic importance of female reproductive organs is discussed.

MeSH terms: Animals; China; Female; Genitalia; Genitalia, Female; Genitalia, Male; India; Malaysia; Male; Phylogeny
Fulltext Two new species of Codonoboea (Gesneriaceae) from Kenaboi State Park, Peninsular Malaysia

Syahida-Emiza S, Sam YY, Siti-Munirah MY

PhytoKeys, 2020;165:51-62.
PMID: 33192145 DOI: 10.3897/phytokeys.165.56955

Two new Codonoboea species, C. kenaboiensis Syahida-Emiza, Y.Y.Sam & Siti-Munirah and C. ruthiae Syahida-Emiza, Y.Y. Sam & Siti-Munirah were discovered from the Kenaboi State Park, Peninsular Malaysia. Descriptions, illustrations, colour plates and provisional conservation status are provided.

MeSH terms: Lamiales; Color; Excipients; Malaysia; Treponemal Infections
Fulltext Role of Traditional Chinese Medicine in the Management of Viral Pneumonia

Xi S, Li Y, Yue L, Gong Y, Qian L, Liang T, et al.

Front Pharmacol, 2020;11:582322.
PMID: 33192523 DOI: 10.3389/fphar.2020.582322

Viral pneumonia is one kind of acute respiratory tract infection caused by the virus. There have been many outbreaks of viral pneumonia with high contagiousness and mortality both in China and abroad, such as the great influenza in 1918, the severe acute respiratory syndrome (SARS) coronavirus in 2003, the Influenza A (H1N1) virus in 2009, and the Middle East Respiratory Syndrome coronavirus (MERS-CoV) in 2012 and the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 2019. These outbreaks and/or pandemic have significant impact on human life, social behaviors, and economic development. Moreover, no specific drug has been developed for these viruses. Traditional Chinese medicine (TCM) plays an important role in the treatment of viral pneumonia during these outbreaks especially in SARS and SARS-CoV-2 because studies suggest that TCM formulations may target several aspects of the disease and may have lesser side effects than manufactured pharmaceuticals. In recent years, a lot of clinicians and researchers have made a series of in-depth explorations and investigations on the treatment of viral pneumonia with TCM, which have understood TCM therapeutic mechanisms more specifically and clearly. But critical analysis of this research in addition to further studies are needed to assess the potential of TCM in the treatment of viral pneumonia.

MeSH terms: China; Disease Outbreaks; DNA Viruses; Humans; Influenza, Human; Medicine, Chinese Traditional; Pneumonia, Viral; Respiratory Tract Infections; Social Behavior; Coronavirus Infections; Severe Acute Respiratory Syndrome; Influenza A Virus, H1N1 Subtype; Economic Development; Middle East Respiratory Syndrome Coronavirus
Fulltext How Investors Attitudes Shape Stock Market Participation in the Presence of Financial Self-Efficacy

Nadeem MA, Qamar MAJ, Nazir MS, Ahmad I, Timoshin A, Shehzad K

Front Psychol, 2020;11:553351.
PMID: 33192804 DOI: 10.3389/fpsyg.2020.553351

The purpose of this study is to investigate how investor's money attitudes shape their stock market participation (SMP) decisions. This study followed the theory of planned behavior (TPB), and a survey was conducted to collect the responses from active investors. Structural equation modeling (SEM) was used for the analysis of proposed relationships among the constructs, and a confirmatory factor analysis (CFA) was conducted to check the interrelation of the variables and validity of the constructs. This research has concluded that investor's money attitudes are significant to affect their stock market participation decisions. Further, it was found that risk attitudes partially mediate the relationship between money attitudes and stock market participation. Moreover, financial knowledge and financial self-efficacy positively moderated the relationship between money attitudes and stock market participation. This research is one of the early attempts at studying the money attitudes of investors and introduces financial self-efficacy as a moderating construct between money attitudes and stock market participation. The sample size for this study was 250 respondents which can be increased in future research, and the same relationships can be tested by using a larger sample. Moreover, this study has used money attitudes as predictors of stock market participation. Still, many other variables, like personal value, can also be taken to investigate their influence on stock market participation.

MeSH terms: Attitude; Factor Analysis, Statistical; Forecasting; Investments; Surveys and Questionnaires; Sample Size; Knowledge; Self Efficacy
Fulltext Recent Understanding of Soil Acidobacteria and Their Ecological Significance: A Critical Review

Kalam S, Basu A, Ahmad I, Sayyed RZ, El-Enshasy HA, Dailin DJ, et al.

Front Microbiol, 2020;11:580024.
PMID: 33193209 DOI: 10.3389/fmicb.2020.580024

Acidobacteria represents an underrepresented soil bacterial phylum whose members are pervasive and copiously distributed across nearly all ecosystems. Acidobacterial sequences are abundant in soils and represent a significant fraction of soil microbial community. Being recalcitrant and difficult-to-cultivate under laboratory conditions, holistic, polyphasic approaches are required to study these refractive bacteria extensively. Acidobacteria possesses an inventory of genes involved in diverse metabolic pathways, as evidenced by their pan-genomic profiles. Because of their preponderance and ubiquity in the soil, speculations have been made regarding their dynamic roles in vital ecological processes viz., regulation of biogeochemical cycles, decomposition of biopolymers, exopolysaccharide secretion, and plant growth promotion. These bacteria are expected to have genes that might help in survival and competitive colonization in the rhizosphere, leading to the establishment of beneficial relationships with plants. Exploration of these genetic attributes and more in-depth insights into the belowground mechanics and dynamics would lead to a better understanding of the functions and ecological significance of this enigmatic phylum in the soil-plant environment. This review is an effort to provide a recent update into the diversity of genes in Acidobacteria useful for characterization, understanding ecological roles, and future biotechnological perspectives.

MeSH terms: Bacteria; Biopolymers; Plants; Soil; Genomics; Metabolic Networks and Pathways; Rhizosphere; Acidobacteria; Plant Development; Microbiota
Fulltext Comparing Genomic Signatures of Selection Between the Abbassa Strain and Eight Wild Populations of Nile Tilapia (Oreochromis niloticus) in Egypt

Nayfa MG, Jones DB, Benzie JAH, Jerry DR, Zenger KR

Front Genet, 2020;11:567969.
PMID: 33193660 DOI: 10.3389/fgene.2020.567969

Domestication to captive rearing conditions, along with targeted selective breeding have genetic consequences that vary from those in wild environments. Nile tilapia (Oreochromis niloticus) is one of the most translocated and farmed aquaculture species globally, farmed throughout Asia, North and South America, and its African native range. In Egypt, a breeding program established the Abbassa Strain of Nile tilapia (AS) in 2002 based on local broodstock sourced from the Nile River. The AS has been intensively selected for growth and has gone through genetic bottlenecks which have likely shifted levels and composition of genetic diversity within the strain. Consequently, there are questions on the possible genetic impact AS escapees may have on endemic populations of Nile tilapia. However, to date there have been no genetic studies comparing genetic changes in the domesticated AS to local wild populations. This study used 9,827 genome-wide SNPs to investigate population genetic structure and signatures of selection in the AS (generations 9-11) and eight wild Nile tilapia populations from Egypt. SNP analyses identified two major genetic clusters (captive and wild populations), with wild populations showing evidence of isolation-by-distance among the Nile Delta and upstream riverine populations. Between genetic clusters, approximately 6.9% of SNPs were identified as outliers with outliers identified on all 22 O. niloticus chromosomes. A lack of localized outlier clustering on the genome suggests that no genes of major effect were presently detected. The AS has retained high levels of genetic diversity (Ho_All = 0.21 ± 0.01; He_All = 0.23 ± 0.01) when compared to wild populations (Ho_All = 0.18 ± 0.01; He_All = 0.17 ± 0.01) after 11 years of domestication and selective breeding. Additionally, 565 SNPs were unique within the AS line. While these private SNPs may be due to domestication signals or founder effects, it is suspected that introgression with blue tilapia (Oreochromis aureus) has occurred. This study highlights the importance of understanding the effects of domestication in addition to wild population structure to inform future management and dissemination decisions. Furthermore, by conducting a baseline genetic study of wild populations prior to the dissemination of a domestic line, the effects of aquaculture on these populations can be monitored over time.

MeSH terms: Selective Breeding; Animals; Asia; Breeding; Chromosomes, Human, Pair 22; Egypt; Genetics, Population; Humans; Male; Cluster Analysis; Genome; Tilapia; Aquaculture; Founder Effect; Polymorphism, Single Nucleotide; Cichlids; Rivers; Domestication
Fulltext A Review of Malaysian Herbal Plants and Their Active Constituents with Potential Therapeutic Applications in Sepsis

Liew KY, Hafiz MF, Chong YJ, Harith HH, Israf DA, Tham CL

Evid Based Complement Alternat Med, 2020;2020:8257817.
PMID: 33193799 DOI: 10.1155/2020/8257817

Sepsis refers to organ failure due to uncontrolled body immune responses towards infection. The systemic inflammatory response triggered by pathogen-associated molecular patterns (PAMPs), such as lipopolysaccharide (LPS) from Gram-negative bacteria, is accompanied by the release of various proinflammatory mediators that can lead to organ damage. The progression to septic shock is even more life-threatening due to hypotension. Thus, sepsis is a leading cause of death and morbidity globally. However, current therapies are mainly symptomatic treatment and rely on the use of antibiotics. The lack of a specific treatment demands exploration of new drugs. Malaysian herbal plants have a long history of usage for medicinal purposes. A total of 64 Malaysian plants commonly used in the herbal industry have been published in Malaysian Herbal Monograph 2015 and Globinmed website (http://www.globinmed.com/). An extensive bibliographic search in databases such as PubMed, ScienceDirect, and Scopus revealed that seven of these plants have antisepsis properties, as evidenced by the therapeutic effect of their extracts or isolated compounds against sepsis-associated inflammatory responses or conditions in in vitro or/and in vivo studies. These include Andrographis paniculata, Zingiber officinale, Curcuma longa, Piper nigrum, Syzygium aromaticum, Momordica charantia, and Centella asiatica. Among these, Z. officinale is the most widely studied plant and seems to have the highest potential for future therapeutic applications in sepsis. Although both extracts as well as active constituents from these herbal plants have demonstrated potential antisepsis activity, the activity might be primarily contributed by the active constituent(s) from each of these plants, which are andrographolide (A. paniculata), 6-gingerol and zingerone (Z. officinale), curcumin (C. longa), piperine and pellitorine (P. nigrum), biflorin (S. aromaticum), and asiaticoside, asiatic acid, and madecassoside (C. asiatica). These active constituents have shown great antisepsis effects, and further investigations into their clinical therapeutic potential may be worthwhile.

MeSH terms: Pathogen-Associated Molecular Pattern Molecules; Ginger; Syzygium; Centella; Piper nigrum; Momordica charantia; Curcuma
Fulltext Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis

Huan NC, Ng KL, Nasaruddin MZ, Muhammad NA, Daut UN, Abdul Rahaman JA

Respirol Case Rep, 2020 Dec;8(9):e00684.
PMID: 33194207 DOI: 10.1002/rcr2.684

Tracheobronchial stenosis due to tuberculosis (TSTB) is a potentially debilitating complication of endobronchial tuberculosis (EBTB). Endobronchial interventions including silicone stent insertion is an acceptable approach to improve quality of life among patients with TSTB. However, little is known about the optimal management strategy for patients with bronchomalacia secondary to EBTB (B-EBTB) and whether stent-related complication rates are higher among this group of patients. Herein, we report two patients with B-EBTB who unfortunately developed bronchial tear related to silicone endobronchial stenting. Both patients were successfully managed conservatively without the need for emergency open surgery. We hypothesize that endobronchial intervention might be more beneficial for patients with pure TSTB and might be riskier in cases of bronchomalacia with reduced airway thickness and loss of airway cartilaginous support. More future studies are needed to bridge the current gap in knowledge regarding the optimal management and role of endobronchial interventions among patients with B-EBTB.
Fulltext Knowledge, Attitudes, and Perceptions Associated With Antimicrobial Stewardship Among Veterinary Students: A Multi-Country Survey From Nigeria, South Africa, and Sudan

Fasina FO, LeRoux-Pullen L, Smith P, Debusho LK, Shittu A, Jajere SM, et al.

Front Public Health, 2020;8:517964.
PMID: 33194938 DOI: 10.3389/fpubh.2020.517964

In African countries, antimicrobial resistance (AMR) issue remains pertinent. Despite this, little efforts have been made to assess the future veterinary prescribers on their knowledge, attitudes and practices (KAP) related to antimicrobial usage. This multi-country survey attempts to explore the KAP of future veterinarians on stewardship of antimicrobial and identify knowledge gaps. Eight veterinary schools participated from Nigeria, Sudan and South Africa. Data regarding perceptions and knowledge were analyzed using Chi-square χ2 test, Spearman's (Rho) Rank order correlation and factor analysis using principal component factoring extraction method. Fifty-two percent of the study participants were final year veterinary students, respectively, and majority (77.2%) had no previous knowledge of biomedical sciences. Majority age were 22-27 years (24.7 ± 2.8) 79% and multiple career fields post-graduation were preferred. Overall, poor perceptions and knowledge of antimicrobial stewardship were observed with variations among countries and only 36.3% (n = 123) of the students were confident in their ability to choose the ideal antimicrobial agents for a specific patient/group of animals. The majority of the final year students were confident of their knowledge regarding AMR (68%), making of Gram staining (69.2%) and in choosing the most ideal route for administering a specific antimicrobial (74.7%). The final year students had significantly (p < 0.05) higher confidence level for knowledge compared with the pre-final year students. Tetracyclines, penicillins, and sulphonamides represent the three most abused veterinary antimicrobials with similar ranking across countries. South African (69.7 ± 20.5) and Sudanese (68.1 ± 15.4) had significantly (p < 0.0001) higher mean scores compared to the Nigerian students (44.3 ± 6.8) in the student's ability to correctly match some specific antimicrobials against their classes but Nigerian students performed better in ranking antimicrobials. This survey revealed poor to average knowledge of antimicrobial stewardship among veterinary students with significant knowledge gaps across the countries. It is recommended that the relevant regulatory and standardization authorities should make concerted efforts and interventions to regularly review curricula to ensure the delivery of targeted formative and normative training, and improved lectures on antimicrobial usage and stewardship in order to improve the awareness and behaviors of future prescribers. The identified knowledge gaps of veterinary medical students on antimicrobial stewardship must be bridge to safeguard the future.

MeSH terms: Adult; Animals; Cross-Sectional Studies; Humans; Health Knowledge, Attitudes, Practice; Nigeria; Perception; South Africa; Sudan; Young Adult
Fulltext Physical Activity Promotion in Malaysia: Challenges and Opportunities

Khoo S, Poh BK, Suhaimi SA, Chong KH, Ramirez Varela A

Front Public Health, 2020;8:536239.
PMID: 33194945 DOI: 10.3389/fpubh.2020.536239

About three quarters of the Malaysian adult population are physically active. There has been growth in physical activity and health research since 2010, with most studies being observational in design and few included objective measures of physical activity. The Malaysian Ministry of Health has published physical activity guidelines, strategies and action plans aimed at promoting physical activity. Physical activity promotion activities have included national campaigns and programmes which target different populations. Further work that incorporates the WHO Global Action Plans on Physical Activity (GAPPA), as well as a more systemic approach is needed, to promote physical activity and a healthy lifestyle. High-level multi-stakeholder collaboration is required for continuing expansion and strengthening of research capacity, and for bridging the physical activity policy gaps in Malaysia.

MeSH terms: Health Promotion*; Malaysia; Exercise*
Fulltext Editorial: Recent Trends in Preparation, Characterization and Applications of Nanocellulose

Trache D, Hussin MH, Brosse N

Front Chem, 2020;8:594379.
PMID: 33195100 DOI: 10.3389/fchem.2020.594379
Fulltext Elucidating the Surface Functionality of Biomimetic RGD Peptides Immobilized on Nano-P(3HB-co-4HB) for H9c2 Myoblast Cell Proliferation

Vigneswari S, Chai JM, Kamarudin KH, Amirul AA, Focarete ML, Ramakrishna S

Front Bioeng Biotechnol, 2020;8:567693.
PMID: 33195129 DOI: 10.3389/fbioe.2020.567693

Biomaterial scaffolds play crucial role to promote cell proliferation and foster the regeneration of new tissues. The progress in material science has paved the way for the generation of ingenious biomaterials. However, these biomaterials require further optimization to be effectively used in existing clinical treatments. It is crucial to develop biomaterials which mimics structure that can be actively involved in delivering signals to cells for the formation of the regenerated tissue. In this research we nanoengineered a functional scaffold to support the proliferation of myoblast cells. Poly(3-hydroxybutyrate-co-4-hydroxybutyrate) [P(3HB-co-4HB)] copolymer is chosen as scaffold material owing to its desirable mechanical and physical properties combined with good biocompatibility, thus eliciting appropriate host tissue responses. In this study P(3HB-co-4HB) copolymer was biosynthesized using Cupriavidus malaysiensis USMAA1020 transformant harboring additional PHA synthase gene, and the viability of a novel P(3HB-co-4HB) electrospun nanofiber scaffold, surface functionalized with RGD peptides, was explored. In order to immobilize RGD peptides molecules onto the P(3HB-co-4HB) nanofibers surface, an aminolysis reaction was performed. The nanoengineered scaffolds were characterized using SEM, organic elemental analysis (CHN analysis), FTIR, surface wettability and their in vitro degradation behavior was evaluated. The cell culture study using H9c2 myoblast cells was conducted to assess the in vitro cellular response of the engineered scaffold. Our results demonstrated that nano-P(3HB-co-4HB)-RGD scaffold possessed an average fiber diameter distribution between 200 and 300 nm, closely biomimicking, from a morphological point of view, the structural ECM components, thus acting as potential ECM analogs. This study indicates that the surface conjugation of biomimetic RGD peptide to the nano-P(3HB-co-4HB) fibers increased the surface wettability (15 ± 2°) and enhanced H9c2 myoblast cells attachment and proliferation. In summary, the study reveals that nano-P(3HB-co-4HB)-RGD scaffold can be considered a promising candidate to be further explored as cardiac construct for building cardiac construct.
Fulltext Huge Retroperitoneal Cyst Masquerading as Ovarian Tumour: A Case Report

Johan S, Hassan MF, Hayati F, Azizan N, Payus AO, Edwin See UH

Front Surg, 2020;7:585411.
PMID: 33195391 DOI: 10.3389/fsurg.2020.585411

Retroperitoneal cystic mass is a rare surgical condition that is often misdiagnosed preoperatively. Here, we report a case of a 56-year-old woman who presented with abdominal swelling for a 1-year duration, which was associated with lower abdominal pain for 6 months. Her abdominal radiograph showed a huge radiopaque lesion, and contrast-enhanced computed tomography scan of the abdomen reported it as a left ovarian serous cystadenoma causing local mass effect to the left ureter leading to mild left hydronephrosis. She underwent exploratory laparotomy and noted there was a huge retroperitoneal cystic mass. The histopathological assessment finding was consistent with a benign retroperitoneal cyst. This case report aims to share the rare case of primary retroperitoneal lesions, which can cause a diagnostic challenge preoperatively to all clinicians despite advanced achievement in medical imaging.

MeSH terms: Abdomen; Cysts; Diagnostic Errors; Female; Humans; Hydronephrosis; Laparotomy; Middle Aged; Radiography, Abdominal; Retroperitoneal Space; Tomography; Ureter; Abdominal Pain; Cystadenoma, Serous; Abdominal Cavity
Fulltext Growth Performance, Cytokine Expression, and Immune Responses of Broiler Chickens Fed a Dietary Palm Oil and Sunflower Oil Blend Supplemented With L-Arginine and Varying Concentrations of Vitamin E

Khatun J, Loh TC, Foo HL, Akit H, Khan KI

Front Vet Sci, 2020;7:619.
PMID: 33195499 DOI: 10.3389/fvets.2020.00619

This study set out to examine the combined effects of the supplementation of a dietary palm oil (PO) and sunflower oil (SO) blend, 0. 25% L-Arginine (L-Arg), and different levels of vitamin E (Vit E) on growth performance, fat deposition, cytokine expression, and immune response in broilers. A total of 216 1-day-old male broiler chicks (Cobb500) were randomly distributed into six dietary groups as follows: Diet 1: 6% palm oil (negative control); Diet 2: PO and SO blend (4% palm oil and 2% sunflower oil) + 0.25% L-Arg (positive control); Diet 3: (PO and SO blend + 0.25% L-Arg) + 20 mg/kg Vit E; Diet 4: (PO and SO blend + 0.25% L-Arg) + 50 mg/kg Vit E; Diet 5: (PO and SO blend + 0.25% L-Arg) + 100 mg/kg Vit E; and Diet 6: (PO and SO blend + 0.25% L-Arg) + 150 mg/kg Vit E. Weight gain and serum IgG and IgM increased while feed conversion ratio, fat deposition, and plasma cholesterol decreased in broilers fed Vit E with the oil blend and L-Arg, compared to those fed the negative control (Diet 1). Expression of IFN and TNF-α were reduced, whereas TGF-ß1 was up-regulated as the level of Vit E increased in the broiler diets. In summary, the combination of oil blend, L-Arg, and Vit E at a level of 50 mg/kg increased the performance and altered the expression of cytokines that may positively influence immune function in broiler chickens.

MeSH terms: Animals; Arginine; Chickens; Cholesterol; Diet; Dietary Fats, Unsaturated; Male; Tumor Necrosis Factor-alpha; Vitamin E; Weight Gain; Up-Regulation; Cytokines; Dietary Supplements; Transforming Growth Factor beta1
Fulltext Injury Incidence, Patterns, and Risk Factors in Functional Training Athletes in an Asian Population

Cheng TTJ, Mansor A, Lim YZ, Hossain Parash MT

Orthop J Sports Med, 2020 Oct;8(10):2325967120957412.
PMID: 33195710 DOI: 10.1177/2325967120957412

Background: Functional training, also known as CrossFit, is a unique sport that combines weightlifting, gymnastics, and metabolic conditioning into a single program. There are an estimated 50 functional training centers in Malaysia.
Purpose: To analyze the injury rates, patterns, and risk factors of functional training/CrossFit.
Study Design: Descriptive epidemiology study.
Methods: Electronic questionnaires were distributed to 244 participants from 15 centers in the country. Descriptive data regarding the athletes, injury occurrence within the past 6 months, injury details, and risk factors were collected.
Results: Of the 244 athletes, 112 (46%) developed at least 1 new injury over the previous 6 months. Injury rates were significantly higher in athletes from nonaffiliate training gyms compared with CrossFit-affiliated gyms, in athletes with previous injuries, and in those who perceived themselves as having more than average fitness.
Conclusion: Coaches and athletes need to be more aware of risk factors for injury to enable safer and better training strategies.

MeSH terms: Gymnastics; Humans; Malaysia; Surveys and Questionnaires; Risk Factors; Weight Lifting; Exercise; Athletes
Fulltext Human coronaviruses: ophthalmic manifestations

Abdul-Kadir MA, Lim LT

BMJ Open Ophthalmol, 2020;5(1):e000630.
PMID: 33195813 DOI: 10.1136/bmjophth-2020-000630

The 2019 novel coronavirus which causes severe acute respiratory syndrome (SARS) known as SARS-CoV-2 still remains as a global pandemic since its discovery and continues to spread across the world, given how highly contagious the virus is. We reviewed various articles that explore eye involvement in COVID-19 and other human coronaviruses, its human manifestations in comparison to animal studies and potential mechanism of viral entry into the eye surface. Evidence of animal studies depicted various complications of coronaviruses infection into the eyes, in both anterior and posterior segments of the eye. Conjunctival inflammation remains uncommon in association with COVID-19, with other ophthalmic findings. The risk of transmission via the ocular surface remains likely low, though it is inarguably present based on preliminary finding of viral load in ocular samples and expression of ACE2 on the ocular surface. Testing the tears sample for diagnosing SARS-CoV-2 was unreliable due to limitations of the testing kits and conflicting evidence of the viral titre in the ocular samples. Further larger, more precise and specific studies are required to allow us to better understand the pattern of virulence underlying the associations of SARS-CoV-2 in the eye despite its rare occurrence. This review article aims to enhance better awareness among clinicians regarding ocular manifestations associated with COVID-19 and necessary precautions should be implemented to minimise the risk of person-to-person especially in the nosocomial setting.

MeSH terms: Animals; Conjunctivitis; Cross Infection; Eye; Humans; Inflammation; Peptidyl-Dipeptidase A; Virulence; Coronavirus; Coronavirus Infections; Viral Load; Severe Acute Respiratory Syndrome; Virus Internalization; Pandemics
Fulltext Synthesis, Characterization, Adsorption Isotherm, and Kinetic Study of Oil Palm Trunk-Derived Activated Carbon for Tannin Removal from Aqueous Solution

Lim A, Chew JJ, Ngu LH, Ismadji S, Khaerudini DS, Sunarso J

ACS Omega, 2020 Nov 10;5(44):28673-28683.
PMID: 33195920 DOI: 10.1021/acsomega.0c03811

Oil palm trunk (OPT) represents one of the five main oil palm biomass wastes with high carbon content that can be economically converted to a large surface area, porous activated carbon (AC) adsorbent to treat palm oil mill effluent wastewater in Indonesia and Malaysia. In the first portion of this work, the design of the experiment was used to determine the optimum set of synthesis parameters required to maximize the iodine number of AC [i.e., Brunauer-Emmett-Teller (BET) specific surface area indicator] prepared from OPT via chemical activation route using H3PO4. The iodine numbers of AC and AC yield were probed as the impregnation ratio, the activation time, and the activation temperature were varied in the range of 0.28-3.47, 5.68-69.32 min, and 379-521 °C, respectively. An impregnation ratio of 2.29, an activation time of 6 min, and an activation temperature of 450 °C were identified as the optimum set of synthesis parameters. In the second portion of the work, the AC synthesized using the optimum parameters were then characterized and tested as an adsorbent for tannin. N2 sorption results revealed that the AC exhibits type IV isotherm, that is, contains micropores and mesopores and displays a relatively high BET specific surface area of 1657 m2 g-1. Adsorption equilibria isotherms for tannin adsorption onto the AC were collected at three different pH of 2, 4, and 6 and were nonlinearly fitted using Langmuir and Freundlich isotherm models, where the Langmuir isotherm gave better fitting than Freundlich. The higher adsorption capacity at lower pH can be explained in terms of the absence of electrostatic repulsion interaction between the AC surface and the tannic acid species as suggested by the point of zero charges (pHpzc) of 4.8 and an increasing ionization of tannic acid with pH rise between 4 and 7. Adsorption kinetics data were also obtained at four different pH of 2, 4, 6, and 8 where the nonlinear pseudo-first-order model best fitted the kinetic at pH of 2 and the nonlinear pseudo-second-order model represented the kinetic best at the remaining higher pH, which suggests that tannin adsorption onto AC occurred by physisorption at pH of 2 and by chemisorption at pH of 4, 6, and 8.

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