Browse publications by year: 2021

  1. Aung YY, Kristanti AN, Lee HV, Fahmi MZ
    ACS Omega, 2021 Jul 20;6(28):17750-17765.
    PMID: 34308011 DOI: 10.1021/acsomega.1c01352
    Boronic-acid-modified nanomaterials have inspired significant research interest owing to their unique biocompatibility and excellent reversible interaction with diol groups containing saccharides, protein, DNA, and other related glucose compounds. However, the different sources and methods change the application of nanomaterials. Thus, surface-functionalized nanomaterials are of interest as one of the best ways to improve the application of the biomedical field. In this mini-review, we summarize recent studies on boronic-acid-modified nanomaterials, based on the carbon dot group and graphene oxides, which have been used in the fields of bioimaging, biosensing, antiviral inhibitors, etc. Moreover, the multivalent interaction on boronic-acid-modified materials has become the main key improvement for targeting treatment in the future. We mainly focused on any previously reported papers for synergistic future opportunities of superior biomedical applications of carbon dots (CDs) in the management and diagnostics of nanomedicine fields.
  2. Rawi MH, Abdullah A, Ismail A, Sarbini SR
    ACS Omega, 2021 Jul 20;6(28):17782-17797.
    PMID: 34308014 DOI: 10.1021/acsomega.1c00302
    Acacia gum (AG) is a branched-polysaccharide gummy exudate that consists of arabinose and galactose. The traditional practice in African-Middle Eastern countries uses this gum as medicine. Traditional use of AG is to treat stomach disease, which can be a potential functional food. In this research, commercially available AG from Acacia senegal and Acacia seyal was investigated as the prebiotic. The experiment employed a pH-controlled in vitro colon model inoculated with human fecal microbiota to mimic the human colon. Fermentation samples at 0, 6, 12, and 24 h were brought for short-chain fatty acid (SCFA) analysis using high-performance liquid chromatography and bacterial enumeration via fluorescent in situ hybridization. Results showed that AG significantly promotes Bifidobacteria proliferation similar to fructo-oligosaccharides (FOS) while inhibiting the Clostridium histolyticum group, commonly associated with gut dysbiosis. Acetate, propionate, and butyrate showed a similar trend to FOS (p > 0.05). The AG shows potential against gut dysbiosis, as it promotes gut-probiotics, through modulation of microbial population and SCFA production, especially butyrate.
  3. Mohd Mokhtar K, Kasmani RM, Che Hassan CR, Hamid MD, Mohamad Nor MI, Mohd Junaidi MU, et al.
    ACS Omega, 2021 Jul 20;6(28):17831-17838.
    PMID: 34308018 DOI: 10.1021/acsomega.1c00967
    Extensive application of metal powder, particularly in nanosize could potentially lead to catastrophic dust explosion, due to their pyrophoric behavior, ignition sensitivity, and explosivity. To assess the appropriate measures preventing accidental metal dust explosions, it is vital to understand the physicochemical properties of the metal dust and their kinetic mechanism. In this work, explosion severity of aluminum and silver powder, which can be encountered in a passivated emitter and rear contact (PERC) solar cell, was explored in a 0.0012 m3 cylindrical vessel, by varying the particle size and powder concentration. The P max and dP/dt max values of metal powder were demonstrated to increase with decreasing particle size. Additionally, it was found that the explosion severity of silver powder was lower than that of aluminum powder due to the more apparent agglomeration effect of silver particles. The reduction on the specific surface area attributed to the particles' agglomeration affects the oxidation reaction of the metal powder, as illustrated in the thermogravimetric (TG) curves. A sluggish oxidation reaction was demonstrated in the TG curve of silver powder, which is contradicted with aluminum powder. From the X-ray photoelectron spectroscopy (XPS) analysis, it is inferred that silver powder exhibited two reactions in which the dominant reaction produced Ag and the other reaction formed Ag2O. Meanwhile, for aluminum powder, explosion products only comprise Al2O3.
  4. Samy AL, Awang Bono S, Tan SL, Low WY
    Asia Pac J Public Health, 2021 11;33(8):839-846.
    PMID: 34308673 DOI: 10.1177/10105395211025901
    The COVID-19 outbreak was declared a pandemic by the World Health Organization in March 2020 due to rapid intercontinental spread and high morbidity and mortality. Globally, the disease has had a major impact on human lives, including health, economic, employment, psychological, and overall well-being. The COVID-19, besides causing respiratory, neurological, and cardiovascular diseases, has had significant impact on mental health. Major mental health disorders, including depression, anxiety, and stress, have risen in parallel with increasing prevalence of COVID-19. Many population groups, including children, the elderly, those with chronic illnesses, and health care workers, have been affected. This review gives an overall assessment of the prevalence of COVID-19-associated psychological morbidity. In countries in the Asia-Pacific region, prevalence of depression ranged between 4.9% and 43.1%, anxiety from 7.0% to 43.0%, and stress from 3.4% to 35.7%. As COVID-19 continues to severely affect the psychosocial well-being of the population at large, countries have developed and revised policies, guidelines, and introduced new initiatives to curb mental health issues among their citizens. In the long run, pre-disaster preparedness is important to alleviate long-term post-pandemic psychiatric morbidity and to develop psychological resilience toward disasters and pandemic, alongside investment for better mental health coverage.
    MeSH terms: Aged; Anxiety; Child; Depression; Humans; Mental Health*; Stress, Psychological; Policy; Pandemics
  5. Anita Lett J, Sagadevan S, Léonard E, Fatimah I, Motalib Hossain MA, Mohammad F, et al.
    Artif Organs, 2021 Dec;45(12):1501-1512.
    PMID: 34309044 DOI: 10.1111/aor.14045
    The primary role of bone tissue engineering is to reconcile the damaged bones and facilitate the speedy recovery of the injured bones. However, some of the investigated metallic implants suffer from stress-shielding, palpability, biocompatibility, etc. Consequently, the biodegradable scaffolds fabricated from polymers have gathered much attention from researchers and thus helped the tissue engineering sector by providing many alternative materials whose functionality is similar to that of natural bones. Herein, we present the fabrication and testing of a novel composite, magnesium (Mg)-doped hydroxyapatite (HAp) glazed onto polylactic acid (PLA) scaffolds where polyvinyl alcohol (PVA) used as a binder. For the composite formation, Creality Ender-3 pro High Precision 3D Printer with Shape tool 3D Technology on an FSD machine operated by Catia design software was employed. The composite has been characterized for the crystallinity (XRD), surface functionality (FTIR), morphology (FESEM), biocompatibility (hemolytic and protein absorption), and mechanical properties (stress-strain and maximum compressive strength). The powder XRD analysis confirmed the semicrystalline nature and intact structure of HAp even after doping with Mg, while FTIR studies for the successful formation of Mg-HAp/PVA@PLA composite. The FESEM provided analysis indicated for the 3D porous architecture and well-defined morphology to efficiently transport the nutrients, and the biocompatibility studies are supporting that the composite for blood compatible with the surface being suitable enough for the protein absorption. Finally, the composite's antibacterial activity (against Staphylococcus aureus and Escherichia coli) and the test of mechanical properties supported for the enhanced inhibition of active growth of microorganisms and maximum compressive strength, respectively. Based on the research outcomes of biocompatibility, antibacterial activity, and mechanical resistance, the fabricated Mg-HAp/PVA@PLA composite suits well as a promising biomaterial platform for orthopedic applications by functioning towards the open reduction internal fixation of bone fractures and internal repairs.
    MeSH terms: Bone and Bones*; Escherichia coli/drug effects; Hemolysis; Humans; Magnesium/chemistry; Materials Testing; Polyesters/chemistry*; Staphylococcus aureus/drug effects; Durapatite/chemistry; Tissue Engineering/methods*; Tissue Scaffolds*; Printing, Three-Dimensional
  6. Guilding C, Pye RE, Butler S, Atkinson M, Field E
    Pharmacol Res Perspect, 2021 Aug;9(4):e00833.
    PMID: 34309243 DOI: 10.1002/prp2.833
    Multiple choice questions (MCQs) are a common form of assessment in medical schools and students seek opportunities to engage with formative assessment that reflects their summative exams. Formative assessment with feedback and active learning strategies improve student learning outcomes, but a challenge for educators, particularly those with large class sizes, is how to provide students with such opportunities without overburdening faculty. To address this, we enrolled medical students in the online learning platform PeerWise, which enables students to author and answer MCQs, rate the quality of other students' contributions as well as discuss content. A quasi-experimental mixed methods research design was used to explore PeerWise use and its impact on the learning experience and exam results of fourth year medical students who were studying courses in clinical sciences and pharmacology. Most students chose to engage with PeerWise following its introduction as a noncompulsory learning opportunity. While students perceived benefits in authoring and peer discussion, students engaged most highly with answering questions, noting that this helped them identify gaps in knowledge, test their learning and improve exam technique. Detailed analysis of the 2015 cohort (n = 444) with hierarchical regression models revealed a significant positive predictive relationship between answering PeerWise questions and exam results, even after controlling for previous academic performance, which was further confirmed with a follow-up multi-year analysis (2015-2018, n = 1693). These 4 years of quantitative data corroborated students' belief in the benefit of answering peer-authored questions for learning.
    MeSH terms: Education, Medical, Undergraduate/methods*; Educational Measurement/methods*; Humans; Peer Group; Surveys and Questionnaires; Students, Medical; Education, Distance
  7. Ng CS, Foong SK, Loong SP, Ong CA, Hashim ND
    J Int Adv Otol, 2021 Jul;17(4):301-305.
    PMID: 34309549 DOI: 10.5152/iao.2021.0078
    BACKGROUND: Postoperative or post-traumatic canal restenosis in patients with external auditory canal (EAC) stenosis is a troublesome complication faced by many ear surgeons following canalplasty or meatoplasty. Many ear prostheses and surgical methods have been introduced to prevent the occurrence of such complication. Our aim in this study is to explore the feasibility of using modified non-fenestrated uncuffed tracheostomy tubes (TT) as postoperative stents after ear canal surgery.

    METHODS: Canalplasty or meatoplasty was performed under general anesthesia via the posterior auricular transcanal approach. The EAC diameter and length were measured and a non-fenestrated uncuffed TT of suitable size was fitted into the ear canal. The TT was then modified during fitting, to fit onto the concha. Patients were advised on the importance of compliance. The adequacy of the size of the EAC after the surgery was assessed during follow-ups.

    RESULTS: A total of 3 patients (4 ears) were included in our study. Various sizes of TTs were fitted into their EAC following canalplasty or meatoplasty. All of them showed excellent postoperative outcome on follow up 2 years after the surgery, with no evidence of postoperative EAC stenosis.

    CONCLUSION: Modified TT stent after canalplasty or meatoplasty is proposed as an excellent alternative in preventing restenosis of EAC in centers with limited resources.

    MeSH terms: Constriction, Pathologic/prevention & control; Constriction, Pathologic/surgery; Humans; Retrospective Studies; Otologic Surgical Procedures*; Tracheostomy*; Ear Auricle
  8. Ong SQ, Ahmad H, Majid AHA
    Pest Manag Sci, 2021 Dec;77(12):5347-5355.
    PMID: 34309999 DOI: 10.1002/ps.6573
    BACKGROUND: The application of computer vision and deep learning to pest monitoring has recently received much attention. Although several studies have demonstrated the application of object detection to the number of pests on a substrate, for house flies (Musca domestica L.), in which the larvae were aggregated and overlapped together, the object detection technique was difficult to implement. We demonstrate a novel method for estimating larval abundance by using computer vision on larval breeding substrate, in which the reflective color and topography are affected by the size of the population.

    RESULTS: We demonstrate a method using a web-based tool to construct a deep learning model and later export the model for deployment. We train the model by using breeding substrate images with different spectra of illumination on known densities of larvae and evaluate the training model in both the test set and field-collected samples. In general, the model was able to predict the larval abundance by the laboratory-prepared breeding substrate with 87.56% to 94.10% accuracy, precision, recall, and F-score on the unseen test set, and white and green illumination performed significantly higher compared to other illuminations. For field samples, the model was able to obtain at least 70% correct predictions by using white and infrared illumination.

    CONCLUSION: Larval abundance can be monitored with computer vision and deep learning, and the monitoring can be improved by using more biochemistry parameters as the predictors and examples of field samples included building a more robust model. © 2021 Society of Chemical Industry.

  9. Ohue T, Aryamuang S, Bourdeanu L, Church JN, Hassan H, Kownaklai J, et al.
    Nurs Open, 2021 09;8(5):2439-2451.
    PMID: 34310070 DOI: 10.1002/nop2.1002
    AIM: To examine factors of a hypothetical model related to stressors, burnout and turnover in nurses from developed and developing countries-Canada, Japan, the United States, Malaysia and Thailand.

    DESIGN: A cross-sectional questionnaire-based study.

    METHODS: Conducted between April 2016 and October 2017, the Maslach Burnout Inventory, Intention to Leave Scale, and Nursing Stress Scale collected data from acute care hospital nurses in Canada (n = 309), Japan (n = 319), Malaysia (n = 242), Thailand (n = 211) and the United States (n = 194).

    RESULTS: Compared to other countries, burnout "exhaustion" was the highest in Japan and "cynicism" and intention to leave the job were the highest in Malaysia. Thailand had lower burnouts and turnover than other countries and higher professional efficacy than Japan and Malaysia. In all countries, reducing stressors is important for reducing burnout and intention to leave jobs, especially as they relate to "lack of support."

    MeSH terms: Cross-Sectional Studies; Developing Countries; Humans; Job Satisfaction; Nurses*; Nursing Staff, Hospital*
  10. Zheng J, Wai JL, Lake RJ, New SY, He Z, Lu Y
    Anal Chem, 2021 Aug 10;93(31):10834-10840.
    PMID: 34310132 DOI: 10.1021/acs.analchem.1c01077
    DNAzymes have emerged as an important class of sensors for a wide variety of metal ions, with florescence DNAzyme sensors as the most widely used in different sensing and imaging applications because of their fast response time, high signal intensity, and high sensitivity. However, the requirements of an external excitation light source and its associated power increase the cost and size of the fluorometer, making it difficult to be used for portable detections. To overcome these limitations, we report herein a DNAzyme sensor that relies on chemiluminescence resonance energy transfer (CRET) without the need for external light. The sensor is constructed by combining the functional motifs from both Pb2+-dependent 8-17 DNAzyme conjugated to fluorescein (FAM) and hemin/G-quadruplex that mimics horseradish peroxidase to catalyze the oxidation of luminol by H2O2 to yield chemiluminescence. In the absence of Pb2+, the hybridization between the enzyme and substrate strands bring the FAM and hemin/G-quadruplex in close proximity, resulting in CRET. The presence of Pb2+ ions can drive the cleavage on the substrate strand, resulting in a sharp decrease in the melting temperature of hybridization and thus separation of the FAM from hemin/G-quadruplex. The liberated CRET pair causes a ratiometric increase in the donor's fluorescent signal and a decrease in the acceptor signal. Using this method, Pb2+ ions have been measured rapidly (<15 min) with a low limit of detection at 5 nM. By removing the requirement of exogenous light excitation, we have demonstrated a simple and portable detection using a smartphone, making the DNAzyme-CRET system suitable for field tests of lake water. Since DNAzymes selective for other metal ions or targets, such as bacteria, can be obtained using in vitro selection, the method reported here opens a new avenue for rapid, portable, and ratiometric detection of many targets in environmental monitoring, food safety, and medical diagnostics.
    MeSH terms: Energy Transfer; Hemin; Hydrogen Peroxide; Ions; Biosensing Techniques*; Luminescence; G-Quadruplexes*
  11. Ramaiya SD, Lee HH, Xiao YJ, Shahbani NS, Zakaria MH, Bujang JS
    PLoS One, 2021;16(7):e0255059.
    PMID: 34310644 DOI: 10.1371/journal.pone.0255059
    Passiflora quadrangularis L. belongs to the family Passifloraceae which bears larger fruit with edible juicy mesocarp and pulp known as a good source of phytochemicals. Cultivation and plant management practices are known to influence the phytochemical compositions of agricultural produce. This study aimed to examine the influence of the cultivation practices on the antioxidant activities and secondary metabolites of the organically and conventionally grown P. quadrangularis. Findings revealed organically treated P. quadrangularis plants showed enhancement in their antioxidant properties and secondary metabolites profiles. Among the plant parts, leaves of P. quadrangularis grown organically possessed higher antioxidant activities compared to the conventional in all assays evaluated. The antioxidant activities in the edible parts of the P. quadrangularis fruit have also been enhanced through organic cultivation with significantly higher total phenolic content and DPPH in mesocarp, and the pulp showed higher total flavonoid content, DPPH and FRAP. This observation is supported by a higher level of vitamins and secondary metabolites in the samples. The secondary metabolites profile showed mesocarps were phenolic rich, the pulps were flavonoids rich while leaves showed good composition of phenolics, flavonoids and terpenoids with outstanding antioxidant activities. The common secondary metabolites for organically produced P. quadrangularis in different plant parts include 2-isopropyl-3-methoxycinnamic acid (mesocarp and pulp), myricetin isomers (pulp and leaves), and malvidin-3-O-arabinoside isomers (pulp and leaves). This study confirmed that organic cultivated P. quadrangularis possessed higher antioxidant activities contributed by its vitamins and secondary metabolites.
    MeSH terms: Anthocyanins/analysis; Antioxidants/chemistry*; Chromatography, High Pressure Liquid; Flavonoids/analysis; Fruit/metabolism; Fruit/chemistry; Isomerism; Phenols/analysis; Phenols/chemistry; Plant Extracts/chemistry; Mass Spectrometry; Discriminant Analysis; Plant Leaves/metabolism; Plant Leaves/chemistry; Principal Component Analysis; Passiflora/growth & development; Passiflora/metabolism; Passiflora/chemistry*; Metabolome*; Organic Agriculture*; Phytochemicals/analysis
  12. Praveena SM, Siok Fong C, Amaruddin AF
    J Steroid Biochem Mol Biol, 2021 10;213:105955.
    PMID: 34311089 DOI: 10.1016/j.jsbmb.2021.105955
    In Malaysia, inexpensive toys are sold in various urban and rural shops. Although safety regulations for toys are available in Malaysia there are limited reports about the chemicals in toys. Thus, this study aimed to assess the levels of phthalates (bis-[2-ethylhexyl] phthalate [DEHP], diethyl phthalate [DEP], diisobutyl phthalate [DiBP] and dibutyl phthalate [DBP]) in inexpensive toys sold at local markets in Kuala Lumpur (Malaysia) and its health risks to children. All 30 toys analysed exceeded the European Union limit (0.1 % by mass) indicating that the phthalate used as plasticizers is still prominent in toys. Bis-[2-ethylhexyl] phthalate (DEHP) was the highest detected phthalate in toy sample which was manufactured in Malaysia and sold without Malaysian Conformity Mark. Significant association was found between phthalate levels and country, indicating a need to monitor and raise public awareness about potential toxic chemicals in inexpensive toys and children's products. There are few inexpensive toys that have a hazard index value of more than one, which is associated with developmental toxicity and causes developmental effects in children. Given the severity and complexity of these toys to children health, there is a need for regular monitoring and effective enforcements to develop an acceptable baseline level of children toys products manufactured in or imported to Malaysia. Furthermore, risk management efforts should also include all the stakeholders involved in toy production, policy makers as well as consumers to ensure only toy products with proper labels being sole and purchased.
    MeSH terms: Child; Consumer Product Safety/legislation & jurisprudence; Dibutyl Phthalate/analogs & derivatives*; Dibutyl Phthalate/toxicity*; Diethylhexyl Phthalate/toxicity*; Environmental Exposure/analysis*; Environmental Monitoring/methods; Humans; Malaysia; Plasticizers/toxicity*; Play and Playthings*; Risk Assessment; Consumer Health Information/ethics
  13. Sergeev A, Motyakin M, Barashkova I, Zaborova V, Krasulya O, Yusof NSM
    Ultrason Sonochem, 2021 Sep;77:105673.
    PMID: 34311321 DOI: 10.1016/j.ultsonch.2021.105673
    The effect of ultrasound treatment on molecular mobility and organization of the main components in raw goat milk was studied by EPR and NMR spectroscopies. NMR relaxation studies showed an increase in the spin-lattice T1 and spin-spin T2 relaxation times in goat milk products (cream, anhydrous fat) and change in the diffusion of proton-containing molecules during ultrasound treatment. The diffusion became more uniform and could be rather accurately approximated by one effective diffusion coefficient Deff, which indicates homogenization of goat milk components, dispersion of globular and supermicellar formations under sonication. EPR studies have shown that molecular mobility and organization of hydrophobic regions in goat milk are similar to those observed in micellar formations of surfactants with a hydrocarbon chain length C12-C16. Ultrasound treatment did not affect submicellar and protein globule organization. Free radicals arising under ultrasound impact of milk reacted quickly with components of goat milk (triglycerides, proteins, fatty acids) and were not observed by spin trapping method.
    MeSH terms: Animals; Electron Spin Resonance Spectroscopy/methods; Goats*; Magnetic Resonance Spectroscopy*; Sonication/methods
  14. Lee LP, Tan KY, Tan CH
    PMID: 34311411 DOI: 10.1016/j.cbd.2021.100875
    Envenomation by two medically important Sundaic pit vipers, Trimeresurus wiroti (Malaysia) and Trimeresurus puniceus (Indonesia), causes hemotoxic syndrome with a potentially fatal outcome. Research on the compositions and antigenicity of these pit viper venoms is however lacking, limiting our understanding of the pathophysiology and treatment of envenomation. This study investigated the venom proteomes of both species through a protein decomplexation strategy, applying C18 reverse-phase high-performance liquid chromatography followed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and protein identification through nano-electrospray ionization liquid chromatography-tandem mass spectrometry (nano-ESI-LCMS/MS) of trypsin-digested peptides. The venom antigenicity was profiled against the Thai Green Pit Viper Antivenom (GPVAV, a hetero-specific antivenom), using indirect enzyme-linked immunosorbent assay (ELISA). The venom proteomes of T. wiroti and T. puniceus consisted of 10 and 12 toxin families, respectively. The major proteins were of diverse snake venom serine proteases (19-30% of total venom proteins), snake venom metalloproteinases (17-26%), disintegrins (9-16%), phospholipases A2 (8-28%) and C-type lectins (~8%). These were putative snake toxins implicated in hemorrhage and coagulopathy, consistent with clinical hemotoxicity. GPVAV showed strong immunorecognition toward high and medium molecular weight proteins (e.g., SVMP and PLA2) in both venoms, while a lower binding activity was observed toward small proteins such as disintegrins. Conserved antigenicity in the major hemotoxins supported toxicity cross-neutralization by GPVAV and indicated that the immunorecognition of low molecular weight toxins may be optimized for improved binding efficacy. Taken together, the study provides insights into the pathophysiology and antivenom treatment of envenomation caused by T. wiroti and T. puniceus in the region.
  15. Fong, Chui Wei, Wan Najiah Wan Mokhtar, Norlaila Kartina Malini Mamat, Muhammad Zaidi Sattar, Zaiha Harun, Tengku Nur Izzati Tengku Abd Kadir
    MyJurnal
    Pharmacist’s interventions in anaemia management have been shown to improve clinical and economic outcomes. To determine the outcome of hemoglobin (Hb) level after the implementation of ESA monitoring card and counselling, a prospective, single-blinded randomised controlled study involved patients attending the CAPD clinic in Terengganu tertiary hospital, Malaysia was carried out. Intervention group received ESA injection counselling based on a validated checklist and ESA monitoring card, while the standard care group only received standard care. Result showed a total of 118 eligible patients with 68 of them in the standard care group and 50 patients in the intervention group with an average age of 50.8 (±14.57) and 49.4 (±13.69) years, respectively. Mean Hb showed significant improvement in both standard care and interventional groups with p
  16. Puvithra Ravi Sundram, Tan, Ching Siang, Shashidharan Menon, H. Jaasminerjiit Kaur, Abdullah Khan, Anandarajagopal Kalusalingam, et al.
    MyJurnal
    Anti-peptic ulcer drugs (APUDs) such as proton pump inhibitors (PPI), H2 receptor antagonists (H2A), antacids are widely prescribed. This study is aimed to describe the utilisation pattern of APUDs based on WHO Defined Daily Dose (DDD) and identify most commonly used APUD in the selected hospital. A retrospective study was carried out in outpatient of the selected hospital for year 2017. Sample size was calculated using Raosoft. DDD of APUDs and direct drug cost were calculated. Data were collected through electronic medical record by retrieving patients’ registration number. Inclusion criteria were patients above 18 years old and APUDs prescribed for gastrointestinal related indications. A total of 160 prescriptions were randomly selected for data analysis. Based on the DDD calculated, Rabeprazole 20mg was most prescribed drug among PPI (n=33), while Maalox is most prescribed drug among the antacids (n=23). Based on the DDD calculated, Pantoprazole 20mg recorded highest rates per user per day about 1.26 DDD / user / day while antacids, Actal reported highest usage rate with 7.11 DDD / user / day. Besides, there are 5.4 days supplied per user for this drug. Dexlansoprazole 60mg is the most expensive drug among all the PPI listed in hospital formulary. It has 18.5 days supplied/user, which is the second shortest duration of treatment among all the other PPIs. In contrast, omeprazole 20mg is the lowest cost PPI but the duration supplied per user is longer resulting in higher total cost of therapy. In conclusion, PPIs were the most commonly prescribed.
  17. Patil KN, Prasad D, Bhagyashree, Manoorkar VK, Nabgan W, Nagaraja BM, et al.
    Chemosphere, 2021 Oct;281:130988.
    PMID: 34289632 DOI: 10.1016/j.chemosphere.2021.130988
    Catalytic hydrolysis of sodium borohydride can potentially be considered as a convenient and safe method to generate hydrogen, an environmentally clean and sustainable fuel for the future. The present effort establishes the development of FeCuCo tri-metallic oxide catalyst by a simple, single-step solution combustion synthesis (SCS) method for hydrogen generation from NaBH4 hydrolysis. Amongst series of FeCuCo tri-metallic oxide catalyst synthesized, FeCuCo with 50:37.5:12.5 wt% respective precursor loading displayed remarkable activity by generating hydrogen at the rate of 1380 mL min-1 g-1 (1242 mL in 18 min) with turnover frequency (TOF) of 62.02 mol g-1 min-1. The catalyst was characterized by using various techniques to understand their physiochemical and morphological properties. The results revealed that the catalyst synthesized by combustion method led to the formation of FeCuCo with appreciable surface area, porous foam-like morphology and high surface acidity. Major factors affecting the hydrolysis of NaBH4 such as catalyst loading, NaOH concentration and temperature variation were studied in detail. Additionally, the FeCuCo catalyst also displayed substantial recyclability performance up to eight cycles without considerable loss in its catalytic activity. Therefore, FeCuCo oxide can be demonstrated as one of the most efficient, cost effective tri-metallic catalyst so far for application in the hydrogen generation.
    MeSH terms: Catalysis; Hydrogen*; Hydrolysis; Oxides*
  18. Alfian Sulai DD, Krishnasamy T, Nik Mahmood NRK
    BMJ Case Rep, 2021 Jul 21;14(7).
    PMID: 34290001 DOI: 10.1136/bcr-2020-239997
    Metastatic cancer to the oesophagus is rare. Most cases are diagnosed at autopsy or surgery. The breast is the most common organ bearing a primary tumour. Metastatic oesophageal tumours are nearly always located in the submucosal layer with normal benign-looking mucosa, rendering tissue diagnosis difficult. In the absence of breast-related symptoms, the diagnosis of oesophageal metastasis from breast primary would be very challenging. We report a case of a 50 year-old woman, who was referred to our centre for a second opinion after she was offered an esophagectomy for a suspected oesophageal carcinoma. She presented solely with dysphagia and weight loss. Multiple investigations were performed to investigate her dysphagia which eventually led to the diagnosis of metastatic breast cancer with oesophageal involvement. She underwent excision of right breast invasive lobular carcinoma with axillary dissection. She completed her adjuvant chemoradiotherapy and currently on daily dose of tamoxifen, whereby her dysphagia has dramatically improved.
    MeSH terms: Breast; Female; Humans; Middle Aged; Esophagectomy
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