Browse publications by year: 2023

  1. Ting Yih Ling J, Mohd Zain A, Naffi AA, Mustapha M, Wan Abdul Halim WH
    Cureus, 2023 Feb;15(2):e34669.
    PMID: 36909105 DOI: 10.7759/cureus.34669
    Background Diabetic macular edema (DME) is becoming one of the leading causes of blindness worldwide with a significant impact on quality of life. The effectiveness of intravitreal (IVT) anti-vascular endothelial growth factor (VEGF) therapy has been established by clinical trials and has become the treatment of choice in the majority of DME patients in reducing macular edema and improving visual acuity. Frequent drop-out and discontinuation of treatment are major issues. Lack of compliance can lead to worsening outcomes and be a burden to patients and the healthcare system. Purpose The purpose of this study is to assess multiple factors that affect adherence to IVT anti-VEGF treatment among patients with DME, including socioeconomic causes and the Health Belief Model (HBM) domains, in addition to exploring the relationship between them. Methods This cross-sectional study was conducted among DME patients in Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia, from December 2020 to June 2021. We identified eligible patients using a retrospective chart review of clinical findings and optical coherence tomography (OCT) findings. Included subjects were of Malaysian nationality, aged 18 years and above, who were initiated or re-initiated IVT anti-VEGF treatment regime and on follow-up for at least six months from initial injection from January 2019 onwards. A translated and validated self-administered questionnaire was given to the respondents. Data were analyzed using IBM SPSS Statistics for Windows, Version 26.0 (Released 2019; IBM Corp., Armonk, New York, United States). Demographics of the patient were summarized using descriptive statistics, independent sample t-test was used to compare the difference in components of the HBM questionnaire. Linear regression was further used to explore the relationship between patients' demographics and the HBM component. Results A total of 141 patients participated in this study, of whom 56.2% patients were adherent to treatment. The majority were aged 60 years and above (56.7%), male (52.5%), Malay (38.9%), and married (71.6%). There was a significant statistical difference in patients who were adherent to treatment, in terms of life entourage (p=0.004, Fisher Exact test). HBM domains that influenced adherence to treatment included perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy (p<0.05, independent sample t-test). Further, multiple logistic regression tests on sociodemographic factors and HBM domains after eliminating confounding factors narrowed down the significant variables to perceived susceptibility (p= 0.023), perceived benefits (p< 0.001), and self-efficacy (p< 0.001). Conclusion Patients' adherence to IVT anti-VEGF is influenced by perceived susceptibility to complications from DME, perceived benefits to the treatment, and self-efficacy.
  2. Teh HL, Kassim AF, Chopra S, Selvaratnam V
    Cureus, 2023 Feb;15(2):e34665.
    PMID: 36909109 DOI: 10.7759/cureus.34665
    Patella resurfacing in total knee replacement (TKR) has been shown to reduce the rate of anterior knee pain, but there are complications from patella resurfacing. A 54-year-old male underwent a left primary TKR with patella resurfacing 15 years ago. He developed spontaneous progressive anterior knee pain for six months. At revision surgery, his patella button was found to be loose. Loosening of a three-peg patella button is rare. A high index of suspicion of patella button loosening should be suspected in patients who present with anterior knee pain after patella resurfacing.
  3. Saidi NA, Ngoo QZ, Jusoh S, Ab Hamid MF, Wan Muda WN
    Cureus, 2023 Feb;15(2):e34707.
    PMID: 36909129 DOI: 10.7759/cureus.34707
    Endogenous endophthalmitis (EE) is an ocular infection resulting from hematogenous spread from the remote primary source. Risk factors include endocarditis, bacteria meningitis, immunosuppressive state, and invasive procedures in patients with sepsis. We present a case of a 43-year-old gentleman with poorly controlled diabetes mellitus who was admitted for bilateral nasoseptal cellulitis with a right nasal wall abscess and right vocal cord palsy. At presentation, he just had preseptal cellulitis without any posterior segment involvement. He underwent incision and drainage under the Otorhinolaryngology team. Unfortunately, postoperatively he developed sepsis with a hematogenous spread of infection systemically involving his right eye (endophthalmitis) and his heart valve (infective endocarditis). Blood culture revealed Methicillin Sensitive Staphylococcus Aureus (MSSA) infection. He had six weeks of intravenous cloxacillin and three times intravitreal injections of vancomycin and ceftazidime with complete resolution of signs and symptoms. In the case of a poorly controlled diabetic patient with an extensive regional infection, the presence of ocular symptoms and signs that are suggestive of EE must be taken seriously and warrant a complete eye examination as early detection and treatment of EE is crucial for better prognosis.
  4. Jayusman PA, Nasruddin NS, Baharin B, Ibrahim N', Ahmad Hairi H, Shuid AN
    Front Pharmacol, 2023;14:1120457.
    PMID: 36909165 DOI: 10.3389/fphar.2023.1120457
    Osteoporosis and periodontitis are two major chronic diseases of postmenopausal women. The association between these two diseases are evident through systemic bone loss and alveolar bone loss. Both postmenopausal osteoporosis and periodontitis impose a considerable personal and socioeconomic burden. Biphosphonate and hormone replacement therapy are effective in preventing bone loss in postmenopausal osteoporosis and periodontitis, but they are coupled with severe adverse effects. Phytoestrogens are plant-based estrogen-like compounds, which have been used for the treatment of menopause-related symptoms. In the last decades, numerous preclinical and clinical studies have been carried out to evaluate the therapeutic effects of phytoestrogens including bone health. The aim of this article is to give an overview of the bidirectional interrelationship between postmenopausal osteoporosis and periodontitis, summarize the skeletal effects of phytoestrogens and report the most studied phytoestrogens with promising alveolar bone protective effect in postmenopausal osteoporosis model, with and without experimental periodontitis. To date, there are limited studies on the effects of phytoestrogens on alveolar bone in postmenopausal osteoporosis. Phytoestrogens may have exerted their bone protective effect by inhibiting bone resorption and enhancing bone formation. With the reported findings on the protective effects of phytoestrogens on bone, well-designed trials are needed to better investigate their therapeutic effects. The compilation of outcomes presented in this review may provide an overview of the recent research findings in this field and direct further in vivo and clinical studies in the future.
  5. Sulaimon AA, Murungi PI, Tackie-Otoo BN, Nwankwo PC, Bustam MA
    Front Chem, 2023;11:1129673.
    PMID: 36909707 DOI: 10.3389/fchem.2023.1129673
    Introduction: Natural plant polymers demonstrate effective corrosion inhibition abilities, because of their numerous binding sites and excellent adsorption abilities. Methodology: In this study, the Box-Behnken method, gravimetric and electrochemical analyses were used to design and investigate the corrosion inhibition potential of a modified graft polymer of okra for mild steel in a 1M HCl medium. The influence of inhibitor concentration, temperature, and time were also investigated. Qualitatively, the Fourier Transform Infrared (FTIR) spectroscopy, Thermogravimetric Analysis (TGA), and Field emission scanning electron microscopy (FESEM) were used to characterize the extracts and evaluate the metal's surface morphology. Results and discussion: The quantitative analyses showed that the modified natural polymer's inhibition efficiency (IE) increased with concentration and reached 73.5% at 800 ppm, with a mixed-type mode of inhibition. From the response surface methodology, it was revealed that temperature influences the IE more than concentration and immersion time. The optimized IE using the desirability function showed the possibility of attaining 88.2% inhibition with inhibitor concentration at 142.3 ppm, temperature at 60.4°C, and an immersion time of 22.4 h. The new functional groups in the hybrid polymer revealed by FTIR analysis shows that grafting improved the inhibitor's adsorption abilities. TGA analysis confirmed the extract's high thermal stability, which highlights the inhibitor's strong adsorption and efficiency for high temperatures. FESEM analysis indicated evidence of inhibitor adsorption onto the metal surface. Conclusion: These findings suggest that the grafting of okra with acrylamide enhances its inhibition properties and contributes to its functionality as a cost-effective plant-based alternative inhibitor against corrosion for mild steel facilities.
  6. Gopal SR, Velayutham TS, Gan WC, Cheong JY, Soh AE
    RSC Adv, 2023 Mar 08;13(12):7921-7928.
    PMID: 36909754 DOI: 10.1039/d3ra00077j
    A hybrid piezo/triboelectric nanogenerator (H/P-TENG) is designed for mechanical energy harvesting using polymer ceramic composite films; polydimethylsiloxane/Ba(Zr0.2Ti0.8)O3-0.5(Ba0.7Ca0.3)TiO3 (PDMS/BZT-BCT) and polyvinyl alcohol (PVA). A lead-free BZT-BCT piezoelectric ceramic was prepared via solid-state method and blended into PDMS to form a series of polymer-ceramic composite films, ranging from 5% to 30% by weight. The films were forward/reverse poled with corona poling and their electrical properties were compared to non-poled samples. The H/P-TENG constructed with forward-poled 15 wt% BZT-BCT in PDMS achieved the highest open-circuit voltage, V oc of 127 V, short-circuit current density, J sc of 67 mA m-2, short-circuit charge density, Q sc of 118 μC m-2, and peak power density of 7.5 W m-2, an increase of 190% over pristine PDMS-based TENG. It was discovered that incorporating BZT-BCT into the PDMS matrix improved the triboelectric properties of PDMS. The overlapping electron cloud (OEC) model was used to explain the enhancement and the effect of poling direction of the PDMS/BZT-BCT composite used in H/P-TENG, providing fundamental knowledge of the influence of piezoelectric polarisation on contact electrification.
  7. Ghumman ASM, Shamsuddin R, Sabir R, Waheed A, Sami A, Almohamadi H
    RSC Adv, 2023 Mar 08;13(12):7867-7876.
    PMID: 36909756 DOI: 10.1039/d3ra00256j
    To improve crop nutrient uptake efficacy (NUE) and better manage fertilization, slow-release fertilizers (SRFs) are developed by either coating the urea granules or making a composite. Several materials have already been developed, nevertheless, scalability of those materials is still a challenge due to their inherit drawbacks (such as hydrophilicity, crystallinity, non-biodegradability, etc.). Herein, we utilized a biodegradable, green and sustainable copolymer produced from industrial waste (sulfur-petroleum industry waste and myrcene-citrus industry waste) to coat the urea using a facile coating method to develop novel SRFs and achieve better agronomic and environmental advantages. The copolymer was first synthesized using a facile, solvent-free one-pot method called inverse vulcanization followed by Fourier transform infrared spectroscopy (FTIR) analysis to confirm the successful reaction between myrcene and sulfur subsequently coating the copolymer on urea granule. The morphology and coating thickness of coated fertilizers were analysed using scanning electron microscopy (SEM), followed by a nitrogen release test in distilled water and a soil burial test to confirm the biodegradability. The nitrogen release test revealed that the SRF with the maximum coating thickness of 1733 μm releases only 16% of its total nitrogen after 4 days of incubation compared to the pristine urea which releases all its nutrient within 1 day. The soil burial test confirms the biodegradability of the copolymer, as after 50 days of incubation in soil the copolymer loses almost 18.25% of its total weight indicating that the copolymer is degrading.
  8. Zulfiani U, Junaidi A, Nareswari C, Ali BTI, Jaafar J, Widyanto AR, et al.
    RSC Adv, 2023 Mar 08;13(12):7789-7797.
    PMID: 36909764 DOI: 10.1039/d2ra07595d
    Industrial growth can have a good impact on a country's economic growth, but it can also cause environmental problems, including water pollution. About 80% of industrial wastewater is discharged into the environment without treatment, of which 17-20% is dominated by dyes, such as methylene blue (MB) and methyl orange (MO) from the textile industry. Only about 5% of a textile dye is used in the dyeing process and the rest is discarded. This problem, of course, requires special handling considering the harmful effects to health. On the other hand, the abundance of plastic waste is increasing by 14% or 85 000 tons per year. This problem must be solved due to its film-forming properties. High-density polyethylene (HDPE) is one type of plastic used as a membrane material. Therefore, in this study, HDPE plastic waste was utilized as a membrane for dye removal. In this study, HDPE plastic waste was fabricated via a thermal-induced phase-separation method using mineral oil as a solvent at various concentrations of 8%, 10%, 13%, and 15% (w/w). All the membranes were characterized by scanning electron microscopy, Fourier transform infrared spectroscopy, and contact angle measurements. The results showed that the HDPE membrane at a concentration of 15% displayed the best performance compared to the others in terms of MB rejection. The negative charge (-36.9) of the HDPE membrane was more effective for cationic dye removal compared to the anionic dye. The flux and rejection of HDPE 15% for 100 ppm MB and MO removal were 2.71 and 4.93 L m-2 h-1, and 99.72% and 89.8%, respectively. The pure water flux of the membrane was 15.01 L m-2 h-1 and the tensile strength was 0.3435 MPa.
  9. Al-Mhanna SB, Wan Ghazali WS, Maqsood A, Mohamed M, Ahmed N, Afolabi HA, et al.
    SAGE Open Med, 2023;11:20503121231158981.
    PMID: 36909796 DOI: 10.1177/20503121231158981
    Coronavirus disease 2019 is a severe communicable pulmonary medical problem that has been a challenging disease for everyone in the globe, but vaccines development and administration against this severe acute respiratory syndrome-inducing disease (coronavirus disease 2019) are currently yielding fabulous results. The mean duration of the coronavirus disease 2019 pandemic for this study spanned from 2020 until 2022. These manifestations are accompanied by symptoms of respiratory tract illnesses such as non-productive cough, sore throat, and nasal discharge. Relevant reviews on coronavirus disease 2019 manifestations and outcomes, consisting mainly of the infections/outbreaks, experimental information, and pre- and post-serovaccination details that occurred, were described. After a typical vaccination course, the study aims to summarize and understand more about the effectiveness of exercise on the pre-and post-coronavirus disease 2019 vaccination and its implementations. Physical activity is an immunological function adjuvant to decrease communicable disease risk and enhance immunity post-viral infection vaccination. Moderate-intensity resistance exercisesession directly before getting the influenza vaccine decreases vaccine responses in older adults, such as redness, pain, or inflammation at the injection spot or other adverse consequences compared to the inactive circumstance. However, it was reported that exercise after a shot is generally safe as long as vaccinated people feel well enough. Though exercise before or after vaccination has no negative impact on the protection afforded by the vaccine, people can exercise immediately after receiving the vaccine, as any changes in blood flow will not affect the vaccine's response. One episode of light-to-moderate-intensifying exercise after vaccination may improve the antibody reactions to influenza or the coronavirus disease 2019 vaccine. Vaccination administered pre- and post-regular exercise is an effective approach for boosting antibody responses due to its immunostimulant effects. Future research should investigate how different vaccine antibodies respond to low, moderate, and high physical activity levels.
  10. Lim KH, Yun YX, Cheong YL, Sulaiman N, Mahadzir ME, Lim JH, et al.
    Tob Induc Dis, 2023;21:36.
    PMID: 36909814 DOI: 10.18332/tid/159624
    INTRODUCTION: The Fagerström test for nicotine dependence (FTND) was forward-backwards translated into the Malay language (FTND-M) and administered to 152 daily smokers who sought treatment for smoking cessation in government health clinics in Selangor state, Malaysia.

    METHODS: Using confirmatory factor analysis (CFA), four measurement models with the best relative fit were compared, one uni-dimensional model, and three different two-domain (morning and daytime smoking) models.

    RESULTS: The findings indicate that the best model of the FTND-M was a two-domain model, wherein domain one represented morning smoking (time to first cigarette of the day, smoking more in the morning, and which cigarette would you hate to give up) and domain two represented daytime smoking (cigarettes per day, difficulty refraining from smoking, and smoking when ill) which showed good model fit [χ2/df=1.932, goodness of fit (GFI) of 0.967, comparative fix index (CFI) of 0.945, incremental fit index (IFI) of 0.98, Tucker-Lewis index (TLI) of 0.95 and a real mean square end of approximation (RMSEA) of 0.079, and substantial reliability >0.70].

    CONCLUSIONS: This study indicates that the FTND-M can be used to assess these two dimensions of nicotine addiction among daily smokers in a clinical setting.

  11. Rahman H, Naik Bukht TF, Ahmad R, Almadhor A, Javed AR
    Comput Intell Neurosci, 2023;2023:7717712.
    PMID: 36909966 DOI: 10.1155/2023/7717712
    Medical image analysis places a significant focus on breast cancer, which poses a significant threat to women's health and contributes to many fatalities. An early and precise diagnosis of breast cancer through digital mammograms can significantly improve the accuracy of disease detection. Computer-aided diagnosis (CAD) systems must analyze the medical imagery and perform detection, segmentation, and classification processes to assist radiologists with accurately detecting breast lesions. However, early-stage mammography cancer detection is certainly difficult. The deep convolutional neural network has demonstrated exceptional results and is considered a highly effective tool in the field. This study proposes a computational framework for diagnosing breast cancer using a ResNet-50 convolutional neural network to classify mammogram images. To train and classify the INbreast dataset into benign or malignant categories, the framework utilizes transfer learning from the pretrained ResNet-50 CNN on ImageNet. The results revealed that the proposed framework achieved an outstanding classification accuracy of 93%, surpassing other models trained on the same dataset. This novel approach facilitates early diagnosis and classification of malignant and benign breast cancer, potentially saving lives and resources. These outcomes highlight that deep convolutional neural network algorithms can be trained to achieve highly accurate results in various mammograms, along with the capacity to enhance medical tools by reducing the error rate in screening mammograms.
    MeSH terms: Breast Neoplasms*; Diagnosis, Computer-Assisted; Female; Humans; Mammography/methods; Neural Networks (Computer)
  12. Gul MU, Kamarul Azman MH, Kadir KA, Shah JA, Hussen S
    Comput Intell Neurosci, 2023;2023:8162325.
    PMID: 36909967 DOI: 10.1155/2023/8162325
    Atrial flutter (AFL) is a common arrhythmia with two significant mechanisms, namely, focal (FAFL) and macroreentry (MAFL). Discrimination of the AFL mechanism through noninvasive techniques can improve radiofrequency ablation efficacy. This study aims to differentiate the AFL mechanism using a 12-lead surface electrocardiogram. P-P interval series variability is hypothesized to be different in FAFL and MAFL and may be useful for discrimination. 12-lead ECG signals were collected from 46 patients with known AFL mechanisms. Features for a proposed classifier are extracted through descriptive statistics of the interval series. On the other hand, the class ratio of MAFL and FAFL was 41 : 5, respectively, which was highly imbalanced. To resolve this, different data augmentation techniques (SMOTE, modified-SMOTE, and smoothed-bootstrap) have been applied on the interval series to generate synthetic interval series and minimize imbalance. Modification is introduced in the classic SMOTE technique (modified-SMOTE) to properly produce data samples from the original distribution. The characteristics of modified-SMOTE are found closer to the original dataset than the other two techniques based on the four validation criteria. The performance of the proposed model has been evaluated by three linear classifiers, namely, linear discriminant analysis (LDA), logistic regression (LOG), and support vector machine (SVM). Filter and wrapper methods have been used for selecting relevant features. The best average performance was achieved at 400% augmentation of the FAFL interval series (90.24% sensitivity, 49.50% specificity, and 76.88% accuracy) in the LOG classifier. The variation of consecutive P-wave intervals has been shown as an effective concept that differentiates FAFL from MAFL through the 12-lead surface ECG.
    MeSH terms: Electrocardiography/methods; Humans; Support Vector Machine
  13. Agarwal T, Tan SA, Rathnam Vuppaladadium SS, Sajja T, Maiti TK
    Int J Biomater, 2023;2023:2227509.
    PMID: 36909982 DOI: 10.1155/2023/2227509
    The present study outlines the evaluation of textile materials that are currently in the market for cell culture applications. By using normal LaserJet printing techniques, we created the substrates, which were then characterized physicochemically and biologically. In particular, (i) we found that the weave pattern and (ii) the chemical nature of the textiles significantly influenced the behaviour of the cells. Textiles with closely knitted fibers and cell adhesion motifs, exhibited better cell adhesion and proliferation over a period of 7 days. All the substrates supported good viability of cells (>80%). We believe that these aspects make commercially available textiles as a potential candidate for large-scale culture of adherent cells.
  14. Huan NC, Tan HA, Ramarmuty HY, Ponnuvelu S, Letcheminan S, Sivaraman Kannan KK
    Respirol Case Rep, 2023 Apr;11(4):e01116.
    PMID: 36910134 DOI: 10.1002/rcr2.1116
    In clinical practice, chylothorax is usually suspected in any patient with milky pleural fluid. However, contrary to popular belief, milky appearance of pleural fluid is seen in less than half of patients with chylothorax. A high index of suspicion for chylothorax is therefore needed in any turbid, bloody, or serosanguinous effusions of unclear aetiology. In this case series, we present three patients with biochemically proven chylothorax: each with a different presentation, pleural fluid appearance, underlying cause, management strategy and clinical outcome. The first patient developed 'milky' chylothorax secondary to lymphoma while the second patient's 'yellow' chylothorax is related to pleural tuberculosis. The final patient suffered from 'pink' chylothorax in the setting of systemic amyloidosis. In each of the cases, prompt diagnosis of chylothorax followed by efforts to elucidate the underlying cause are crucial steps to guide subsequent management with the main aim to ensure a better clinical outcome.
  15. Tian F, He J, Shang S, Chen Z, Tang Y, Lu M, et al.
    Front Microbiol, 2023;14:1105786.
    PMID: 36910188 DOI: 10.3389/fmicb.2023.1105786
    Mosquitoes are capable of carrying complex pathogens, and their feeding habits on the mammalian blood can easily mediate the spread of viruses. Surveillance of mosquito-based arbovirus enables the early prevention and control of mosquito-borne arboviral diseases. The climate and geography of Yunnan Province in China are ideal for mosquitoes. Yunnan shares borders with several other countries; therefore, there exists a high risk of international transmission of mosquito-mediated infectious diseases. Previous studies have focused more on the Sino-Laos and Sino-Myanmar borders. Therefore, we focused on the neighborhoods of Malipo and Funing counties in Wenshan Prefecture, Yunnan Province, China, which are located along the Sino-Vietnam border, to investigate the species of mosquitoes and mosquito-borne viruses in the residential areas of this region. This study collected 10,800 mosquitoes from 29 species of 8 genera and grouped to isolate mosquito-borne viruses. In total, 62 isolates were isolated and classified into 11 viral categories. We demonstrated a new distribution of mosquito-borne viruses among mosquitoes in border areas, including Tembusu and Getah viruses, which can cause animal outbreaks. In addition, Dak Nong and Sarawak viruses originating from Vietnam and Malaysia, respectively, were identified for the first time in China, highlighting the complexity of mosquito-borne viruses in the Sino-Vietnam border region. The awareness of the importance of viral surveillance and prevention measures in border areas should be further encouraged to prevent future outbreaks of potentially infectious diseases.
  16. Isaacs M, Garcia-Navarro J, Ong WJ, Jiménez-Calvo P
    Glob Chall, 2023 Mar;7(3):2200165.
    PMID: 36910466 DOI: 10.1002/gch2.202200165
    Energy security concerns require novel greener and more sustainable processes, and Paris Agreement goals have put in motion several measures aligned with the 2050 roadmap strategies and net zero emission goals. Renewable energies are a promising alternative to existing infrastructures, with solar energy one of the most appealing due to its use of the overabundant natural source of energy. Photocatalysis as a simple heterogeneous surface catalytic reaction is well placed to enter the realm of scaling up processes for wide scale implementation. Inspired by natural photosynthesis, artificial water splitting's beauty lies in its simplicity, requiring only light, a catalyst, and water. The bottlenecks to producing a high volume of hydrogen  are several: Reactors with efficient photonic/mass/heat profiles, multifunctional efficient solar-driven catalysts, and proliferation of pilot devices. Three case studies, developed in Japan, Spain, and France are showcased to emphasize efforts on a pilot and large-scale examples. In order for solar-assisted photocatalytic H2 to mature as a solution, the aforementioned bottlenecks must be overcome for the field to advance its technology readiness level, assess the capital expenditure, and enter the market.
  17. Eapen V, Karlov L, John JR, Beneytez C, Grimes PZ, Kang YQ, et al.
    Front Psychol, 2023;14:1022094.
    PMID: 36910746 DOI: 10.3389/fpsyg.2023.1022094
    INTRODUCTION: The concepts of health, illness, and disability as well as the perceptions of autism and quality of life (QoL) vary greatly across cultures and across time. This study sought to explore the interplay of culture on QoL and impact on parents caring for autistic children.

    METHODS: We used a transcultural dataset from seven countries (Australia, Hungary, Malaysia, Romania, Singapore, Spain, and the United Kingdom) with participating parents/carers reporting on the Quality of Life in Autism (QoLA) questionnaire. The QoLA questionnaire is a validated measure of QoL for parents of autistic children, with Part A subscale measuring parental QoL and part B subscale assessing the parental impact of the child's autism spectrum disorder (ASD) symptoms or features. We used the Quade's ranked analysis of covariance to determine significant differences between the countries in relation to QoLA Part A and Part B scores while adjusting for baseline differences using covariates such as parents' gender, child's age, and gender. Additionally, a post-hoc analysis with Bonferroni correction was also conducted to examine multiple pairwise comparisons.

    RESULTS AND CONCLUSION: We found that while the effect of features of ASD (Part B subscale) stayed strongly comparable between cultures, the self-reported parental QoL was most likely determined by different aspects of culture in different countries. It is concluded that while the ASD symptoms or features appear to affect parents in the same way across different countries, the parental QoL may be a culturally informed construct.

  18. Mohamed NA, Alanzi ARA, Azizan NA, Azizan SA, Samsudin N, Jenatabadi HS
    Front Psychol, 2023;14:1060963.
    PMID: 36910750 DOI: 10.3389/fpsyg.2023.1060963
    INTRODUCTION: Depression and obesity are the main threat among women which have been considered by many research scholars in psychology studies. In their analysis for measuring and estimating obesity and depression they were involving statistical functions.

    METHODS: Regression, Analysis of Variance (ANOVA), and in the last two decades Structural Equation Modeling are the most familiar statistical methods among research scholars. Taguchi algorism process is one the statistical methods which mostly have been applying in engineering studies. In this study we are looking at two main objectives. The first one is to introduce Taguchi algorism process and apply it in a case study in psychology area. The second objective is challenging among four statistical techniques include ANOVA, regression, SEM, and Taguchi technique in a same data. To achieve those aims we involved depression and obesity indices with other familiar indicators contain socioeconomic, screen time, sleep time, and usage fitness and nutrition mobile applications.

    RESULTS AND DISCUSSION: Outputs proved that Taguchi technique is able to analyze some correlations which are not achieved by applying ANOVA, regression, and SEM. Moreover, SEM has a special capability to estimate some hidden correlations which are not possible to evaluate them by using ANOVA, regression, and even Taguchi method. In the last, we found that some correlations are significant by SEM, however, in the same data with regression those correlation were not significant. This paper could be a warning for psychology research scholars to be more careful with involving statistical methods for measuring and estimating of their research variables.

  19. Bai N, Yan Z, Othman R
    Front Psychol, 2023;14:1064632.
    PMID: 36910770 DOI: 10.3389/fpsyg.2023.1064632
    The novel coronavirus (COVID-19) has inflicted unprecedented damage on the tourism industry. However, the psychological health fallout of COVID-19 on tour guides has not received empirical attention yet. Therefore, the present study aims to examine how psychological capital (PsyCap) improve tour guides' psychological wellbeing (PWB), the mediating effects of work-family conflict (WFC), family-work conflict (FWC), work-family facilitation (WFF) and family-work facilitation (FWF), and the moderating effect of perceived organizational support (POS). For this quantitative research, the data were collected from 276 tour guides in China. The results indicate that PsyCap significantly mitigates two directions of work-family conflict and intensifies two directions of work-family facilitation in order to promote tour guides' PWB. Furthermore, POS moderates the direct effects of two directions of conflict and facilitation on PWB and also moderates the indirect effects of PsyCap on the aforesaid outcome via two directions of conflict and facilitation. Theoretical and practical implications, limitations and future research directions are provided.
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